HFS Notices and Policies

The Illinois Department of Healthcare and Family Services (HFS) is a key resource for important provider notices and policies. Updates from IHA policy experts will also be posted here.

Sep 30, 2019

Federal Fiscal Year 2020 Safety Net Determination

HFS posted a new provider notice regarding Federal Fiscal Year 2020 Safety Net Determination.

Sep 24, 2019

Attending Provider NPI Requirements Delay to November 1, 2019

On Sept. 23, 2019, HFS released two notices: 1) Attending Provider NPI Requirements Delay to November 1, 2019; and 2) Ordering/Referring/Prescribing Provider Enrollment and Provider Directory.

Sep 19, 2019

HFS Distribution of Rate Year 2020 DSH, MPA and MHVA Determination & Rates

HFS posted the Rate Year 2020 DSH, MPA and MHVA determination and rates on its website. HFS will not mail these notification letters. Please review your calculations in detail.

Sep 09, 2019

ABE Partner Portal Report of Birth is Live

The Report of Birth functionality in the Application for Benefits Eligibility Partner Portal is now live. The HFS notice includes frequently asked questions.

Sep 04, 2019

HFS Notices Issued in July and August 2019

HFS has issued several notices that may impact hospitals. IHA has sent memos to members concerning some of these notices.
 

Aug 16, 2019

Hospitals Must Use New PCS Form for Non-Emergency Ambulance Transfers Under Medicaid

Hospitals are urged to review their policies and procedures to assure that they are complying with the updated Physician Certification Statement.

Jul 30, 2019

New HFS Hospital Unit Telephone Hours – Effective August 1, 2019

To further reduce the backlog of hard copy claims, the Hospital Billing and Payment Support Unit will only take telephone inquiries Tuesdays and Thursdays from 8:30 to 4.

Jul 25, 2019

HFS FY2020 Hospital Inpatient & Outpatient Assessment Program Notice

HFS has posted a notice indicating that it has mailed each hospital the facility’s inpatient and outpatient assessment remittance notices for FY2020. 

Jul 09, 2019

Payments Linked to or Requiring the Provision of OB Services

This document outlines specific Medicaid payments that are contingent on providing inpatient obstetrical services. 

Jul 08, 2019

HFS Notices Issued May-June 2019

The Illinois Dept. of Healthcare and Family Services released notices on numerous issues, including ABE, NPI requirements, APR-DRG and EAPG, and MMAI.

Jun 25, 2019

HFS Delays Medicaid Ordering/Referring/Prescribing NPI Requirement

The Illinois Dept. of Healthcare and Family Services (HFS) has informed IHA that it will delay until October 1, 2019 implementation of the ordering, referring, prescribing (ORP) requirement.

Jun 25, 2019

HFS Update: New Inpatient APR-DRG and Outpatient EAPG Grouper Version

The Illinois Dept. of Healthcare and Family Services announced it will use Grouper Version 3.13 of the Enhanced Ambulatory Patient Groups (EAPG) payment system.

Apr 08, 2019

Rate Year 2020 Determinations for DSH, MPA and CTCA Adjustment Payments

The Dept. of Healthcare and Family Services has posted rate year 2020 determinations for DSH, MPA and CTCA payments in a notice on its website.

Jan 03, 2019

HFS Notices and Notifications Issued Nov.-Dec. 2018

The Illinois Dept. of Healthcare and Family Services released notices on numerous issues, including Integrated Health Homes, NPI requirements and non-emergency ambulance transfers.

Oct 25, 2018

HFS Notices and Notifications Issued Late August through October

The Illinois Dept. of Healthcare and Family Services released notices on a Hospital Assessment payment extension, FFY2019 DSH and Safety Net determinations and other issues from Aug-Oct.

Aug 15, 2018

May-August 2018 HFS Notices

The Illinois Dept. of Healthcare and Family Services released notices on assessments, reimbursement systems, laboratory services and a standardized "provider roster" from May through early August.

Aug 07, 2018

Updated Pricing Calculators

The Illinois Department of Healthcare and Family Services has posted a new provider notice regarding Updated Pricing Calculators, related to the redesigned Hospital Assessment Program.

Jul 02, 2018

Fee-for-Service ACA Hospital Access Payments and ACA Assessment Reconciliation Adjustment

HFS has informed IHA that the state has also received approval from CMS to pay the Fee-for-Service ACA payments.

Jun 29, 2018

HFS Notice: Changes to Hospital Inpatient and Outpatient Reimbursement Systems

HFS notice regarding changes applicable to fee-for-service payments effective with dates of service on and after July 1, 2018.

May 15, 2018

Modifier 90 for Reference Labs

HFS has clarified a new requirement for hospitals to report Modifier 90 on certain outpatient claims for reference laboratory service.

May 03, 2018

March-April 2018 HFS Notices

HFS notices and notifications released in March and April.