MedicaidAdministrativeLow impact
Distribution of Fiscal Year 2021 Disproportionate Share Hospital (DSH) Determination
Illinois Medicaid - HFS·IL·Provider Notice
We identified it
Jun 20, 2026
Summary
The Illinois Department of Healthcare and Family Services has posted the annual Disproportionate Share Hospital (DSH) determination letters for fiscal year 2021 on their website. Enrolled hospitals can download their specific DSH, Medicaid Percentage Adjustment, and Medicaid High Volume Adjustment letters in PDF format.
Action Required
Hospital billing teams should visit https://www.illinois.gov/hfs/MedicalProviders/MedicaidReimbursement/Pages/dsh.aspx to download their facility's DSH determination letters for fiscal year 2021. Contact the Bureau of Rate Development and Analysis at 217-785-0710 if assistance is needed accessing the files.