TITLE 89: SOCIAL SERVICES
CHAPTER I: DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
SUBCHAPTER d: MEDICAL PROGRAMS
PART 146 SPECIALIZED HEALTH CARE DELIVERY SYSTEMS
SECTION 146.550 REIMBURSEMENT FOR SERVICES


 

Section 146.550  Reimbursement for Services

 

a)         Effective for dates of service on and after July 1, 2014, services provided under Section 146.540(a)(1) shall be reimbursed in accordance with 89 Ill. Adm. Code 140.474(c).

 

b)         Services provided under Section 146.540(a)(2) shall be reimbursed on a per diem basis at the lower of the Children's Community-Based Health Care Center's usual and customary charge to the public or at the Department's statutory rate of $950.  Payments at this rate are exempt from the 2.7% rate reduction required under Section 5-5e of the Public Aid Code.

 

c)         Services provided under Section 146.540(b)(1) shall be reimbursed in accordance with 89 Ill. Adm. Code 140.474(c).

 

d)         Services provided under Section 146.540(b)(2) shall be reimbursed at the Department's maximum allowable rate as identified on the Children's Community-Based Health Care Center Fee Schedule.

 

e)         Effective for dates of service on or after July 1, 2012, reimbursement rates paid under this Section shall be reduced by 2.7% from the rates in effect on June 30, 2012.

 

(Source:  Amended at 45 Ill. Reg. 5877, effective April 26, 2021)