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MedicaidAdministrativeLow impact

Directed Payment and Passthrough Calculations on Website

Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Mar 31, 2021
We identified it
Jun 20, 2026
Days to comply

Summary

Illinois Department of Healthcare and Family Services has posted MCAP payment calculations for April-June on their Hospital Reimbursement Notifications Website, including Directed Payments and Passthrough Payments for participating hospitals 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
Immediately: Hospital billing teams should access the Department's Hospital Reimbursement Notifications Website to review their facility's MCAP payment amounts for April-June. Monitor the website quarterly for new Directed Payment and Passthrough reports. Direct questions to HFS.Hospitals@Illinois.gov.