Section 148.30  General Requirements

a)         For the purpose of hospital inpatient, outpatient and hospital-based clinic reimbursement, the following requirements must be met by a hospital to qualify for enrollment in the Illinois Medical Assistance Program:

1)         The hospital must be certified for participation in the Medicare Program (Title XVIII) unless the provisions of subsection (a)(2) of this Section apply.

2)         If not eligible for or subject to Medicare certification, the hospital must be accredited by the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO).

3)         The hospital must agree to accept the Department's  basis for reimbursement.

b)         Hospitals shall be required to file  Medicaid and Medicare cost reports with  the Office of Health Finance, Illinois Department of Public Aid, in accordance with Section 148.210, and shall have reimbursable hospital inpatient, outpatient and hospital-based clinic rates approved by the Department.

(Source:  Amended at 28 Ill. Reg. 8072, effective June 1, 2004)