Section 148.250  Determination of Alternate Payment Rates to Certain Exempt Hospitals

The exempt hospitals, defined in 89 Ill. Adm. Code 149.50(c)(1), (c)(2), (c)(4) and (c)(7), shall be reimbursed for inpatient hospital care provided to recipients by summing the following reimbursement calculations:

a)         allowable operating cost per diem;

b)         capital costs reimbursed on a per diem basis;

c)         applicable DSH adjustments as described in Section 148.120 and outlier adjustments as described in Section 148.130; and

d)         applicable trauma center adjustments, as described in Section 148.290(c), and Medicaid high volume adjustments, as described in Section 148.290(d).

(Source:  Amended at 19 Ill. Reg. 10060, effective June 29, 1995)