MedicaidAdministrativeMedium impact
Disproportionate Share, Medicaid Percentage Adjustment, Critical Hospital Adjustment, and County Trauma Center Adjustment Payments
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Mar 21, 2011
We identified it
Jun 21, 2026
Summary
Illinois Department of Healthcare and Family Services has posted the 2012 Disproportionate Share Determination Action Notice and required forms online for hospital providers. Hospitals must complete and submit these forms by specified due dates to maintain qualification for various reimbursement programs.
Action Required
Hospital CFOs, CEOs, and Patient Account Managers must download forms from the HFS Cost Reports Page (http://www.illinois.gov/hfs/MedicalProviders/CostReports/Pages/default.aspx), complete them, and mail to specified contact by the due date shown on each form. Reference the March 21, 2011 Action Notice for detailed instructions. Failure to complete forms could significantly impact qualification for department reimbursement programs.