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Provider Notice Issued 04/09/2021

Date:    April 9, 2021 

To:       Chief Executive Officers, Chief Financial Officers, and Patient Account Managers

Re:      Disproportionate Share Hospital Adjustment Payments, Medicaid Percentage Adjustment Payments

_______________________________________________________________________________________________________________________________________________________  Attached you will find an Action Notice from the Department reminding hospitals of the information used to   calculate Disproportionate Share Hospital Adjustment Payments, Medicaid Percentage Adjustment   Payments, and County Trauma Center Adjustment Payments.  

The purpose of the attached notice is to remind hospitals that the Department will make determinations based on data on hand and allow you to update information you feel is incomplete.  As described in the attachments, claims must be adjudicated no later than June 30, 2021, and other data must be received or postmarked no later than July 1, 2020.  Data used to determine eligibility and calculate rates is not from the current period, but from either your hospital’s 2019 cost reporting period (DSH and MPA) or the State’s 2020 (July 1, 2019 to June 30, 2020) fiscal year (TCA).  If you have any questions regarding this notice, please contact the Disproportionate Share Unit at (217) 785-0710. 



Kathleen Staley, Bureau Chief

Bureau of Rate Development and Analysis






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Illinois Department of Healthcare and Family Services

JB Pritzker, Governor • Theresa Eagleson, Director