HFS Rate Year 2022 Safety Net Hospital Determination

September 30, 2021


The Illinois Department of Healthcare and Family Services (HFS) has posted the annual Safety Net Hospital determinations effective October 1, 2021.  Hospitals that believe they may qualify as a Safety Net Hospital should review the determination report (click here).

The Medicaid Inpatient Utilization Rate (MIUR) used to designate a hospital as a Safety Net Hospital, as defined in 305 ILCS 5/5-5e.1, or as “high Medicaid hospital” as defined in 305 ILCS 5/5A-12.7(f)(1)(F) of the Hospital Assessment Program, is the MIUR calculated as part of the annual Disproportionate Share Hospitals (DSH) determination.  Therefore, all hospitals are encouraged to review the data and calculation for accuracy, as the appeal period identified in this notice is the same period for these determinations.

The effect of the annual MIUR and Safety Net determination calculations will be reflected in the Directed Payment hospital class assignments in the Hospital Assessment Program beginning with the January through March 2022 quarter.

If you believe that the data contained in the determination contains errors, all appeals must be made in accordance with Section 148.310(b) and (f) of the 89 Illinois Administrative Code.  All appeals must be made in writing no later than THIRTY (30) DAYS FROM THE DATE OF THE DSH DETERMINATION LETTER.  For Rate Year 2022, appeals MUST BE SUBMITTED IN WRITING AND MUST BE RECEIVED OR POSTMARKED NO LATER THAN WEDNESDAY, OCTOBER 20, 2021.

Direct all appeals and supporting documentation to:

Illinois Department of Healthcare and Family Services
Bureau of Rate Development and Analysis, DSH Unit
ATTN: Shaw Dahman
201 South Grand Avenue East, 2nd Floor
Springfield, Illinois 62763-0001

If you have any questions regarding this determination, please contact the HFS Bureau of Rate Development and Analysis at (217) 785-0710.

Questions regarding this notice may be directed to IHA.