TITLE 89: SOCIAL SERVICES
CHAPTER I: DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
SUBCHAPTER d: MEDICAL PROGRAMS
PART 140 MEDICAL PAYMENT
SECTION 140.993 CARE MANAGEMENT FEES


 

Section 140.993  Care Management Fees

 

a)         The Department shall pay Primary Care Providers (PCPs) enrolled in the Primary Care Case Management (PCCM) program the monthly care management fees set forth in subsection (b) of this Section for each individual enrolled with the PCP by the Department as of the beginning of the month.  Such payments shall be made by the end of the month for which payment is being made.

 

b)         Monthly care management fees are:

 

1)         $2.00 for children under age 21;

 

2)         $3.00 for non-disabled non-elderly adults; and

 

3)         $4.00 for disabled or elderly adults.

 

c)         August 2006 is the first month for which Federally Qualified Health Centers (FQHCs) and Encounter Rate Clinics (ERCs) enrolled as PCPs are eligible to receive care management fees.

 

d)         September 2006 is the first month for which Rural Health Centers (RHCs) enrolled as PCPs are eligible to receive care management fees.

 

e)         January 2007 is the first month for which all other PCPs in Cook, DuPage, Grundy, Kane, Kankakee, Kendall, Lake, McHenry, and Will counties are eligible to receive care management fees.

 

f)         February 2007 is the first month for which all other enrolled PCPs in Boone, Bureau, Carroll, DeKalb, Fulton, Henderson, Henry, JoDaviess, Knox, LaSalle, Lee, Marshall, Mercer, Ogle, Peoria, Putnam, Rock Island, Stark, Stephenson, Tazewell, Warren, Whiteside, Winnebago, and Woodford counties will be eligible to receive care management fees.

 

g)         April 2007 is the first month for which all other enrolled PCPs in the remainder of the State are eligible to receive care management fees.

 

(Source:  Added at 31 Ill. Reg. 388, effective December 29, 2006)