MedicaidReimbursementMedium impact
Updated Semi Annual Rate Maintenance Review Calculation for January 1, 2026 through June 30, 2026
Illinois Medicaid - HFS·IL·Claims & Billing
Effective date
Jan 1, 2026
We identified it
Jun 16, 2026
Summary
The Illinois Department of Health and Family Services has posted Semi Annual Rate Maintenance Review Payments for January 1, 2026 through June 30, 2026, ensuring hospitals in Hospital Class Directed Payment Fixed Pools receive at least 95% of their annual initial rate for this 6-month period. This payment calculation is mandated by Public Act 102-0886 and affects enrolled hospitals' Medicaid reimbursement rates.
Action Required
Hospital billing teams should access the Semi Annual Rate Maintenance Review payment information at the provided link to verify correct payment amounts for the January 1 through June 30, 2026 period. Ensure accounts receivable systems reflect the updated payment calculations for Hospital Class Directed Payment Fixed Pool services.