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1 | AN ACT concerning public aid.
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2 | Be it enacted by the People of the State of Illinois,
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3 | represented in the General Assembly:
| ||||||
4 | Section 5. The Excellence in Academic Medicine Act is | ||||||
5 | amended by changing Sections 25, 30, and 35 as follows:
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6 | (30 ILCS 775/25)
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7 | Sec. 25. Medical research and development challenge | ||||||
8 | program.
| ||||||
9 | (a) The State shall provide the following financial | ||||||
10 | incentives to draw
private and federal funding for biomedical | ||||||
11 | research, technology and
programmatic development:
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12 | (1) Each qualified Chicago Medicare Metropolitan | ||||||
13 | Statistical Area academic
medical center hospital shall | ||||||
14 | receive a percentage of the amount available for
| ||||||
15 | distribution from the National Institutes of Health | ||||||
16 | Account, equal to that
hospital's percentage of the total | ||||||
17 | contracts and grants from the National
Institutes of Health | ||||||
18 | awarded to qualified Chicago Medicare
Metropolitan | ||||||
19 | Statistical Area academic medical center hospitals and | ||||||
20 | their
affiliated medical schools during the preceding | ||||||
21 | calendar year. These amounts
shall be paid from the | ||||||
22 | National Institutes of Health Account.
| ||||||
23 | (2) Each qualified Chicago Medicare Metropolitan |
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1 | Statistical Area academic
medical center hospital shall | ||||||
2 | receive a payment
from the State equal to 25% of all funded | ||||||
3 | grants (other than grants funded by
the State of Illinois | ||||||
4 | or the National Institutes of Health) for biomedical
| ||||||
5 | research, technology, or programmatic development received | ||||||
6 | by that qualified
Chicago Medicare Metropolitan | ||||||
7 | Statistical Area academic medical center hospital
during | ||||||
8 | the preceding calendar year. These amounts shall be paid | ||||||
9 | from the
Philanthropic Medical Research Account.
| ||||||
10 | (3) Each qualified Chicago Medicare Metropolitan | ||||||
11 | Statistical Area academic
medical center hospital that (i) | ||||||
12 | contributes 40% of the funding for a
biomedical research or | ||||||
13 | technology project or a programmatic
development project | ||||||
14 | and (ii) obtains contributions from the private sector
| ||||||
15 | equal to 40% of the funding for the project shall receive | ||||||
16 | from the State an
amount equal to 20% of the funding for | ||||||
17 | the project upon submission of
documentation demonstrating | ||||||
18 | those facts to the Comptroller; however, the State
shall | ||||||
19 | not be required to make the payment unless the contribution | ||||||
20 | of the
qualified Chicago Medicare Metropolitan Statistical | ||||||
21 | Area academic medical
center hospital exceeds $100,000. | ||||||
22 | The documentation must be submitted within
180 days of the | ||||||
23 | beginning of the fiscal year. These amounts shall be paid | ||||||
24 | from
the Market Medical Research Account.
| ||||||
25 | (b) No hospital under the Medical Research and Development | ||||||
26 | Challenge Program
shall receive more than 20% of the total |
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1 | amount appropriated to the Medical
Research and Development | ||||||
2 | Fund.
| ||||||
3 | The amounts received under the Medical Research and | ||||||
4 | Development Challenge
Program by the Southern Illinois | ||||||
5 | University School of Medicine in Springfield
and its affiliated | ||||||
6 | primary teaching hospitals, considered as a single entity,
| ||||||
7 | shall not exceed an amount equal to one-sixth of the total | ||||||
8 | amount available for
distribution from the Medical Research and | ||||||
9 | Development Fund, multiplied by a
fraction, the numerator of | ||||||
10 | which is the amount awarded the Southern Illinois
University | ||||||
11 | School of Medicine and its affiliated teaching hospitals in | ||||||
12 | grants
or contracts by the National Institutes of Health and | ||||||
13 | the denominator of which
is $8,000,000.
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14 | (c) On or after the 180th day of the fiscal year the | ||||||
15 | Comptroller may
transfer unexpended funds in any account of the | ||||||
16 | Medical Research and
Development Fund to pay appropriate claims | ||||||
17 | against another account.
| ||||||
18 | (d) The amounts due each qualified Chicago Medicare | ||||||
19 | Metropolitan Statistical
Area academic medical center hospital | ||||||
20 | under the Medical Research and
Development Fund from the | ||||||
21 | National Institutes of Health Account, the
Philanthropic | ||||||
22 | Medical Research Account, and the Market Medical Research | ||||||
23 | Account
shall be combined and one quarter of the amount payable | ||||||
24 | to each qualified
Chicago Medicare Metropolitan Statistical | ||||||
25 | Area academic medical center hospital
shall be paid on the | ||||||
26 | fifteenth working day after July 1, October 1, January 1,
and |
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1 | March 1 or on a schedule determined by the Department of | ||||||
2 | Healthcare and Family Services by rule that results in a more | ||||||
3 | expeditious payment of the amounts due .
| ||||||
4 | (e) The Southern Illinois University School of Medicine in | ||||||
5 | Springfield and
its affiliated primary teaching hospitals, | ||||||
6 | considered as a single entity, shall
be deemed to be a | ||||||
7 | qualified Chicago Medicare Metropolitan Statistical Area
| ||||||
8 | academic medical center hospital for the purposes of this | ||||||
9 | Section.
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10 | (f) In each State fiscal year, beginning in fiscal year | ||||||
11 | 2008, the full amount appropriated for the Medical research and | ||||||
12 | development challenge program for that fiscal year shall be | ||||||
13 | distributed as described in this Section. | ||||||
14 | (Source: P.A. 95-744, eff. 7-18-08.)
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15 | (30 ILCS 775/30)
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16 | Sec. 30. Post-Tertiary Clinical Services Program. The | ||||||
17 | State shall
provide incentives to develop and enhance | ||||||
18 | post-tertiary clinical
services. Qualified academic medical | ||||||
19 | center hospitals as defined in Section
15 may receive funding | ||||||
20 | under the Post-Tertiary Clinical Services Program
for up to 3 | ||||||
21 | qualified programs as defined in Section 15 in any given
year; | ||||||
22 | however, qualified academic medical center hospitals may
| ||||||
23 | receive continued funding for previously funded qualified | ||||||
24 | programs rather than
receive funding for a new program so long | ||||||
25 | as the number of qualified programs
receiving funding does not |
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1 | exceed 3. Each qualified academic medical center
hospital as | ||||||
2 | defined in Section 15 shall receive an equal percentage of the
| ||||||
3 | Post-Tertiary
Clinical Services Fund to be used in the funding | ||||||
4 | of qualified programs. In each State fiscal year, beginning in | ||||||
5 | fiscal year 2008, the full amount appropriated for the | ||||||
6 | Post-Tertiary Clinical Services Program for that fiscal year | ||||||
7 | shall be distributed as described in this Section. One
quarter | ||||||
8 | of the amount payable to each qualified academic medical center
| ||||||
9 | hospital shall be paid on the fifteenth working day after July | ||||||
10 | 1, October 1,
January 1, and March 1 or on a schedule | ||||||
11 | determined by the Department of Healthcare and Family Services | ||||||
12 | by rule that results in a more expeditious payment of the | ||||||
13 | amounts due .
