CommercialAdministrativeMedium impact
Hospital Average Commercial Rate (ACR) Data Collection
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Summary
Illinois hospitals must submit commercial rate data for their five highest volume commercial payers to maintain Medicaid funding levels under the Hospital Assessment Program. This is required for federal compliance to demonstrate that managed care payments don't exceed average commercial rates.
Action Required
By July 15, 2022: Hospital CFOs must submit commercial rate data for the five highest volume commercial payers through Milliman's secure portal. Data must exclude Medicare, Medicare Advantage, Medicaid MCOs, and worker's compensation. Ensure data is available for audit in paid claims data if requested.