Skip to main content
  • Medicaid Provider Alert: Provider revalidation has begun and those not completing the process risk disenrollment.  Check your account now to learn when your revalidation is due. More information here.
  • The Cook Central Office, 36 South Wabash Avenue, Chicago, will close 02/03/2025.  The new Cook Central Office will open at 115 South LaSalle, Chicago, for in-person service on 02/10/2025.  
  • ​UPDATE: The State Disbursement Unit (SDU) is processing all payments received. To verify the status of your payment, please log into the SDU parent portal or contact the SDU Customer Service Call Center at 877.225.7077.  For SDU business hours, click here.
Elizabeth M. Whitehorn, Director

Hospital Rate Reform Initiative

Overview

The Department of Healthcare and Family Services is launching an important initiative to restructure and modernize the payment methodology for Medicaid inpatient and outpatient hospital rates. The sessions will be open forums to discuss the healthcare environment under Illinois’ new Medicaid reform law and the federal Affordable Care Act, key issues related to the current rate structure, a review of rate reform efforts in other states, and principles to incorporate in a new rate methodology. Technical sessions scheduled later will be available via videoconferencing at our offices in Springfield at 201 South Grand Avenue East and Chicago at 401 South Clinton. We will strive to involve stakeholders throughout this process.

Rate Reform Questions and Answers

Pricing Calculators

Inpatient

Outpatient

Archived Pricing Calculators

Proposed Additional Rate Reform Rules published March 21, 2014

Hospital Rate Reform Rules

Implementation Plan

Presentations

Illinois Hospital Rate Reform Questions and Answers

Hospital Rate Reform Resources

The Department has completed the Hospital Specific Cost Detail Worksheets. To obtain your facility’s worksheet, please email your request to HFS.Hospitals@illinois.gov. Please include your facility’s name(s) and MEDICARE ID number(s) in the request, as well as the email address to which you would like the worksheet sent.

BIOs for the Presenters

Comments