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14 | (Source: P.A. 95-744, eff. 7-18-08.)
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15 | (30 ILCS 775/35)
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16 | Sec. 35. Independent Academic Medical Center Program. | ||||||
17 | There is created
an Independent Academic Medical Center Program | ||||||
18 | to provide incentives to develop
and enhance the independent | ||||||
19 | academic medical center hospital. In each State
fiscal year, | ||||||
20 | beginning in fiscal year 2002, the independent academic medical
| ||||||
21 | center hospital shall receive funding under the Program, equal | ||||||
22 | to the full
amount appropriated for that purpose for that | ||||||
23 | fiscal year. In each fiscal
year, one quarter of the amount | ||||||
24 | payable to the independent academic medical
center hospital | ||||||
25 | shall be paid on the fifteenth working day after July 1,
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| |||||||
1 | October 1, January 1, and March 1 or on a schedule determined | ||||||
2 | by the Department of Healthcare and Family Services by rule | ||||||
3 | that results in a more expeditious payment of the amounts due .
| ||||||
4 | (Source: P.A. 92-10, eff. 6-11-01.)
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5 | Section 10. The Illinois Public Aid Code is amended by | ||||||
6 | changing Sections 5A-4, 5A-8, 5A-12.2, and 5A-14 and by adding | ||||||
7 | Section 5A-12.3 as follows: | ||||||
8 | (305 ILCS 5/5A-4) (from Ch. 23, par. 5A-4) | ||||||
9 | Sec. 5A-4. Payment of assessment; penalty.
| ||||||
10 | (a) The annual assessment imposed by Section 5A-2 for State | ||||||
11 | fiscal year
2004
shall be due
and payable on June 18 of
the
| ||||||
12 | year.
The assessment imposed by Section 5A-2 for State fiscal | ||||||
13 | year 2005
shall be
due and payable in quarterly installments, | ||||||
14 | each equalling one-fourth of the
assessment for the year, on | ||||||
15 | July 19, October 19, January 18, and April 19 of
the year. The | ||||||
16 | assessment imposed by Section 5A-2 for State fiscal years 2006 | ||||||
17 | through 2008 shall be due and payable in quarterly | ||||||
18 | installments, each equaling one-fourth of the assessment for | ||||||
19 | the year, on the fourteenth State business day of September, | ||||||
20 | December, March, and May. Except as provided in subsection | ||||||
21 | (a-5) of this Section, the The assessment imposed by Section | ||||||
22 | 5A-2 for State fiscal year 2009 and each subsequent State | ||||||
23 | fiscal year shall be due and payable in monthly installments, | ||||||
24 | each equaling one-twelfth of the assessment for the year, on |
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1 | the fourteenth State business day of each month.
No installment | ||||||
2 | payment of an assessment imposed by Section 5A-2 shall be due
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3 | and
payable, however, until after: (i) the Department notifies | ||||||
4 | the hospital provider, in writing,
that the payment | ||||||
5 | methodologies to
hospitals
required under
Section 5A-12, | ||||||
6 | Section 5A-12.1, or Section 5A-12.2, whichever is applicable | ||||||
7 | for that fiscal year, have been approved by the Centers for | ||||||
8 | Medicare and Medicaid
Services of
the U.S. Department of Health | ||||||
9 | and Human Services and the waiver under 42 CFR
433.68 for the | ||||||
10 | assessment imposed by Section 5A-2, if necessary, has been | ||||||
11 | granted by the
Centers for Medicare and Medicaid Services of | ||||||
12 | the U.S. Department of Health and
Human Services; and (ii) the | ||||||
13 | Comptroller has issued the payments required under Section | ||||||
14 | 5A-12, Section 5A-12.1, or Section 5A-12.2, whichever is | ||||||
15 | applicable for that fiscal year.
Upon notification to the | ||||||
16 | Department of approval of the payment methodologies required | ||||||
17 | under Section 5A-12, Section 5A-12.1, or Section 5A-12.2, | ||||||
18 | whichever is applicable for that fiscal year, and the waiver | ||||||
19 | granted under 42 CFR 433.68, all installments otherwise due | ||||||
20 | under Section 5A-2 prior to the date of notification shall be | ||||||
21 | due and payable to the Department upon written direction from | ||||||
22 | the Department and issuance by the Comptroller of the payments | ||||||
23 | required under Section 5A-12.1 or Section 5A-12.2, whichever is | ||||||
24 | applicable for that fiscal year.
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25 | (a-5) The Illinois Department may, for the purpose of | ||||||
26 | maximizing federal revenue, accelerate the schedule upon which |
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1 | assessment installments are due and payable by hospitals with a | ||||||
2 | payment ratio greater than or equal to one. Such acceleration | ||||||
3 | of due dates for payment of the assessment may be made only in | ||||||
4 | conjunction with a corresponding acceleration in access | ||||||
5 | payments identified in Section 5A-12.2 to the same hospitals. | ||||||
6 | For the purposes of this subsection (a-5), a hospital's payment | ||||||
7 | ratio is defined as the quotient obtained by dividing the total | ||||||
8 | payments for the State fiscal year, as authorized under Section | ||||||
9 | 5A-12.2, by the total assessment for the State fiscal year | ||||||
10 | imposed under Section 5A-2. | ||||||
11 | (b) The Illinois Department is authorized to establish
| ||||||
12 | delayed payment schedules for hospital providers that are | ||||||
13 | unable
to make installment payments when due under this Section | ||||||
14 | due to
financial difficulties, as determined by the Illinois | ||||||
15 | Department.
