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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
Days to comply
163 days

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

Before Dec 1, 2026
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.