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Directed Payment Calculations on Website
Act
by Jul 1, 2026
Effective date
Jul 1, 2026
Identified
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.
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What to do
by Jul 1, 2026 · 3 steps
01Patient 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.
02Verify that your hospital's directed payment amounts are correctly calculated and reconcile these amounts in your billing system.
03Contact HFS.Hospitals@Illinois.gov with any questions or discrepancies regarding calculations.
If missed: Failure to reconcile directed payments may result in billing errors and revenue leakage.
Original notice
Directed Payment Calculations on Website
hfs.illinois.gov · Always check the source before changing claims.
Related changes
See all Illinois Medicaid - HFS changes →Directed Payment Calculations on WebsiteLowNo effective date · Provider NoticeHospital Directed Payment Calculations on WebsiteLowEffective Aug 12, 2020 · Provider NoticeDirected Payment and Passthrough Calculations on WebsiteLowEffective Dec 30, 2020 · Provider NoticeDirected Payment and Passthrough Calculations on WebsiteLowEffective Mar 31, 2021 · Provider NoticeBrowse every Illinois Medicaid - HFS change in the policy list