Section 130.160  Reimbursement Process – Donations (Transferred Funds or Co‑Payments)

a)         Contributing public or private agencies make cash transfers or establish special accounts or ledgers equal to 25% (10% for family planning services) of their contract.

b)         No payment will be made to a provider without documentation that 25% (10% for family planning services) of the vouchered amount (local match) has been received by the provider and is in a separate account or separately identified in the provider's books. The service provider will then be reimbursed by the State for 75% (90% for family planning services) of the eligible amount.  All agreements and requirements for the reimbursement process are contained in the Community Services Agreement.

c)         In the event costs are determined inappropriate for claiming:

1)         The State will assume financial responsibility for the 75% (90% for family planning services) share when the Department has determined through audit procedures that the reason for the deferral, disallowance or costs that are determined inappropriate for claiming is not directly related to a violation of the Community Services Agreement by the service provider.

2)         The service provider must assume full financial responsibility if a violation of the agreement requirements by the service provider has occurred, as determined by the Secretary of the Department.

(Source:  Amended at 27 Ill. Reg. 9452, effective June 9, 2003)