Skip to main content
  • Notice of Privacy Incident
  • Medicaid Provider Termination Alert: Revalidation deadlines are approaching. Failure by providers to revalidate will lead to termination and payment suspension. Check your account now at https://impact.illinois.gov/ to learn if your required revalidation is due this month. More revalidation information here.
Elizabeth M. Whitehorn, Director

Hospital Add-on Payments

Disproportionate Share Hospitals (DSH)

The disproportionate share hospital program, as described in Illinois Administrative Code, Section 148.120, allows the department to provide additional payments to qualifying hospitals for services vital to Medicaid clients.

Medicaid High Volume Adjustments (MHVA) to DSH Hospitals

MHVA payments, as described in Illinois Administrative Code, Section 148.120, consist of adjustments made to disproportionate share hospitals (DSH), excluding those operated by Cook County and the University of Illinois at Chicago.

Critical Hospital Adjustment Payment (CHAP) Programs

This program described in Illinois Administrative Code, Section 148.295, has four separate categories in which a hospital can qualify for additional Medicaid payments: trauma, rehabilitation, direct and rural hospitals. Supplemental CHAP payments are made to hospitals that meet requirements defined in the Illinois Administrative Code, Section 148.296.

Pediatric Outpatient Adjustment Payments

This payment defined in the Illinois Administrative Code, Section 148.297, rewards hospitals that devote resources to providing outpatient services to a high percentage of Medicaid-eligible children.

County Trauma Center Adjustment Program

Under this program, separate from the CHAP Program, all Level I and Level II Illinois trauma centers can receive additional Medicaid payments. The program is funded by fines for traffic citations.