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RY2015 Disproportionate Share Determination Action Notice (pdf)
Effective date
Mar 21, 2014
Identified
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.
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What to do
Action · 2 steps
01Hospital 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.
02Contact Kristy Sommer at 217/785-0710 with questions.
If missed: Failure to submit could impact qualification for Department reimbursement programs.
Original notice
RY2015 Disproportionate Share Determination Action Notice (pdf)
hfs.illinois.gov · Always check the source before changing claims.
Related changes
See all Illinois Medicaid - HFS changes →Rate Year 2011 Determination for Disproportionate Share, Medicaid Percentage Adjustment, Critical Hospital Adjustment, and County Trauma Center Adjustment PaymentsHighNo effective date · Provider NoticeDisproportionate Share, Medicaid Percentage Adjustment, Critical Hospital Adjustment, and County Trauma Center Adjustment PaymentsMediumEffective Mar 21, 2011 · Provider NoticeRY2013 Disproportionate Share Determination Action NoticeLowEffective Mar 26, 2012 · Provider NoticeRY2016 Disproportionate Share Determination Action NoticeMediumNo effective date · Provider NoticeBrowse every Illinois Medicaid - HFS change in the policy list