MedicaidAdministrativeLow impact
Fiscal Year 2027 Managed Care Organization Assessment Program Notice of Assessment
Illinois Medicaid - HFS·IL·Claims & Billing
Effective date
Jul 1, 2026
We identified it
Jun 16, 2026
Summary
Illinois has issued the Fiscal Year 2027 Managed Care Organization Assessment Program notice with specific tax tier rates and payment schedules. This assessment applies to Illinois MCOs with tiered rates based on member months: Tier 1 at $119.50 for first 4,195,000 Medicaid MCO member months, Tier 2 at $1.30 for additional Medicaid MCO member months, and Tier 3 at $5.70 for non-Medicaid MCO member months.
Action Required
By July 1, 2026: Illinois MCO providers must access remittance notices on the Department's SharePoint site and remit monthly assessment payments according to the published schedule. Contact HFS.ProviderAssessmentUnit@illinois.gov or 217-524-7110 if SharePoint access is needed. Use ACH Credit/Wire Transfer with specific formatting requirements including MCO organization name, TIN, and HFS Tax ID from remittance cards.