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Illinois Medicaid - HFSMedicaid · Reimbursement · Provider Notice · ILLow impact

Calendar Year 2026 Safety Net Add-on Calculations

Effective date
Dec 1, 2026
Identified
Jun 20, 2026

Summary

Illinois Department of Healthcare and Family Services has published Calendar Year 2026 safety net add-on payment calculations for qualifying hospitals. The add-ons include a tiered safety net program targeting $50M annually for hospitals with Medicaid Inpatient Utilization Rates above 40%, and a low volume add-on for hospitals with fewer than 11,000 inpatient days.

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What to do

Action · 2 steps
01No immediate action required for most billing teams.
02Only Illinois hospitals qualifying as safety net facilities (MIUR >40% or <11,000 inpatient days annually) should review the posted calculations at the Department's Hospital Reimbursement Notifications website to verify their add-on amounts for December 2026 services.

Original notice

Calendar Year 2026 Safety Net Add-on Calculations
hfs.illinois.gov · Always check the source before changing claims.
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Illinois Medicaid - HFS policiesIL policy changes

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