Who is affected by this change?

This affects Illinois Medicaid - HFS in IL on Medicaid plans.

When does this change take effect?

This change is effective Jul 1, 2019.

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MedicaidReimbursementMedium impact

Updated Pricing Calculators

Illinois Medicaid - HFS·IL·Provider Notice

Effective date

Jul 1, 2019

We identified it

Jun 20, 2026

Days to comply

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Summary

Illinois has updated inpatient and outpatient pricing calculators with reimbursement changes effective July 1, 2019. New calculators are available on the Illinois Department of Human Services website for enrolled hospitals.

Action Required

Action needed

Hospital billing teams should download and implement the updated inpatient and outpatient pricing calculators from the Illinois HFS website at https://www.illinois.gov/hfs/MedicalProviders/hospitals/hospitalratereform/Pages/default.aspx. Contact Bureau of Rate Development and Analysis at 217-785-0710 with questions about implementation.

Related policy hubs

Illinois Medicaid - HFS policies IL policy changes