MedicaidReimbursementMedium impact
Updated Pricing Calculators
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Jul 1, 2020
We identified it
Jun 20, 2026
Summary
Illinois has posted updated pricing calculators for hospital inpatient and outpatient services with reimbursement changes effective July 1, 2020. Only outpatient rates changed for hospitals affected by high volume determinations, with no inpatient rate changes.
Action Required
By July 1, 2020: Hospital billing teams in Illinois should download updated pricing calculators from the Illinois Department of Healthcare and Family Services website. If your hospital was impacted by outpatient high volume determination (referenced in June 24, 2020 notice), update outpatient reimbursement rates in billing systems accordingly. Contact Bureau of Rate Development at 217-785-0710 with questions.