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Elizabeth M. Whitehorn, Director

Provider Notice issued 03/21/11

Disproportionate Share, Medicaid Percentage Adjustment, Critical Hospital Adjustment, and County Trauma Center Adjustment Payments

To:​ ​Hospital Providers: Chief Financial Officer/Chief Executive Offier/ Patient Account Managers
Date:​ ​March 21, 2011
​Re: Disproportionate Share, Medicaid Percentage Adjustment, Critical Hospital Adjustment, and County Trauma Center Adjustment Payments​

In an effort to increase efficiency and reduce waste, the department’s annual 2012 Disproportionate Share Determination Action Notice has been posted to the department’s Web site on the Hospital Provider Notice Page (http://www.illinois.gov/hfs/MedicalProviders/notices/Pages/default.aspx). The associated required forms are available for download on the HFS Cost Reports Page (http://www.illinois.gov/hfs/MedicalProviders/CostReports/Pages/default.aspx).

As in prior years, these forms should be completed and mailed to the contact person and address specified on the form by the appropriate due date.

Completion of these forms is vital to the accurate completion of the annual determinations and could significantly impact a provider’s qualification for a number of reimbursement programs administered by the department.  Please reference March 21, 2011 Action Notice for further instruction.

If you have questions, or problems downloading these files, please contact 217-785-0710.

Sincerely,

Joseph R. Holler, Deputy Administrator

Division of Finance