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MedicaidAdministrativeMedium impact

Disproportionate Share Hospital Adjustment Payments, Medicaid Percentage Adjustment Payments, and County Trauma Center Adjustment Payments.

Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Apr 10, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

Illinois Department of Healthcare and Family Services issued a reminder notice to hospitals about Disproportionate Share Hospital (DSH) adjustment payments, Medicaid Percentage Adjustment (MPA) payments, and County Trauma Center Adjustment (TCA) payments. Hospitals must ensure claims are adjudicated and data is complete by specified deadlines to avoid payment determinations based on incomplete information.

Action Required

Action needed
By June 30, 2020: Hospital billing teams must ensure all claims are fully adjudicated for DSH, MPA, and TCA payment calculations. By July 1, 2020: Submit or postmark any missing data for 2018 cost reporting period (DSH/MPA) or 2019 fiscal year (TCA) to the Department. Contact Disproportionate Share Unit at (217) 785-0710 with questions. Failure to meet deadlines may result in payment determinations based on incomplete data.