TITLE 89: SOCIAL SERVICES
CHAPTER I: DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
SUBCHAPTER d: MEDICAL PROGRAMS
PART 148 HOSPITAL SERVICES
SECTION 148.440 HIGH VOLUME ADJUSTMENT PAYMENTS


 

Section 148.440  High Volume Adjustment Payments

 

a)         Qualifying criteria.  With the exception of a large public hospital, a High Volume Adjustment payment shall be made to each general acute care hospital that provided and was paid for more than 20,500 Medicaid inpatient days.

 

b)         Payment.  Qualifying hospitals shall receive an annual payment that is the product of the hospital's Medicaid inpatient days and:

 

1)         $350, for a hospital with a case mix index greater than or equal to the 85th percentile for all qualifying hospitals.

 

2)         $100, for any other hospital.

 

(Source:  Added by peremptory rulemaking at 33 Ill. Reg. 1538, effective December 30, 2008)