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Provider Notice Issued 01/13/2017

Updated Hospital Rate Sheets and Payment Calculators


Date:       January 13, 2017     

To:          Enrolled Hospitals: Chief Executive Officers, Chief Financial Officers, and Patient Accounts Managers
Re:          Updated Hospital Rate Sheets and Payment Calculators
Per the provider notice dated December 29, 2016, the department has posted updated pricing calculators and hospital rate sheets to the HFS website.  The outpatient pricing calculator contains the new relative weights associated with EAPG grouper version 3.11.  In addition, the calculators have been updated to include the new hospital specific rates and cost-to-charge ratio’s in order to calculate estimated reimbursement for inpatient discharges and outpatient dates of service on or after January 1, 2017.  The pricing calculators can be accessed at the following site: Hospital Pricing Calculators.
The new rate sheets have been posted to the following site:  Hospital Rate Sheets Effective January 1, 2017.  Hospitals can access their updated rate sheet by clicking on the appropriate link at that site. 
Per 89 IL Admin Code 148.310(f), hospitals can appeal the accuracy of the updated rate components  through a written request for review that must be submitted in writing and must either be received by the department, or post marked within 30 days after the date of this notice.  Therefore, the deadline for appeals is February 13, 2017.  Please direct all appeals and supporting documentation to:
                        Illinois Department of Healthcare and Family Services
Bureau of Rate Development and Analysis
Attn: Jonathon Grieser
201 South Grand Avenue East, 2nd Floor
Springfield, Illinois 62763
If you have any further questions in regards to this notice, please contact the Bureau of Rate Development and Analysis at (217) 785-0710.
Dan Jenkins, Chief
Bureau of Rate Development and Analysis


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Illinois Healthcare and Family Services

JB Pritzker, Governor • Theresa Eagleson, Director