MedicaidReimbursementHigh impact
Changes to Hospital Inpatient and Outpatient Reimbursement Systems Effective with Dates of Service on and after July 1, 2018
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Jul 1, 2018
We identified it
Jun 20, 2026
Summary
Illinois Medicaid is increasing hospital inpatient and outpatient reimbursement rates effective July 1, 2018, including new trauma APR-DRG codes eligible for policy adjustors and add-on payments for expensive drugs and devices. The Department will hold claims for 30 days while implementing system changes.
Action Required
Immediately: Hospital billing teams must update reimbursement systems to reflect new Illinois Medicaid rates and trauma APR-DRG codes 841-844. Expect 30-day claim processing delays for inpatient discharges and outpatient services on/after July 1, 2018. Download updated rate sheets from Hospital Reimbursement Notifications webpage and verify system captures new expensive drug/device add-on payments.