(305 ILCS 5/5-5.3) (from Ch. 23, par. 5-5.3)
Sec. 5-5.3. Conditions of Payment - Prospective Rates -
Accounting Principles. This amendatory Act establishes certain
conditions for the Department of Healthcare and Family Services in instituting
rates for the care of recipients of medical assistance in
nursing facilities and ICF/DDs.
Such conditions shall assure a method under which the payment
for nursing facility and ICF/DD services provided
to recipients under the Medical Assistance Program shall be
on a reasonable cost related basis, which is prospectively
determined at least annually by the Department of Public Aid (now Healthcare and Family Services).
The annually established payment rate shall take effect on July 1 in 1984
and subsequent years. There shall be no rate increase during calendar year
1983 and the first six months of calendar year 1984.
The determination of the payment shall be made on the
basis of generally accepted accounting principles that
shall take into account the actual costs to the facility
of providing nursing facility and ICF/DD services
to recipients under the medical assistance program.
The resultant total rate for a specified type of service
shall be an amount which shall have been determined to be
adequate to reimburse allowable costs of a facility that
is economically and efficiently operated. The Department
shall establish an effective date for each facility or group
of facilities after which rates shall be paid on a reasonable
cost related basis which shall be no sooner than the effective
date of this amendatory Act of 1977.
On and after July 1, 2012, the Department shall reduce any rate of reimbursement for services or other payments or alter any methodologies authorized by this Code to reduce any rate of reimbursement for services or other payments in accordance with Section 5-5e. (Source: P.A. 96-1530, eff. 2-16-11; 97-689, eff. 6-14-12.)
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