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Rate Year 2025 Determination for Disproportionate Share and Medicaid Percentage Adjustment Payments

Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Jan 1, 2025
We identified it
Jun 20, 2026
Days to comply

Summary

Illinois hospitals must submit specific data and forms by July 1, 2024 to qualify for Rate Year 2025 Disproportionate Share Hospital (DSH) and Medicaid Percentage Adjustment (MPA) payments. Additional OBRA'93 data collection forms are required by August 15, 2024 for all hospitals regardless of DSH eligibility.

Action Required

Action needed
By July 1, 2024: Illinois hospitals must submit DSH obstetrical statements, corrected cost reports (if applicable), Low Income Utilization forms with audited financial statements (if low-income utilization rate exceeds 25%), and out-of-state Medicaid verification reports to Illinois Department of Healthcare and Family Services. By August 15, 2024: All hospitals must complete and submit OBRA'93 Data Collection Forms with charity care and bad debt data. Failure to meet deadlines will result in lower DSH rates or ineligibility for DSH payments in Rate Year 2025.