MedicaidReimbursementMedium impact
Calendar Year 2024 Outpatient High Volume Hospital Determination
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
The Illinois Department of Healthcare and Family Services has completed its annual Outpatient High Volume Hospital determination for 2024. Hospitals that qualify for this status will have different reimbursement rates and billing requirements for outpatient services throughout 2024.
Action Required
By January 1, 2024: Billing team must verify which Illinois hospitals have received Outpatient High Volume Hospital status by checking the Department's website at the provided link. Update billing system settings and fee schedules for affected hospitals to ensure proper reimbursement rates are applied for outpatient services.