MedicaidReimbursementMedium impact
Updated Hospital Rate Sheets and Payment Calculators
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Jan 1, 2017
We identified it
Jun 20, 2026
Summary
Illinois Medicaid updated hospital rate sheets and payment calculators effective January 1, 2017, with new EAPG grouper version 3.11 relative weights and hospital-specific rates. Hospitals have until February 13, 2017 to appeal rate accuracy through written request.
Action Required
By February 13, 2017: Hospital billing teams must review updated rate sheets on HFS website and verify accuracy of hospital-specific rates and cost-to-charge ratios. If discrepancies found, submit written appeal with supporting documentation to Illinois Department of Healthcare and Family Services Bureau of Rate Development and Analysis. Update pricing calculations for inpatient discharges and outpatient services using new EAPG grouper version 3.11 relative weights.