MedicaidAdministrativeLow impact
Distribution of Fiscal Year 2019 Disproportionate Share Hospital (DSH) Determination
Illinois Medicaid - HFS·IL·Provider Notice
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Jun 20, 2026
Summary
Illinois Department of Healthcare and Family Services has posted the annual Disproportionate Share Hospital (DSH) determination letters for fiscal year 2019. Hospital billing teams can now download their facility-specific DSH, Medicaid Percentage Adjustment (MPA), and Medicaid High Volume Adjustment (MHVA) letters from the state website.
Action Required
Hospital billing and finance teams should download their facility's DSH determination letters from https://www.illinois.gov/hfs/MedicalProviders/MedicaidReimbursement/Pages/dsh.aspx to review fiscal year 2019 adjustments. Contact Bureau of Rate Development and Analysis at 217-785-0710 for assistance with downloading files.