MedicaidAdministrativeLow impact
Distribution of Fiscal Year 2020 Disproportionate Share Hospital (DSH) Determination
Illinois Medicaid - HFS·IL·Provider Notice
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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 2020. These letters contain DSH adjustments, Medicaid Percentage Adjustments, and Medicaid High Volume Adjustments that hospitals can download from the state website.
Action Required
Hospital billing teams should download their facility's DSH determination letters from https://www.illinois.gov/hfs/MedicalProviders/MedicaidReimbursement/Pages/dsh.aspx to review their Fiscal Year 2020 adjustments. Contact Bureau of Rate Development and Analysis at 217-785-0710 for assistance with downloading files.