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Elizabeth M. Whitehorn, Director

Provider Notice Issued 01/23/2023

Date:   January 23, 2023

To:      Chief Executive Officers, Chief Financial Officers, and Patient Account Managers

Re:     Hospital Provider Assessment for January 2023 - ACH Direct Debit

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This notice is a reminder to all Hospital Providers that we will be debiting your accounts on or around January 26, 2023, for the January 2023 Hospital Provider Assessment.

ACH debits beginning in January will be originated by Wells Fargo, which will have an origination ID of 4550895818 with the ACH routing number of 091000019. If a business bank account is being used for payment, please instruct your bank to accept an ACH debit from the origination IDs and ACH Routing number above. In the event that your payment is returned for any reason, this payment and the associated transaction will be invalid.

If your bank has debit blocks in place, debit block filter 4550895818 must be in place with your bank. 

For those facilities who have not complied with the new rules by submitting their completed ACH forms, you will be required to submit a paper check which must be postmarked by the due date of January 26, 2023, in order to avoid penalties.  Payment, along with a copy of your remittance card, should be remitted to one of the addresses below.

 

Healthcare and Family Services                          or                           Healthcare and Family Services

Bureau of Fiscal Operations                                                               Bureau of Fiscal Operations

P.O. Box 19491                                                                                   2200 Churchill Drive, Building A-2

Springfield, IL 62794-9491                                                                  Springfield, IL 62702

 

To be notified of future assessment extensions and/or revised due dates via the website, and other important Provider notices, facilities are encouraged to sign up for e-mail notifications at the link below. 

http://www.illinois.gov/hfs/MedicalProviders/notices/Pages/ProviderEmailSubscribe.aspx

Questions may be directed to the Department's Provider Assessment Unit at 217-524-7110 or via e-mail at HFS.ProviderAssessmentUnit@illinois.gov.