MedicaidAdministrativeLow impact
Distribution of Fiscal Year 2022 Disproportionate Share Hospital (DSH) Determination
Illinois Medicaid - HFS·IL·Provider Notice
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Jun 20, 2026
Summary
Illinois has posted the annual Disproportionate Share Hospital (DSH) determination letters for Fiscal Year 2022, including DSH adjustments, Medicaid Percentage Adjustments, and Medicaid High Volume Adjustments. Enrolled hospitals can download their specific determination letters from the Illinois Department of Healthcare and Family Services website.
Action Required
Hospital billing teams should download their facility's FY 2022 DSH determination letters from https://www.illinois.gov/hfs/MedicalProviders/MedicaidReimbursement/Pages/dsh.aspx to review adjustments for DSH, MPA, and MHVA programs. Contact Bureau of Rate Development and Analysis at 217-785-0710 for assistance with downloading files.