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Hospital Provider Assessment – Electronic Payment Procedure ACH Credit/Wire Transfer Enrollment
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Dec 26, 2023
We identified it
Jun 20, 2026
Summary
Illinois hospitals must switch from automatic account sweeps to self-initiated ACH Credit or Wire Transfer payments for monthly Hospital Provider Assessment fees. Hospitals must complete and submit Form SF 3881 to set up electronic payment capabilities before the December 2023 assessment.
Action Required
Before December 26, 2023: Hospital billing teams must complete ACH Vendor/Miscellaneous Payment Enrollment form (Standard Form 3881) and submit to HFS.ProviderAssessmentUnit@Illinois.gov. Share completed form with facility's banking institution to establish ACH Credit or Wire Transfer capability for monthly Hospital Provider Assessment payments. Failure to complete enrollment will prevent timely payment of December assessment.