Section 148.200  Alternate Reimbursement Systems

a)         Section 148.210 discusses cost reporting requirements for all hospitals participating in the Medicaid Program.

b)         Section 148.220 describes the payment methodology for hospital inpatient services to recipients for admissions occurring prior to September 1, 1991.

c)         The payments described in Sections 148.250 through 148.300 shall be effective for admissions on and after October 1, 1992, subject to the provisions of Section 148.20(b).

d)         The payments described in Section 148.82 shall be effective for admissions on and after September 1, 1991, with the exception of provisions that relate to pancreas or kidney-pancreas transplants.  Provisions relating to pancreas or kidney-pancreas transplants shall be effective for admissions on and after July 1, 1992.

e)         Sections 148.250 through 148.300 describe the payment methodologies for hospital inpatient services to recipients of Medical Assistance provided by a hospital not reimbursed under the DRG Prospective Payment System (PPS) described in 89 Ill. Adm. Code Part 149 or the reimbursement methodologies described in Sections 148.82, 148.160 and 148.170.

(Source:  Amended at 18 Ill. Reg. 3450, effective February 28, 1994)