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Rate Year 2011 Determination for Disproportionate Share, Medicaid Percentage Adjustment, Critical Hospital Adjustment, and County Trauma Center Adjustment Payments
Act
immediately
Effective date
Not stated in the notice
Identified
Jun 21, 2026
Summary
Illinois Medicaid has posted the 2011 Disproportionate Share determination notice and required forms on their website. Hospitals must complete and submit these forms by specified deadlines to maintain qualification for various reimbursement programs including Disproportionate Share, Medicaid Percentage Adjustment, Critical Hospital Adjustment, and County Trauma Center Adjustment payments.
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What to do
immediately · 3 steps
01Hospital billing teams must download required forms from www.hfs.illinois.gov/medicalproviders/costreports and complete all Disproportionate Share determination forms.
02Submit completed forms to the contact person and address specified on each form by the appropriate due date listed.
03Contact 217-785-0710 if experiencing download issues.
If missed: Failure to submit forms could significantly impact qualification for multiple reimbursement programs.
Original notice
Rate Year 2011 Determination for Disproportionate Share, Medicaid Percentage Adjustment, Critical Hospital Adjustment, and County Trauma Center Adjustment Payments
hfs.illinois.gov · Always check the source before changing claims.
Related changes
See all Illinois Medicaid - HFS changes →Rate Year 2006 Determination for Disproportionate Share, Medicaid Percentage Adjustment, Critical Hospital Adjustment, and County Trauma Center Adjustment PaymentsLowNo 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 NoticeRY2015 Disproportionate Share Determination Action Notice (pdf)MediumEffective Mar 21, 2014 · Provider NoticeBrowse every Illinois Medicaid - HFS change in the policy list