CommercialAdministrativeLow impact
Hospital Average Commercial Rate (ACR) Data Collection
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Jun 25, 2025
We identified it
Jun 20, 2026
Summary
Illinois hospitals must submit average commercial rate data for their five highest volume commercial payers to maintain Medicaid funding levels. This is a data collection requirement for hospitals, not a direct billing code or reimbursement change for medical practices.
Action Required
By June 25, 2025: Hospital CFOs must submit commercial rate data for their five highest volume commercial payers through Milliman's secure portal. Medical billing teams at physician practices are not directly affected unless they are hospital-employed. Hospital billing departments should coordinate with CFOs to ensure data submission to maintain Medicaid funding levels.