| ||||||
16 | (c) If a hospital provider fails to pay the full amount of
| ||||||
17 | an installment when due (including any extensions granted under
| ||||||
18 | subsection (b)), there shall, unless waived by the Illinois
| ||||||
19 | Department for reasonable cause, be added to the assessment
| ||||||
20 | imposed by Section 5A-2 a penalty
assessment equal to the | ||||||
21 | lesser of (i) 5% of the amount of the
installment not paid on | ||||||
22 | or before the due date plus 5% of the
portion thereof remaining | ||||||
23 | unpaid on the last day of each 30-day period
thereafter or (ii) | ||||||
24 | 100% of the installment amount not paid on or
before the due | ||||||
25 | date. For purposes of this subsection, payments
will be | ||||||
26 | credited first to unpaid installment amounts (rather than
to |
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1 | penalty or interest), beginning with the most delinquent
| ||||||
2 | installments.
| ||||||
3 | (d) Any assessment amount that is due and payable to the | ||||||
4 | Illinois Department more frequently than once per calendar | ||||||
5 | quarter shall be remitted to the Illinois Department by the | ||||||
6 | hospital provider by means of electronic funds transfer. The | ||||||
7 | Illinois Department may provide for remittance by other means | ||||||
8 | if (i) the amount due is less than $10,000 or (ii) electronic | ||||||
9 | funds transfer is unavailable for this purpose. | ||||||
10 | (Source: P.A. 94-242, eff. 7-18-05; 95-331, eff. 8-21-07; | ||||||
11 | 95-859, eff. 8-19-08.) | ||||||
12 | (305 ILCS 5/5A-8) (from Ch. 23, par. 5A-8)
| ||||||
13 | Sec. 5A-8. Hospital Provider Fund.
| ||||||
14 | (a) There is created in the State Treasury the Hospital | ||||||
15 | Provider Fund.
Interest earned by the Fund shall be credited to | ||||||
16 | the Fund. The
Fund shall not be used to replace any moneys | ||||||
17 | appropriated to the
Medicaid program by the General Assembly.
| ||||||
18 | (b) The Fund is created for the purpose of receiving moneys
| ||||||
19 | in accordance with Section 5A-6 and disbursing moneys only for | ||||||
20 | the following
purposes, notwithstanding any other provision of | ||||||
21 | law:
| ||||||
22 | (1) For making payments to hospitals as required under | ||||||
23 | Articles V, V-A, VI,
and XIV of this Code, under the | ||||||
24 | Children's Health Insurance Program Act, and under the | ||||||
25 | Covering ALL KIDS Health Insurance Act , and under the |
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| |||||||
1 | Senior Citizens and Disabled Persons Property Tax Relief | ||||||
2 | and Pharmaceutical Assistance Act .
| ||||||
3 | (2) For the reimbursement of moneys collected by the
| ||||||
4 | Illinois Department from hospitals or hospital providers | ||||||
5 | through error or
mistake in performing the
activities | ||||||
6 | authorized under this Article and Article V of this Code.
| ||||||
7 | (3) For payment of administrative expenses incurred by | ||||||
8 | the
Illinois Department or its agent in performing the | ||||||
9 | activities
authorized by this Article.
| ||||||
10 | (4) For payments of any amounts which are reimbursable | ||||||
11 | to
the federal government for payments from this Fund which | ||||||
12 | are
required to be paid by State warrant.
| ||||||
13 | (5) For making transfers, as those transfers are | ||||||
14 | authorized
in the proceedings authorizing debt under the | ||||||
15 | Short Term Borrowing Act,
but transfers made under this | ||||||
16 | paragraph (5) shall not exceed the
principal amount of debt | ||||||
17 | issued in anticipation of the receipt by
the State of | ||||||
18 | moneys to be deposited into the Fund.
| ||||||
19 | (6) For making transfers to any other fund in the State | ||||||
20 | treasury, but
transfers made under this paragraph (6) shall | ||||||
21 | not exceed the amount transferred
previously from that | ||||||
22 | other fund into the Hospital Provider Fund.
| ||||||
23 | (6.5) For making transfers to the Healthcare Provider | ||||||
24 | Relief Fund, except that transfers made under this | ||||||
25 | paragraph (6.5) shall not exceed $60,000,000 in the | ||||||
26 | aggregate. |
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1 | (7) For State fiscal years 2004 and 2005 for making | ||||||
2 | transfers to the Health and Human Services
Medicaid Trust | ||||||
3 | Fund, including 20% of the moneys received from
hospital | ||||||
4 | providers under Section 5A-4 and transferred into the | ||||||
5 | Hospital
Provider
Fund under Section 5A-6. For State fiscal | ||||||
6 | year 2006 for making transfers to the Health and Human | ||||||
7 | Services Medicaid Trust Fund of up to $130,000,000 per year | ||||||
8 | of the moneys received from hospital providers under | ||||||
9 | Section 5A-4 and transferred into the Hospital Provider | ||||||
10 | Fund under Section 5A-6. Transfers under this paragraph | ||||||
11 | shall be made within 7
days after the payments have been | ||||||
12 | received pursuant to the schedule of payments
provided in | ||||||
13 | subsection (a) of Section 5A-4.
| ||||||
14 | (7.5) For State fiscal year 2007 for making
transfers | ||||||
15 | of the moneys received from hospital providers under | ||||||
16 | Section 5A-4 and transferred into the Hospital Provider | ||||||
17 | Fund under Section 5A-6 to the designated funds not | ||||||
18 | exceeding the following amounts
in that State fiscal year: | ||||||
19 | Health and Human Services | ||||||
20 | Medicaid Trust Fund .................
$20,000,000 | ||||||
21 | Long-Term Care Provider Fund ............
$30,000,000 | ||||||
22 | General Revenue Fund ...................
