ILLINOIS REGISTER 5892
09
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
NOTICE OF EMERGENCY AMENDMENTS
i) more than 5,000 Qualified Days, $670.00; or
ii) 5,000 or fewer Qualified Days, $300.00.
C) For out of state hospitals with:
i) more than 1,000 Qualified Days, $670.00; or
ii) 1,000 or fewer Qualified Days, $300.00.
e) Primary Care Adjustment
The Department shall make a Primary Care Adjustment to certain hospitals, as
defined in this subsection (e).
1) Qualifying Hospital. A hospital located in Illinois that has at least one
Qualifying Resident shall qualify for this payment.
2) Qualifying Residents. For the purposes of this subsection (e), "Qualifying
Residents" means the number of primary care residents, as reported on
form HCFA 2552-96, Worksheet E-3, Part IV, line 1, column 1, for
hospital fiscal years ending September 30, 1997, through September 29,
1998, used in the fiscal year 2002 Tertiary Care Adjustment Rate Period.
3) Qualified Admission. For the purposes of this subsection (e), "Qualified
Admission" shall mean a Base Period Claim excluding a claim:
A) For hospital inpatient psychiatric services as described at Section
148.40(a) or hospital inpatient physical rehabilitation services as
described at Section 148.40(b) and reimbursed under a per diem
rate methodology; and
B) For Delivery or Newborn Care.
4) Primary Care Adjustment. A Qualifying Hospital will receive a payment
equal to the product of:
A) The number of Qualifying Admissions during the Tertiary
Adjustment Base Period;
