Section 148.442  Inpatient Services Adjustment Payments

a)         Qualifying criteria.  With the exception of a large public hospital, all Illinois hospitals qualify for the Inpatient Services Adjustment payment.

b)         Payment.  A hospital shall receive an annual payment that is the sum of the following amounts for which it qualifies:

1)         A general acute care hospital shall receive an annual amount that is equal to 40% of its base inpatient payments.

2)         A freestanding specialty hospital shall receive an annual amount that is equal to 60% of its base inpatient payments.

3)         A children's hospital shall receive an annual amount that is equal to 20% of its base inpatient payments.

4)         A children's hospital shall receive an annual amount that is equal to 20% of its payments for inpatient psychiatric services provided during State fiscal year 2005.

5)         An Illinois hospital licensed by the Illinois Department of Public Health (IDPH) as a psychiatric or rehabilitation hospital shall receive an annual amount that is equal to the product of the following factors:

A)        Medicaid inpatient days.

B)        $1,000.

C)        The positive percentage of change in the hospital's MIUR between 2005 and 2007.

6)         A children's hospital shall receive an annual amount that is the product of the annual payment described in Section 148.298, multiplied by:

A)        2.50, for a hospital that is a freestanding children's hospital

B)        1.00, for any other hospital.

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