MedicaidAdministrativeMedium impact
RY2015 Disproportionate Share Determination Action Notice (pdf)
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Mar 21, 2014
We identified it
Jun 20, 2026
Summary
Illinois Department of Healthcare and Family Services has posted the RY2015 Disproportionate Share determination action notice and required forms online. Hospitals must complete and submit these forms by specified due dates to maintain qualification for various reimbursement programs.
Action Required
Hospital CFOs/CEOs must download forms from http://www.illinois.gov/hfs/MedicalProviders/CostReports/Pages/default.aspx, complete them, and mail to specified contact by the due date listed on each form. Contact Kristy Sommer at 217/785-0710 with questions. Failure to submit could impact qualification for Department reimbursement programs.