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.

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.

Feb 20, 2018

February 2018 Notices

HFS notices and notifications released mid-December to mid-February

Dec 28, 2017

Hospital Reimbursement Components

Summary of HFS provider notice.

Nov 13, 2017

November 2017 Notices

HFS notices and notifications released early-October to mid-November
Oct 11, 2017

October 2017 Notices

Summary of notices released mid-August to early October.
Oct 03, 2017

HFS Notice Renal Dialysis

Renal Dialysis Add-On Payment Retroactive to Dates of Service Beginning July 1, 2015
Sep 29, 2017

DSH Rate Year 2018 Determination Rates

The Department of Healthcare and Family Services has posted the Rate Year 2018 rates.
Aug 11, 2017

August 2017 Notices

The Department of Healthcare and Family Services (HFS) released several notices  during July and August 2017 regarding updates and improvements.

Jul 28, 2017

Potentially Preventable Readmission

HFS published a public notice proposing changes to the PPR policy.
Jul 05, 2017

July 2017 Notices

Summary of HFS notices and notifications.
Apr 11, 2017

Claims Processing Report

HFS has posted a report detailing claims processing issues within its Medicaid Management Information System.
Jan 17, 2017

Hospital Rate Sheets

Updated HFS Inpatient and Outpatient Hospital Rate Sheets and Calculators; Other HFS Notices