MedicaidAdministrativeHigh impact
Rate Year 2027 Determination for Disproportionate Share and Medicaid Percentage Adjustment Payments – Important New Procedures for Data Collection
Illinois Medicaid - HFS·IL·Claims & Billing
Effective date
Jan 1, 2027
We identified it
Jun 16, 2026
Summary
Illinois hospitals must submit 2024 cost reporting data by July 1, 2026, to qualify for Rate Year 2027 Disproportionate Share Hospital (DSH) and Medicaid Percentage Adjustment (MPA) payments. New procedures require MCO claims data to be submitted via secured SharePoint folders by June 30, 2026, and OBRA'93 data collection forms by August 15, 2026.
Action Required
By June 30, 2026: Illinois hospitals must submit all claims data for adjudication and MCO claims requests via secured SharePoint folders. By July 1, 2026: Submit completed DSH/MPA forms, corrected cost reports, and obstetrical statements to the Department. By August 15, 2026: All hospitals must complete and submit OBRA'93 Data Collection Forms regardless of DSH eligibility. Contact hfs.hospitals@illinois.gov to establish secured SharePoint access and provide authorized user email addresses. Failure to meet deadlines will result in exclusion from DSH/MPA determinations with no exceptions.