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MedicaidAdministrativeLow impact

Directed Payment and Passthrough Calculations on Website

Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Jun 30, 2022
We identified it
Jun 20, 2026
Days to comply

Summary

Illinois Department of Healthcare and Family Services has posted July-September MCAP Directed Payment and Passthrough Payment amounts and calculations on their Hospital Reimbursement Notifications Website. This is an informational notice for hospitals participating in Illinois Medicaid managed care plans about payment transparency reporting required by state law.

Action Required

Action needed
Informational only: Hospital billing teams can review their facility's Directed Payment and Passthrough Payment amounts for July-September on the Illinois Department's Hospital Reimbursement Notifications Website. No billing system changes required. Future quarterly reports will be posted before each quarter.