MedicaidReimbursementMedium impact
Updated Semi Annual Rate Maintenance Review Calculation for January 1, 2025, through June 30, 2025
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Jan 1, 2025
We identified it
Jun 20, 2026
Summary
The Illinois Department of Health and Family Services has updated semi-annual rate maintenance calculations for January-June 2025, resulting in increased payments to Safety Net hospitals and decreased payments to Public hospitals. The Department will recoup overpayments from December MCAP payments and has posted reconciliation documents for hospitals to track payment adjustments.
Action Required
Immediately: Finance team should access the Semi Annual Rate Maintenance Review documentation at the provided link to reconcile December MCAP payments. Review the reconciliation document to identify any payment adjustments or recoupments that may affect your facility's revenue. Monitor December payments for any overpayment recoupments if your facility is classified as a Public hospital.