Provider Notice Issued 07/27/2018

Date:   July 27, 2018

To:      Illinois Hospital Providers
Re:      Fiscal Year 2019 Hospital Inpatient and Outpatient Assessment Programs
             Notice of Assessments
This is to inform you that the department has determined that your facility is subject to the inpatient and outpatient assessments imposed on Illinois hospital inpatient and outpatient services under the provisions of 305 ILCS 5/5-A.
Enclosed are your facility’s inpatient and outpatient assessment remittance notices for fiscal year 2019, reflecting the changes to the inpatient and outpatient assessments per Public Act 100-0581.   
Also enclosed are tax calculation worksheets detailing the bases for the inpatient and outpatient assessments. The remittance notice has the facility’s name and address, the tax identification number and personal identification number (PIN) assigned by the department, the total amount due, and the due date. 
Hospitals must remit the monthly assessments using the Illinois State Treasurer’s E-Pay Program. In order to use this service, your hospital will need an Internet connection, checking account information (bank routing number and account number), from which the payment will be made, and the hospital’s current remittance card. If your hospital is not familiar with the Illinois State Treasurer’s E-Pay Program, please contact the Bureau of Hospital and Provider Services at (217) 524-7110.
In addition, each hospital is responsible for ensuring debit authorizations can be initiated from designated accounts in the appropriate dollar amount. Following is the company identification number to be given to your banking institution, if debit block filters are used on the hospital’s account. Please use 1550895818 for these transactions.
If you have any questions concerning this information, please contact the Bureau of Hospital and Provider Services by e-mail at, or by telephone at 217-524-7110.
Robin Holler, Chief

      Bureau of Hospital and Provider ServicesBureau of Hospital and Provider Services


Fiscal Year 2019 Hospital Assessment
(Fund 346) Due Dates
August 2, 2018
August 20, 2018
September 21, 2018
October 19, 2018
November 26, 2018
December 20, 2018
January 22, 2019
February 22, 2019
March 20, 2019
April 18, 2019
May 20, 2019
June 20, 2019



 Need Assistance?