$80,000,000. | ||||||
23 | Transfers under this paragraph shall be made within 7 | ||||||
24 | days after the payments have been received pursuant to the | ||||||
25 | schedule of payments provided in subsection (a) of Section | ||||||
26 | 5A-4.
|
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| |||||||
1 | (7.8) For State fiscal year 2008, for making transfers | ||||||
2 | of the moneys received from hospital providers under | ||||||
3 | Section 5A-4 and transferred into the Hospital Provider | ||||||
4 | Fund under Section 5A-6 to the designated funds not | ||||||
5 | exceeding the following amounts in that State fiscal year: | ||||||
6 | Health and Human Services | ||||||
7 | Medicaid Trust Fund ..................$40,000,000 | ||||||
8 | Long-Term Care Provider Fund ..............$60,000,000 | ||||||
9 | General Revenue Fund ...................$160,000,000. | ||||||
10 | Transfers under this paragraph shall be made within 7 | ||||||
11 | days after the payments have been received pursuant to the | ||||||
12 | schedule of payments provided in subsection (a) of Section | ||||||
13 | 5A-4. | ||||||
14 | (7.9) For State fiscal years 2009 through 2013, for | ||||||
15 | making transfers of the moneys received from hospital | ||||||
16 | providers under Section 5A-4 and transferred into the | ||||||
17 | Hospital Provider Fund under Section 5A-6 to the designated | ||||||
18 | funds not exceeding the following amounts in that State | ||||||
19 | fiscal year: | ||||||
20 | Health and Human Services | ||||||
21 | Medicaid Trust Fund ...................$20,000,000 | ||||||
22 | Long Term Care Provider Fund ..............$30,000,000 | ||||||
23 | General Revenue Fund .....................$80,000,000. | ||||||
24 | Except as provided under this paragraph, transfers | ||||||
25 | under this paragraph shall be made within 7 business days | ||||||
26 | after the payments have been received pursuant to the |
| |||||||
| |||||||
1 | schedule of payments provided in subsection (a) of Section | ||||||
2 | 5A-4. For State fiscal year 2009, transfers to the General | ||||||
3 | Revenue Fund under this paragraph shall be made on or | ||||||
4 | before June 30, 2009, as sufficient funds become available | ||||||
5 | in the Hospital Provider Fund to both make the transfers | ||||||
6 | and continue hospital payments. | ||||||
7 | (8) For making refunds to hospital providers pursuant | ||||||
8 | to Section 5A-10.
| ||||||
9 | Disbursements from the Fund, other than transfers | ||||||
10 | authorized under
paragraphs (5) and (6) of this subsection, | ||||||
11 | shall be by
warrants drawn by the State Comptroller upon | ||||||
12 | receipt of vouchers
duly executed and certified by the Illinois | ||||||
13 | Department.
| ||||||
14 | (c) The Fund shall consist of the following:
| ||||||
15 | (1) All moneys collected or received by the Illinois
| ||||||
16 | Department from the hospital provider assessment imposed | ||||||
17 | by this
Article.
| ||||||
18 | (2) All federal matching funds received by the Illinois
| ||||||
19 | Department as a result of expenditures made by the Illinois
| ||||||
20 | Department that are attributable to moneys deposited in the | ||||||
21 | Fund.
| ||||||
22 | (3) Any interest or penalty levied in conjunction with | ||||||
23 | the
administration of this Article.
| ||||||
24 | (4) Moneys transferred from another fund in the State | ||||||
25 | treasury.
| ||||||
26 | (5) All other moneys received for the Fund from any |
| |||||||
| |||||||
1 | other
source, including interest earned thereon.
| ||||||
2 | (d) (Blank).
| ||||||
3 | (Source: P.A. 95-707, eff. 1-11-08; 95-859, eff. 8-19-08; 96-3, | ||||||
4 | eff. 2-27-09; 96-45, eff. 7-15-09.)
| ||||||
5 | (305 ILCS 5/5A-12.2) | ||||||
6 | (Section scheduled to be repealed on July 1, 2013) | ||||||
7 | Sec. 5A-12.2. Hospital access payments on or after July 1, | ||||||
8 | 2008. | ||||||
9 | (a) To preserve and improve access to hospital services, | ||||||
10 | for hospital services rendered on or after July 1, 2008, the | ||||||
11 | Illinois Department shall, except for hospitals described in | ||||||
12 | subsection (b) of Section 5A-3, make payments to hospitals as | ||||||
13 | set forth in this Section. These payments shall be paid in 12 | ||||||
14 | equal installments on or before the seventh State business day | ||||||
15 | of each month, except that no payment shall be due within 100 | ||||||
16 | days after the later of the date of notification of federal | ||||||
17 | approval of the payment methodologies required under this | ||||||
18 | Section or any waiver required under 42 CFR 433.68, at which | ||||||
19 | time the sum of amounts required under this Section prior to | ||||||
20 | the date of notification is due and payable. Payments under | ||||||
21 | this Section are not due and payable, however, until (i) the | ||||||
22 | methodologies described in this Section are approved by the | ||||||
23 | federal government in an appropriate State Plan amendment and | ||||||
24 | (ii) the assessment imposed under this Article is determined to | ||||||
25 | be a permissible tax under Title XIX of the Social Security |
| |||||||
| |||||||
1 | Act. | ||||||
2 | (a-5) The Illinois Department may, when practicable, | ||||||
3 | accelerate the schedule upon which payments authorized under | ||||||
4 | this Section are made. | ||||||
5 | (b) Across-the-board inpatient adjustment. | ||||||
6 | (1) In addition to rates paid for inpatient hospital | ||||||
7 | services, the Department shall pay to each Illinois general | ||||||
8 | acute care hospital an amount equal to 40% of the total | ||||||
9 | base inpatient payments paid to the hospital for services | ||||||
10 | provided in State fiscal year 2005. | ||||||
11 | (2) In addition to rates paid for inpatient hospital | ||||||
12 | services, the Department shall pay to each freestanding | ||||||
13 | Illinois specialty care hospital as defined in 89 Ill. Adm. | ||||||
14 | Code 149.50(c)(1), (2), or (4) an amount equal to 60% of | ||||||
15 | the total base inpatient payments paid to the hospital for | ||||||
16 | services provided in State fiscal year 2005. | ||||||
17 | (3) In addition to rates paid for inpatient hospital | ||||||
18 | services, the Department shall pay to each freestanding | ||||||
19 | Illinois rehabilitation or psychiatric hospital an amount | ||||||
20 | equal to $1,000 per Medicaid inpatient day multiplied by | ||||||
21 | the increase in the hospital's Medicaid inpatient | ||||||
