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Elizabeth M. Whitehorn, Director

Provider Notice issued 03/26/12

 RY2013 Disproportionate Share Determination Action Notice

​To: ​Hospital Providers: Chief Financial Officer/Chief Executive Officer
​Date: ​March 26, 2012
​Re:  RY2013 Disproportionate Share Determination Action Notice​

In an effort to increase efficiency and reduce waste, the Department’s annual 2013 disproportionate share determination action notice has been posted to the Department’s web site. The associated required forms are available for download at 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 click here to find an Action Notice reminding hospitals of the information used to calculate Disproportionate Share Hospital Adjustment Payments, Medicaid Percentage Adjustment Payments, Critical Hospital Adjustment Payments, and County Trauma Center Adjustment Payments.

The purpose of the Action Notice is to remind hospitals that the department will make determinations based ondata on hand and allow you to update information you feel is incomplete. As described in the attachments, claimsmust be adjudicated no later than June 30, 2012, and other data must be received or postmarked no later thanJuly 1, 2012. Data used to determine eligibility and calculate rates are not from the current period, but from eitheryour hospital’s 2010 cost reporting period (DSH and MPA) or the State’s 2011 (July 1, 2010 to June 30, 2011)fiscal year (CHAP and TCA). If you have any questions regarding this notice, please contact the Disproportionate Share Unit at (217) 785-0710.

If you have question, or problems downloading these files, please contact Kristy Sommer at 217/785-0710.

Sincerely,

F.N. Kopel

Administrator, Division of Finance