MedicaidReimbursementLow impact
Calendar Year 2026 Safety Net Add-on Calculations
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Dec 1, 2026
We identified it
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.
Action Required
No immediate action required for most billing teams. Only 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.