22 | utilization ratio (determined using the positive | ||||||
23 | percentage change from the rate year 2005 Medicaid | ||||||
24 | inpatient utilization ratio to the rate year 2007 Medicaid | ||||||
25 | inpatient utilization ratio, as calculated by the | ||||||
26 | Department for the disproportionate share determination). |
| |||||||
| |||||||
1 | (4) In addition to rates paid for inpatient hospital | ||||||
2 | services, the Department shall pay to each Illinois | ||||||
3 | children's hospital an amount equal to 20% of the total | ||||||
4 | base inpatient payments paid to the hospital for services | ||||||
5 | provided in State fiscal year 2005 and an additional amount | ||||||
6 | equal to 20% of the base inpatient payments paid to the | ||||||
7 | hospital for psychiatric services provided in State fiscal | ||||||
8 | year 2005. | ||||||
9 | (5) In addition to rates paid for inpatient hospital | ||||||
10 | services, the Department shall pay to each Illinois | ||||||
11 | hospital eligible for a pediatric inpatient adjustment | ||||||
12 | payment under 89 Ill. Adm. Code 148.298, as in effect for | ||||||
13 | State fiscal year 2007, a supplemental pediatric inpatient | ||||||
14 | adjustment payment equal to: | ||||||
15 | (i) For freestanding children's hospitals as | ||||||
16 | defined in 89 Ill. Adm. Code 149.50(c)(3)(A), 2.5 | ||||||
17 | multiplied by the hospital's pediatric inpatient | ||||||
18 | adjustment payment required under 89 Ill. Adm. Code | ||||||
19 | 148.298, as in effect for State fiscal year 2008. | ||||||
20 | (ii) For hospitals other than freestanding | ||||||
21 | children's hospitals as defined in 89 Ill. Adm. Code | ||||||
22 | 149.50(c)(3)(B), 1.0 multiplied by the hospital's | ||||||
23 | pediatric inpatient adjustment payment required under | ||||||
24 | 89 Ill. Adm. Code 148.298, as in effect for State | ||||||
25 | fiscal year 2008. | ||||||
26 | (c) Outpatient adjustment. |
| |||||||
| |||||||
1 | (1) In addition to the rates paid for outpatient | ||||||
2 | hospital services, the Department shall pay each Illinois | ||||||
3 | hospital an amount equal to 2.2 multiplied by the | ||||||
4 | hospital's ambulatory procedure listing payments for | ||||||
5 | categories 1, 2, 3, and 4, as defined in 89 Ill. Adm. Code | ||||||
6 | 148.140(b), for State fiscal year 2005. | ||||||
7 | (2) In addition to the rates paid for outpatient | ||||||
8 | hospital services, the Department shall pay each Illinois | ||||||
9 | freestanding psychiatric hospital an amount equal to 3.25 | ||||||
10 | multiplied by the hospital's ambulatory procedure listing | ||||||
11 | payments for category 5b, as defined in 89 Ill. Adm. Code | ||||||
12 | 148.140(b)(1)(E), for State fiscal year 2005. | ||||||
13 | (d) Medicaid high volume adjustment. In addition to rates | ||||||
14 | paid for inpatient hospital services, the Department shall pay | ||||||
15 | to each Illinois general acute care hospital that provided more | ||||||
16 | than 20,500 Medicaid inpatient days of care in State fiscal | ||||||
17 | year 2005 amounts as follows: | ||||||
18 | (1) For hospitals with a case mix index equal to or | ||||||
19 | greater than the 85th percentile of hospital case mix | ||||||
20 | indices, $350 for each Medicaid inpatient day of care | ||||||
21 | provided during that period; and | ||||||
22 | (2) For hospitals with a case mix index less than the | ||||||
23 | 85th percentile of hospital case mix indices, $100 for each | ||||||
24 | Medicaid inpatient day of care provided during that period. | ||||||
25 | (e) Capital adjustment. In addition to rates paid for | ||||||
26 | inpatient hospital services, the Department shall pay an |
| |||||||
| |||||||
1 | additional payment to each Illinois general acute care hospital | ||||||
2 | that has a Medicaid inpatient utilization rate of at least 10% | ||||||
3 | (as calculated by the Department for the rate year 2007 | ||||||
4 | disproportionate share determination) amounts as follows: | ||||||
5 | (1) For each Illinois general acute care hospital that | ||||||
6 | has a Medicaid inpatient utilization rate of at least 10% | ||||||
7 | and less than 36.94% and whose capital cost is less than | ||||||
8 | the 60th percentile of the capital costs of all Illinois | ||||||
9 | hospitals, the amount of such payment shall equal the | ||||||
10 | hospital's Medicaid inpatient days multiplied by the | ||||||
11 | difference between the capital costs at the 60th percentile | ||||||
12 | of the capital costs of all Illinois hospitals and the | ||||||
13 | hospital's capital costs. | ||||||
14 | (2) For each Illinois general acute care hospital that | ||||||
15 | has a Medicaid inpatient utilization rate of at least | ||||||
16 | 36.94% and whose capital cost is less than the 75th | ||||||
17 | percentile of the capital costs of all Illinois hospitals, | ||||||
18 | the amount of such payment shall equal the hospital's | ||||||
19 | Medicaid inpatient days multiplied by the difference | ||||||
20 | between the capital costs at the 75th percentile of the | ||||||
21 | capital costs of all Illinois hospitals and the hospital's | ||||||
22 | capital costs. | ||||||
23 | (f) Obstetrical care adjustment. | ||||||
24 | (1) In addition to rates paid for inpatient hospital | ||||||
25 | services, the Department shall pay $1,500 for each Medicaid | ||||||
26 | obstetrical day of care provided in State fiscal year 2005 |
| |||||||
| |||||||
1 | by each Illinois rural hospital that had a Medicaid | ||||||
2 | obstetrical percentage (Medicaid obstetrical days divided | ||||||
3 | by Medicaid inpatient days) greater than 15% for State | ||||||
4 | fiscal year 2005. | ||||||
5 | (2) In addition to rates paid for inpatient hospital | ||||||
6 | services, the Department shall pay $1,350 for each Medicaid | ||||||
7 | obstetrical day of care provided in State fiscal year 2005 | ||||||
8 | by each Illinois general acute care hospital that was | ||||||
9 | designated a level III perinatal center as of December 31, | ||||||
10 | 2006, and that had a case mix index equal to or greater | ||||||
11 | than the 45th percentile of the case mix indices for all | ||||||
12 | level III perinatal centers. | ||||||
13 | (3) In addition to rates paid for inpatient hospital | ||||||
14 | services, the Department shall pay $900 for each Medicaid | ||||||
15 | obstetrical day of care provided in State fiscal year 2005 | ||||||
16 | by each Illinois general acute care hospital that was | ||||||
