CHAPTER I: DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
SUBCHAPTER d: MEDICAL PROGRAMS
PART 148 HOSPITAL SERVICES
SECTION 148.446 OBSTETRICAL CARE PAYMENTS
Section 148.446 Obstetrical Care Payments
a) Qualifying criteria. With the exception of a large public hospital, a general acute care hospital qualifies for the Obstetrical Care payment if the hospital is one of the following:
1) A rural hospital, as defined in Section 148.25(g)(3), with a Medicaid obstetrical rate greater than 15%.
2) Classified, on December 31, 2006, as a perinatal level III hospital by IDPH and that had a case mix index equal to or greater than the 45th percentile of such perinatal level III hospitals.
3) Classified, on December 31, 2006, as a perinatal level II or II+ hospital by IDPH and that had a case mix index equal to or greater than the 35th percentile, of such perinatal level II and II+ hospitals combined.
b) Payment. Qualifying hospitals shall receive an annual payment that is the product of the hospital's Medicaid obstetrical days and:
1) $1,500, for a hospital qualifying under subsection (a)(1) of this Section.
2) $1,350, for a hospital qualifying under subsection (a)(2) of this Section.
3) $900, for a hospital qualifying under subsection (a)(3) of this Section.
(Source: Added by peremptory rulemaking at 33 Ill. Reg. 1538, effective December 30, 2008)