Provider Notice issued 06/06/2024

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 July 2024 through December 2024 of fiscal year 2025 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 inludes the facility’s name and address, the tax identification number, the total amount due, and the due date.

The required method of payment will be through facility-initiated ACH Credit/Wire Transfer.  If your facility does not have the Department’s banking information in order to initiate these monthly assessment payments, please contact us immediately at HFS.ProviderAssessmentUnit@illinois.gov.

To ensure proper crediting of the facility’s account, please be sure to include the following underlined information when initiating the monthly Hospital Provider assessment electronic payments:

ORIG CO NAME: Hospital facility name
ORIG ID: Taxpayer Identification Number (TIN), unless hard coded as bank account number
ENTRY DESCR: HFS Tax ID, this number can be found on the remittance cards
ENTRY CLASS: CCD
TRACE NO: Bank Information
ENTRY DATE: yymmdd
IND ID NO: Bank Information
IND NAME: HSP Assessment Tax, unless hard coded as account/vendor
REMARK: July 2024 HSP Assessment Tax Payment [and] TIN, if not supplied in ORIG ID, above
ORIG BANK: Bank Name

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

Fiscal Year 2025 Hospital Assessment
(Fund 346) Due Dates