17 | designated a level II or II+ perinatal center as of | ||||||
18 | December 31, 2006, and that had a case mix index equal to | ||||||
19 | or greater than the 35th percentile of the case mix indices | ||||||
20 | for all level II and II+ perinatal centers. | ||||||
21 | (g) Trauma adjustment. | ||||||
22 | (1) In addition to rates paid for inpatient hospital | ||||||
23 | services, the Department shall pay each Illinois general | ||||||
24 | acute care hospital designated as a trauma center as of | ||||||
25 | July 1, 2007, a payment equal to 3.75 multiplied by the | ||||||
26 | hospital's State fiscal year 2005 Medicaid capital |
| |||||||
| |||||||
1 | payments. | ||||||
2 | (2) In addition to rates paid for inpatient hospital | ||||||
3 | services, the Department shall pay $400 for each Medicaid | ||||||
4 | acute inpatient day of care provided in State fiscal year | ||||||
5 | 2005 by each Illinois general acute care hospital that was | ||||||
6 | designated a level II trauma center, as defined in 89 Ill. | ||||||
7 | Adm. Code 148.295(a)(3) and 148.295(a)(4), as of July 1, | ||||||
8 | 2007. | ||||||
9 | (3) In addition to rates paid for inpatient hospital | ||||||
10 | services, the Department shall pay $235 for each Illinois | ||||||
11 | Medicaid acute inpatient day of care provided in State | ||||||
12 | fiscal year 2005 by each level I pediatric trauma center | ||||||
13 | located outside of Illinois that had more than 8,000 | ||||||
14 | Illinois Medicaid inpatient days in State fiscal year 2005. | ||||||
15 | (h) Supplemental tertiary care adjustment. In addition to | ||||||
16 | rates paid for inpatient services, the Department shall pay to | ||||||
17 | each Illinois hospital eligible for tertiary care adjustment | ||||||
18 | payments under 89 Ill. Adm. Code 148.296, as in effect for | ||||||
19 | State fiscal year 2007, a supplemental tertiary care adjustment | ||||||
20 | payment equal to the tertiary care adjustment payment required | ||||||
21 | under 89 Ill. Adm. Code 148.296, as in effect for State fiscal | ||||||
22 | year 2007. | ||||||
23 | (i) Crossover adjustment. In addition to rates paid for | ||||||
24 | inpatient services, the Department shall pay each Illinois | ||||||
25 | general acute care hospital that had a ratio of crossover days | ||||||
26 | to total inpatient days for medical assistance programs |
| |||||||
| |||||||
1 | administered by the Department (utilizing information from | ||||||
2 | 2005 paid claims) greater than 50%, and a case mix index | ||||||
3 | greater than the 65th percentile of case mix indices for all | ||||||
4 | Illinois hospitals, a rate of $1,125 for each Medicaid | ||||||
5 | inpatient day including crossover days. | ||||||
6 | (j) Magnet hospital adjustment. In addition to rates paid | ||||||
7 | for inpatient hospital services, the Department shall pay to | ||||||
8 | each Illinois general acute care hospital and each Illinois | ||||||
9 | freestanding children's hospital that, as of February 1, 2008, | ||||||
10 | was recognized as a Magnet hospital by the American Nurses | ||||||
11 | Credentialing Center and that had a case mix index greater than | ||||||
12 | the 75th percentile of case mix indices for all Illinois | ||||||
13 | hospitals amounts as follows: | ||||||
14 | (1) For hospitals located in a county whose eligibility | ||||||
15 | growth factor is greater than the mean, $450 multiplied by | ||||||
16 | the eligibility growth factor for the county in which the | ||||||
17 | hospital is located for each Medicaid inpatient day of care | ||||||
18 | provided by the hospital during State fiscal year 2005. | ||||||
19 | (2) For hospitals located in a county whose eligibility | ||||||
20 | growth factor is less than or equal to the mean, $225 | ||||||
21 | multiplied by the eligibility growth factor for the county | ||||||
22 | in which the hospital is located for each Medicaid | ||||||
23 | inpatient day of care provided by the hospital during State | ||||||
24 | fiscal year 2005. | ||||||
25 | For purposes of this subsection, "eligibility growth | ||||||
26 | factor" means the percentage by which the number of Medicaid |
| |||||||
| |||||||
1 | recipients in the county increased from State fiscal year 1998 | ||||||
2 | to State fiscal year 2005. | ||||||
3 | (k) For purposes of this Section, a hospital that is | ||||||
4 | enrolled to provide Medicaid services during State fiscal year | ||||||
5 | 2005 shall have its utilization and associated reimbursements | ||||||
6 | annualized prior to the payment calculations being performed | ||||||
7 | under this Section. | ||||||
8 | (l) For purposes of this Section, the terms "Medicaid | ||||||
9 | days", "ambulatory procedure listing services", and | ||||||
10 | "ambulatory procedure listing payments" do not include any | ||||||
11 | days, charges, or services for which Medicare or a managed care | ||||||
12 | organization reimbursed on a capitated basis was liable for | ||||||
13 | payment, except where explicitly stated otherwise in this | ||||||
14 | Section. | ||||||
15 | (m) For purposes of this Section, in determining the | ||||||
16 | percentile ranking of an Illinois hospital's case mix index or | ||||||
17 | capital costs, hospitals described in subsection (b) of Section | ||||||
18 | 5A-3 shall be excluded from the ranking. | ||||||
19 | (n) Definitions. Unless the context requires otherwise or | ||||||
20 | unless provided otherwise in this Section, the terms used in | ||||||
21 | this Section for qualifying criteria and payment calculations | ||||||
22 | shall have the same meanings as those terms have been given in | ||||||
23 | the Illinois Department's administrative rules as in effect on | ||||||
24 | March 1, 2008. Other terms shall be defined by the Illinois | ||||||
25 | Department by rule. | ||||||
26 | As used in this Section, unless the context requires |
| |||||||
| |||||||
1 | otherwise: | ||||||
2 | "Base inpatient payments" means, for a given hospital, the | ||||||
3 | sum of base payments for inpatient services made on a per diem | ||||||
4 | or per admission (DRG) basis, excluding those portions of per | ||||||
5 | admission payments that are classified as capital payments. | ||||||
6 | Disproportionate share hospital adjustment payments, Medicaid | ||||||
7 | Percentage Adjustments, Medicaid High Volume Adjustments, and | ||||||
8 | outlier payments, as defined by rule by the Department as of | ||||||
9 | January 1, 2008, are not base payments. | ||||||
