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.

Apr 07, 2025

New Medicaid Add-on Payment: Emergency Dept. Opioid Treatment

HFS has issued a Provider Notice updating guidance on coverage and reimbursement for the initiation of medication for the treatment of MOUD in a hospital ED setting.

Nov 15, 2023

HFS-IHA Webinar on Recovery Audits

IHA hosted a joint webinar with the Dept. of Healthcare and Family Services, the Department’s Office of the Inspector General, and the OIG’s Recovery Audit Contractor, HMS Gainwell, on Nov. 1, 2023.

Sep 30, 2021

HFS Rate Year 2022 Safety Net Hospital Determination

The Illinois Department of Healthcare and Family Services has posted the annual Safety Net Hospital determinations effective Oct. 1, 2021.

Sep 30, 2021

HFS Directed Payment and Passthrough Calculations Posted on HFS Website

The Illinois Department of Healthcare and Family Services has issued a notice announcing that the Oct. – Dec. MCO Hospital Access Program Payments have been posted to its website.

Jul 06, 2021

HFS Updated Inpatient and Outpatient Pricing Calculations

The Illinois Department of Healthcare and Family Services (HFS) has posted updated inpatient and outpatient pricing calculators effective July 1, 2021.

Apr 19, 2021

HFS COVID-19 Vaccine Administration Performed in Hospital-Based Outpatient Settings

HFS posted a Provider Notice informing hospitals that it will cover vaccine administration costs, specifically in hospital-based outpatient settings.

Mar 09, 2021

Hospital and Healthcare Transformation Update No. 5 Transformation Program App.

HFS has released a Provider Notice announcing the Healthcare Transformation Collaboratives Program that includes the Application for Funding Healthcare Transformation Collaboratives.

Dec 15, 2020

Health Benefits for Immigrant Seniors

HFS issued a Provider Notice (Dec. 11, 2020) to implement a new, state-only funded Medicaid eligibility category—Health Benefits for Immigrant Seniors.

Sep 29, 2020

HFS CARES Portal is Open

HFS has posted a Provider Notice announcing that the HFS CARES Portal is now open for CURE Fund applications.

Sep 28, 2020

HFS Billing Guidance: Lab Testing and Claims Submittal Related to COVID-19

HFS posted a Provider Notice updating information regarding its upcoming deployment of an online portal that will allow providers to bill for COVID-19 testing services for patients.

Sep 22, 2020

FY2021 Disproportionate Share Hospital (DSH) Determination

HFS posted a Provider Notice on the completion of the annual Disproportionate Share Hospital determination, as well as the annual Medicaid Percentage and Medicaid High Volume Adjustments.

Aug 07, 2020

Hospital Assessment – UPDATED Tax Due Date & July Payment Updates

HFS issued a provider notice, stating that the updated due date for the July 2020 hospital assessment tax is now August 14, 2020. 

Jul 24, 2020

Hospital Assessment Payment Banking Information

This is a list of hospitals which need to provided banking information to MCOs to facilitate assessment payments.

Jul 01, 2020

HFS Notices Issued in May 2020 through June 2020

In May through June 2020, the Department of Healthcare and Family Services issued several notices that may or will impact hospitals. 

Jun 25, 2020

HFS Proposed Rules on Reimbursement for Days beyond Medical Necessity

This memo summarizes an HFS proposed rule on reimbursement to hospitals for stays beyond medical necessity and IHA’s concerns.

Jun 12, 2020

Correction 2Q 2020 MCO-HAP Payments

HFS released a notice that identifies a correction process for the Quarter 2 2020 managed care organization hospital access program payments (MCO-HAP).

Jun 11, 2020

FAQs on Hospital Professional Billing Transition to the Outpatient Institutional Billing

The Illinois Department of Healthcare and Family Services (HFS) has posted a new document, FAQs for Hospital Professional Billing Transition to the Institutional Claim Format.

Jun 03, 2020

Hospital Professional Billing Transition to the Outpatient Institutional Billing

HFS: all hospital OP services billed on a professional claim and paid under the Practitioner Fee Schedule will be billed on an institutional claim and reimbursed at EAPG, effective July 1, 2020. 

May 06, 2020

HFS Notices Issued in March 2020 through April 2020

The Department of Healthcare and Family Services (HFS) has issued several notices that may impact hospitals. 

Apr 15, 2020

CMS Issues Partial Approval of Medicaid COVID-19 Section 1135 Waiver Request

CMS issued partial approval of the Section 1135 request to waive certain federal Medicaid, CHIP, and HIPAA regulations during the COVID-19 public health emergency.

Apr 08, 2020

COVID-19 Proposed Medicaid Eligibility & Enrollment Changes

To expand access to coverage during COVID-19, HFS submitted formal requests to CMS to modify the CHIP eligibility and enrollment processes.

Apr 03, 2020

COVID-19 Behavioral Health Update

See several new updates concerning COVID-19 and hospital and health system behavioral healthcare.

Mar 02, 2020

HFS Notices Issued in December 2019 through February 2020

The Department of Healthcare and Family Services (HFS) has issued several notices that may impact hospitals. IHA also sent memos to members concerning some of these notices.

Nov 25, 2019

HFS Notices Issued in September through Mid-November 2019

Between September and mid-November 2019, HFS issued several notices that may impact hospitals. IHA sent memos to members concerning some of these notices.

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.
 

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.

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.

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.