Section 148.190  Copayments

a)         With the exception of those classes of individuals identified in 89 Ill. Adm. Code 140.402(d), copayments will be assessed on inpatient services provided under all Medical Assistance Programs administered by the Department. Copayments will be in the following amounts:

1)........ Inpatient hospital services in hospitals with an alternate cost per diem rate (see Section 148.270(a)) of $325 or more................................ $3 per day.

2)........ Inpatient hospital services in hospitals with an alternate cost per diem rate (see Section 148.270(a)) of more than $275 but less than $325. $2 per day.

3)........ Inpatient hospital services in hospitals with an alternate cost per diem rate (see Section 148.270(a)) of $275 or less........................... No Copayment.

b)         In each instance where a copayment is payable, the Department will reduce the amount payable to the affected provider by the amount of the required copayment.

c)         No provider may deny care or services on account of an individual's inability to pay a copayment; this requirement, however, shall not extinguish the liability for payment of the copayment by the individual to whom the care or services were furnished.

(Source:  Amended at 28 Ill. Reg. 2770, effective February 1, 2004)