10 | "Capital costs" means, for a given hospital, the total | ||||||
11 | capital costs determined using the most recent 2005 Medicare | ||||||
12 | cost report as contained in the Healthcare Cost Report | ||||||
13 | Information System file, for the quarter ending on December 31, | ||||||
14 | 2006, divided by the total inpatient days from the same cost | ||||||
15 | report to calculate a capital cost per day. The resulting | ||||||
16 | capital cost per day is inflated to the midpoint of State | ||||||
17 | fiscal year 2009 utilizing the national hospital market price | ||||||
18 | proxies (DRI) hospital cost index. If a hospital's 2005 | ||||||
19 | Medicare cost report is not contained in the Healthcare Cost | ||||||
20 | Report Information System, the Department may obtain the data | ||||||
21 | necessary to compute the hospital's capital costs from any | ||||||
22 | source available, including, but not limited to, records | ||||||
23 | maintained by the hospital provider, which may be inspected at | ||||||
24 | all times during business hours of the day by the Illinois | ||||||
25 | Department or its duly authorized agents and employees. | ||||||
26 | "Case mix index" means, for a given hospital, the sum of |
| |||||||
| |||||||
1 | the DRG relative weighting factors in effect on January 1, | ||||||
2 | 2005, for all general acute care admissions for State fiscal | ||||||
3 | year 2005, excluding Medicare crossover admissions and | ||||||
4 | transplant admissions reimbursed under 89 Ill. Adm. Code | ||||||
5 | 148.82, divided by the total number of general acute care | ||||||
6 | admissions for State fiscal year 2005, excluding Medicare | ||||||
7 | crossover admissions and transplant admissions reimbursed | ||||||
8 | under 89 Ill. Adm. Code 148.82. | ||||||
9 | "Medicaid inpatient day" means, for a given hospital, the | ||||||
10 | sum of days of inpatient hospital days provided to recipients | ||||||
11 | of medical assistance under Title XIX of the federal Social | ||||||
12 | Security Act, excluding days for individuals eligible for | ||||||
13 | Medicare under Title XVIII of that Act (Medicaid/Medicare | ||||||
14 | crossover days), as tabulated from the Department's paid claims | ||||||
15 | data for admissions occurring during State fiscal year 2005 | ||||||
16 | that was adjudicated by the Department through March 23, 2007. | ||||||
17 | "Medicaid obstetrical day" means, for a given hospital, the | ||||||
18 | sum of days of inpatient hospital days grouped by the | ||||||
19 | Department to DRGs of 370 through 375 provided to recipients of | ||||||
20 | medical assistance under Title XIX of the federal Social | ||||||
21 | Security Act, excluding days for individuals eligible for | ||||||
22 | Medicare under Title XVIII of that Act (Medicaid/Medicare | ||||||
23 | crossover days), as tabulated from the Department's paid claims | ||||||
24 | data for admissions occurring during State fiscal year 2005 | ||||||
25 | that was adjudicated by the Department through March 23, 2007. | ||||||
26 | "Outpatient ambulatory procedure listing payments" means, |
| |||||||
| |||||||
1 | for a given hospital, the sum of payments for ambulatory | ||||||
2 | procedure listing services, as described in 89 Ill. Adm. Code | ||||||
3 | 148.140(b), provided to recipients of medical assistance under | ||||||
4 | Title XIX of the federal Social Security Act, excluding | ||||||
5 | payments for individuals eligible for Medicare under Title | ||||||
6 | XVIII of the Act (Medicaid/Medicare crossover days), as | ||||||
7 | tabulated from the Department's paid claims data for services | ||||||
8 | occurring in State fiscal year 2005 that were adjudicated by | ||||||
9 | the Department through March 23, 2007. | ||||||
10 | (o) The Department may adjust payments made under this | ||||||
11 | Section 12.2 to comply with federal law or regulations | ||||||
12 | regarding hospital-specific payment limitations on | ||||||
13 | government-owned or government-operated hospitals. | ||||||
14 | (p) Notwithstanding any of the other provisions of this | ||||||
15 | Section, the Department is authorized to adopt rules that | ||||||
16 | change the hospital access improvement payments specified in | ||||||
17 | this Section, but only to the extent necessary to conform to | ||||||
18 | any federally approved amendment to the Title XIX State plan. | ||||||
19 | Any such rules shall be adopted by the Department as authorized | ||||||
20 | by Section 5-50 of the Illinois Administrative Procedure Act. | ||||||
21 | Notwithstanding any other provision of law, any changes | ||||||
22 | implemented as a result of this subsection (p) shall be given | ||||||
23 | retroactive effect so that they shall be deemed to have taken | ||||||
24 | effect as of the effective date of this Section. | ||||||
25 | (q) For State fiscal years 2012 and 2013, the Department | ||||||
26 | may make recommendations to the General Assembly regarding the |
| |||||||
| |||||||
1 | use of more recent data for purposes of calculating the | ||||||
2 | assessment authorized under Section 5A-2 and the payments | ||||||
3 | authorized under this Section 5A-12.2. | ||||||
4 | (Source: P.A. 95-859, eff. 8-19-08.) | ||||||
5 | (305 ILCS 5/5A-12.3 new) | ||||||
6 | Sec. 5A-12.3. Hospital Medicaid Stimulus Payments. | ||||||
7 | (a) Supplemental payments. Subject to federal approval and | ||||||
8 | as soon as practicable after the effective date of this | ||||||
9 | amendatory Act of the 96th General Assembly, the Department | ||||||
10 | shall make a one-time Medicaid supplemental payment to | ||||||
11 | hospitals for inpatient and outpatient Medicaid services. This | ||||||
12 | payment shall be the sum of the following payment | ||||||
13 | methodologies: | ||||||
14 | (1) In addition to the rates paid for outpatient | ||||||
15 | hospital services, the Department shall pay all rural | ||||||
16 | hospitals a supplemental outpatient payment in an amount | ||||||
17 | equal to the hospital's outpatient ambulatory procedure | ||||||
18 | listing payments for Group 3 as defined in 89 Ill. Adm. | ||||||
19 | Code 148.140(b)(1)(C), for State fiscal year 2005. For a | ||||||
20 | hospital qualified as a critical access hospital, as | ||||||
21 | designated by the Illinois Department of Public Health in | ||||||
22 | accordance with 42 CFR 485, Subpart F (2001), the payment | ||||||
23 | amount under this paragraph (1) shall be multiplied by 3.5. | ||||||
24 | In order to qualify for payments under this Section a | ||||||
