Section 148.30  General Requirements

Effective for dates of service on or after July 1, 2014:

a)         For the purpose of hospital inpatient, hospital outpatient and hospital-based clinic reimbursement, the following requirements must be met by a hospital to qualify for enrollment in the Illinois Medical Assistance Program:

b)         The hospital must be certified for participation in the Medicare Program (Title XVIII) unless the provisions of subsection (c) apply.  

c)         If not eligible for or subject to Medicare certification, the hospital must be accredited by The Joint Commission (TJC) or another Health and Human Services Approved Accreditation Organization.

d)         The hospital must agree to accept the Department's basis for reimbursement.

(Source:  Amended at 39 Ill. Reg. 10824, effective July 27, 2015)