Section 148.860  Community Connect IMD Hospital Payment

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

a)         The Community Connect IMD hospital in the demonstration program will be reimbursed on an incentive-driven basis.  The Department will reimburse the initial claim for the psychiatric admission at 80% of the psychiatric hospital rate.  The remainder of the full 100% of the psychiatric hospital rate will be paid if the individual remains stable in the community with no further psychiatric hospitalization for 45 days after the level of care assessment.

b)         Payment for any individual who cannot be discharged because the individual does not have a place to go and appropriate services cannot be implemented, but who is not an inpatient based on medical necessity, will be 50% of the alternate cost per diem rate as defined in Section 148.270 and 89 Ill. Adm. Code 152.200 on July 1, 2012.

(Source:  Amended at 38 Ill. Reg. 15165, effective July 2, 2014)