25 | hospital must: |
| |||||||
| |||||||
1 | (A) Be a hospital that is licensed by the | ||||||
2 | Department of Public Health under the Hospital | ||||||
3 | Licensing Act, certified by that Department to | ||||||
4 | participate in the Illinois Medicaid Program, and | ||||||
5 | enrolled with the Department of Healthcare and Family | ||||||
6 | Services to participate in the Illinois Medicaid | ||||||
7 | Program; | ||||||
8 | (B) Provide services as required under 77 Ill. Adm. | ||||||
9 | Code 250.710 in an emergency room subject to the | ||||||
10 | requirements under either 77 Ill. Adm. Code | ||||||
11 | 250.2440(k) or 77 Ill. Adm. Code 250.2630(k); and | ||||||
12 | (C) Be a rural Illinois hospital, as defined at 89 | ||||||
13 | Ill. Adm. Code 148.25(g)(3). | ||||||
14 | (2) In addition to the rates paid for inpatient | ||||||
15 | hospital services, the Department shall pay $175 for each | ||||||
16 | Medicaid obstetrical day of care by each Illinois general | ||||||
17 | acute care hospital that was designated a level III | ||||||
18 | perinatal center as of July 1, 2009 and provided more than | ||||||
19 | 2,000 Medicaid obstetrical days of service. | ||||||
20 | (3) In addition to the rates paid for inpatient | ||||||
21 | hospital services, the Department shall pay $22 for each | ||||||
22 | Medicaid inpatient day to each hospital designated as a | ||||||
23 | Level I Trauma Center. For the purpose of this Section, a | ||||||
24 | Level I Trauma Center is a hospital designated by the | ||||||
25 | Department of Public Health using the criteria under 77 | ||||||
26 | Ill. Adm. Code 515.2030 or 77 Ill. Adm. Code 515.2035 as of |
| |||||||
| |||||||
1 | July 1, 2009. For the purposes of this payment, hospitals | ||||||
2 | located in the same city that alternate their Level I | ||||||
3 | Trauma Center designation as defined in 89 Ill. Adm. Code | ||||||
4 | 148.295(a)(2) shall both be eligible to receive this | ||||||
5 | payment. | ||||||
6 | (4) In addition to the rates paid for inpatient | ||||||
7 | hospital services, the Department shall pay $37 for each | ||||||
8 | Medicaid inpatient day. | ||||||
9 | (5) In addition to the rates paid for inpatient | ||||||
10 | hospital services, the Department shall pay an additional | ||||||
11 | $35 for each Medicaid inpatient day to each hospital | ||||||
12 | qualifying for a payment in paragraph (4) of this | ||||||
13 | subsection (a) that also qualifies for payments under 89 | ||||||
14 | Ill. Adm. Code 148.120 or 89 Ill. Adm. Code 148.122 for the | ||||||
15 | rate period beginning October 1, 2009. | ||||||
16 | (b) Exclusions from payments under this Section. | ||||||
17 | (1) A hospital that is operated by a State agency, a | ||||||
18 | State university, or a county with a population of | ||||||
19 | 3,000,000 or more is not eligible for any payment under | ||||||
20 | this Section. | ||||||
21 | (2) A hospital as defined in 89 Ill. Adm. Code | ||||||
22 | 149.50(c)(4) is not eligible for any payment under | ||||||
23 | paragraph (4) or (5) of subsection (a) of this Section. | ||||||
24 | (3) A hospital as defined in 89 Ill. Adm. Code | ||||||
25 | 149.50(c)(1) or 89 Ill. Adm. Code 149.50(c)(2) is not | ||||||
26 | eligible for any payment under paragraph (5) of subsection |
| |||||||
| |||||||
1 | (a) of this Section. | ||||||
2 | (4) A hospital that ceases operations prior to federal | ||||||
3 | approval of, and adoption of administrative rules | ||||||
4 | necessary to effect, payments under this Section is not | ||||||
5 | eligible for any payment under this Section. | ||||||
6 | (5) A hospital that has filed for bankruptcy or is | ||||||
7 | operating under bankruptcy protection under any Chapter of | ||||||
8 | Title 11 of the United States Code (Bankruptcy) is not | ||||||
9 | eligible for any payment under this Section. | ||||||
10 | (c) Definitions. Unless the context requires otherwise or | ||||||
11 | unless provided otherwise in this Section, the terms used in | ||||||
12 | this Section for qualifying criteria and payment calculations | ||||||
13 | shall have the same meanings as those terms have been given in | ||||||
14 | the Department's administrative rules as in effect on March 1, | ||||||
15 | 2008. As used in this Section, unless the context requires | ||||||
16 | otherwise: | ||||||
17 | (1) “Medicaid inpatient day” has the same meaning as | ||||||
18 | defined in subsection (n) of Section 5A-12.2. | ||||||
19 | (2) “Hospital” means any facility located in Illinois | ||||||
20 | that is required to submit cost reports as mandated under | ||||||
21 | 89 Ill. Adm. Code 148.210. | ||||||
22 | (3) “Medicaid obstetrical day” has the same meaning | ||||||
23 | ascribed to it in subsection (n) of Section 5A-12.2. | ||||||
24 | (4) "Outpatient ambulatory procedure listing payments" | ||||||
25 | means, for a given hospital, the sum of payments for | ||||||
26 | ambulatory procedure listing services, as described in 89 |
| |||||||
| |||||||
1 | Ill. Adm. Code 148.140(b)(1)(C), provided to recipients of | ||||||
2 | medical assistance under Title XIX of the federal Social | ||||||
3 | Security Act, excluding payments for individuals eligible | ||||||
4 | for Medicare under Title XVIII of the Act | ||||||
5 | (Medicaid/Medicare crossover days), as tabulated from the | ||||||
6 | Department's paid claims data for services occurring in | ||||||
7 | State fiscal year 2005 that were adjudicated by the | ||||||
8 | Department through March 23, 2007. | ||||||
9 | (d) Funding sources. Payments under this Section shall be | ||||||
10 | made from the Healthcare Provider Relief Fund. | ||||||
11 | (e) Adjustments. The Department may pay a portion of | ||||||
12 | payments made under this Section in a subsequent State fiscal | ||||||
13 | year to comply with federal law or regulations regarding | ||||||
14 | hospital-specific payment limitations. | ||||||
15 | (305 ILCS 5/5A-14) | ||||||
16 | Sec. 5A-14. Repeal of assessments and disbursements. | ||||||
17 | (a) Section 5A-2 is repealed on July 1, 2013. | ||||||
18 | (b) Section 5A-12 is repealed on July 1, 2005.
| ||||||
19 | (c) Section 5A-12.1 is repealed on July 1, 2008.
| ||||||
20 | (d) Section 5A-12.2 is repealed on July 1, 2013. | ||||||
21 | (e) Section 5A-12.3 is repealed on July 1, 2011. | ||||||
22 | (Source: P.A. 94-242, eff. 7-18-05; 95-859, eff. 8-19-08.)
| ||||||
23 | Section 99. Effective date. This Act takes effect upon | ||||||
24 | becoming law. |