HFS Directed Payment and Passthrough Calculations Posted on HFS Website

September 30, 2021


The Illinois Department of Healthcare and Family Services (HFS) has posted a Provider Notice announcing the October through December Managed Care Organization Hospital Access Program Payments (MCAP), which include both Directed Payments and Passthrough Payments, have been posted to the Department’s website.

The payments have been posted to HFS’ hospital reimbursement notifications website under the section titled “Directed Payment and Passthrough Reports”.  The report lists the total amount that each hospital will receive from each Medicaid managed care plan for each month of October, November and December as well as the calculations for the directed payments.

Questions regarding this notice may be directed to IHA.