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MedicaidAdministrativeLow impact

Directed Payment and Passthrough Calculations on Website

Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Jun 29, 2021
We identified it
Jun 20, 2026
Days to comply

Summary

Illinois Department of Healthcare and Family Services has posted July-September MCAP payment calculations on their Hospital Reimbursement Notifications Website, including both Directed Payments and Passthrough Payments that hospitals will receive from Medicaid managed care plans. New quarterly reports will be posted prior to each quarter as mandated by Public Act 101-0650.

Action Required

Action needed
No immediate action required for billing teams. Hospital financial teams should review the posted payment calculations on the Illinois Department's Hospital Reimbursement Notifications Website under 'Directed Payment and Passthrough Reports' section to verify expected MCAP payments for July-September.