Section 148.700  General Provisions

Section 1905(a)(16) and (a)(28)(B) of the Social Security Act provides that federal financial participation (FFP) is not available for any medical assistance under Title XIX for services provided to any individual who is older than 21 years of age and under 65 years of age and who is a patient in an IMD.  The purpose of this Subpart E is to set forth the process by which the Department shall collect information necessary to assure federal compliance.

a)         The Department shall request certain data elements from participating hospitals that include but are not limited to daily census information as described in provider notices to hospitals.

b)         Participating hospitals shall be notified no less than 90 days before the effective reporting period.

c)         If a hospital does not provide the required information within the required deadline as defined through a provider notice, the Department may suspend payments for covered services until the required information is received.

(Source:  Added at 35 Ill. Reg. 10033, effective June 15, 2011)