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RY2016 Disproportionate Share Determination Action Notice

Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

Illinois Department of Healthcare and Family Services issued a notice requiring hospitals to complete and submit disproportionate share determination forms for rate year 2016. These forms are critical for maintaining qualification in various reimbursement programs administered by the state.

Action Required

Action needed
Hospital CFOs and CEOs must download the required disproportionate share determination forms from the HFS Medical Providers Cost Reports webpage, complete them, and mail to the specified contact by the due date listed on the forms. Contact Kristy Sommer at 217/785-0710 with questions. Failure to complete these forms could significantly impact qualification for state reimbursement programs.

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