Provider Notice Issued 11/30/2022

Date:   November 30, 2022

To:      Illinois Hospital Providers

Re:      Fiscal Year 2023 January through June 2023 Hospital Inpatient and Outpatient

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Assessment Programs - Notice of Assessments and Assessment Adjustment Calculations 

This is to inform you that the department has determined that your facility is subject to the inpatient and outpatient assessments imposed on Illinois hospital inpatient and outpatient services under the provisions of 305 ILCS 5/5-A and that the Department has posted the Assessment Adjustment Calculations to the Hospital Reimbursement Notifications Website under the Section Directed Payment and Passthrough Reports.

Your facility's inpatient and outpatient assessment remittance notices for January through June of fiscal year 2023 per Public Act 101-0650, have been mailed via USPS Attn: Chief Financial Officer.  Please make your mailroom aware of these important documents.

Also enclosed will be tax calculation worksheets detailing the bases for the inpatient and outpatient assessments. 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. 

Effective December 31, 2022, NCR/JetPay will no longer be available to make hospital payments.  The required method of payment will be through ACH Direct Debit.  Attached you will find an ACH form to be completed and returned to us via email to HFS.ProviderAssessmentUnit@illinois.gov by January 1, 2023.  Additional copies of the ACH form can be found at hfs3848G.pdf (illinois.gov).  With the new direct debit method, your account will be debited on or about four (4) business days prior to the assessment due date, beginning with the January 2023 assessment due January 26, 2023.

If you have any questions concerning this information, please do not hesitate to contact the Bureau of Rate Development and Analysis by e-mail at HFS.ProviderAssessmentUnit@illinois.gov, or by telephone at 217-524-7110.

Kathleen Staley, Chief

Bureau of Rate Development and Analysis

*Assessment due date extended

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