MedicaidAdministrativeMedium impact
Directed Payment Calculations on Website
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Jul 1, 2026
We identified it
Jul 1, 2026
Summary
The Illinois Department of Financial and Professional Regulation has posted Directed Payment calculation reports for July through September 2026 on its Hospital Reimbursement Notifications Website. Participating hospitals must access these reports to review their quarterly directed payment amounts and ensure accurate reimbursement reconciliation.
Action Required
By July 1, 2026: Patient Accounts Managers and billing team must access the Hospital Reimbursement Notifications Website under the 'Directed Payment and Passthrough Reports' section to retrieve the directed payment calculation reports for July, August, and September 2026. Verify that your hospital's directed payment amounts are correctly calculated and reconcile these amounts in your billing system. Contact HFS.Hospitals@Illinois.gov with any questions or discrepancies regarding calculations. Failure to reconcile directed payments may result in billing errors and revenue leakage.