Section 545.100  Applicability

 

a)         Services purchased by the Department of Human Services (DHS) of the benefit of DHS clients are purchased at rates which are:

 

1)         established by other state agencies when such rates are acceptable to DHS' providers,

 

2)         established by providers when the rates are non-negotiable (i.e., college or vocational school tuition, lab fees, books, and dormitory rates), or

 

3)         established by DHS when other agencies have not established rates, or the rate established by other agencies are unacceptable to DHS' providers.

 

b)         The rate methods by which DHS purchases specific services are contained in 89 Ill. Adm. Code:  Chapter IV "Department of Human Services."

 

Section 545.200  Rate Setting by the Department

 

a)         Rates which have not been established by other agencies and which are not established by providers (Section 545.100(a)(2)) are established by DHS through negotiations with individual providers.

 

b)         When rates established by other agencies are not acceptable to DHS' providers, DHS will establish rates based upon:

 

1)         the direct and indirect costs of such service to the service provider,

 

2)         a survey of usual rate charged for the service, and

 

3)         consultation with DHS' physicians.

 

c)         Rates established per subsection (b) will be adjusted when:

 

1)         service providers are unwilling to provide specific services at the established rate, and

 

2)         funds are available to pay for such adjustments.