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Elizabeth M. Whitehorn, Director

Provider Notice issued 10/23/13

Fiscal Years 2012-2014 Hospital Outpatient Assessment Program Notice of Assessment

To:​ Illinois Hospital Providers​
Date:​ October 23, 2013​
Re:​ Fiscal Years 2012-2014 Hospital Outpatient Assessment Program Notice of Assessment​

This is to inform you that the department has determined that your facility is subject to the assessment imposed on Illinois hospital outpatient services under the provisions of Public Act 97-0688 and Public Act 98-0104 (305 ILCS 5/V-A).

Enclosed is the tax calculation worksheet detailing the basis for the outpatient assessment and your facility's assessment remittance notices for June 10, 2012 through June 30, 2014. The remittance notice has the facility's name and address, the tax identification number and personal identification number (PIN) assigned by the department, the total amount due, and the due date.

Hospitals must remit the monthly outpatient assessment using the Illinois State Treasurer's E-Pay Program. In order to use this service, your hospital will need an Internet connection, checking account information (bank routing number and account number), from which the payment will be made, and the hospital's current remittance card. If your hospital is not familiar with the Illinois State Treasurer's E-Pay Program, please contact the Bureau of Hospital and Provider Services at (217) 524-7110.

In addition, each hospital is responsible for ensuring debit authorizations can be initiated from designated accounts in the appropriate dollar amount. Following is the company identification number to be given to your banking institution, if debit block filters are used on the hospital's account. Please use 1550895818 for these transactions.

Payments must be submitted through Illinois E-Pay or postmarked to the department on or before the due date in order to be considered as on time.

If you have any questions concerning this information, please contact the Bureau of Hospital and Provider Services by e-mailing HFS BCHS or by telephone at 217-524-7110.

 

Mashelle Rose, Acting Chief

Bureau of Hospital and Provider Services

 

Fiscal Year 2012 - 2014 Outpatient Hospital Assessment (Fund 346)

Assessment Period Due Date
June 10 – June 30, 2012 October 31, 2013
July – December 2012 October 31, 2013
January – June 2013 November 21, 2013
July – December 2013 December 19, 2013
January-14 January 22, 2014
February-14 February 24, 2014
March-14 March 20, 2014
April-14 April 18, 2014
May-14 May 20, 2014
June-14 June 19, 2014