ILLINOIS REGISTER 3600
09
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
NOTICE OF PROPOSED AMENDMENTS
4) For hospitals qualifying under subsection (a)(4), the rate is
$375.00$217.25.
5) For hospitals qualifying under subsection (a)(5), the rate is $250.00.
6) For hospitals qualifying under subsection (a)(6), the rate is $336.25.
7) For hospitals qualifying under subsection (a)(7), the rate is $110.00
8) For hospitals qualifying under subsection (a)(8), the rate is $200.00.
9) For hospitals qualifying under subsection (a)(9), the rate is $48.50.
10) For hospitals qualifying under subsection (a)(10), the rate is $135.00.
11) For hospitals qualifying under subsection (a)(11), the rate is $65.00.
12) For hospitals qualifying under subsection (a)(12), the rate is $90.00.
c) Payment to a Qualifying Hospital
1) The total annual payments to a qualifying hospital shall be the product of
the hospital's rate multiplied by the Medicaid outpatient ambulatory
procedure listing services in the outpatient assistance adjustment base
year.
2) For the outpatient assistance adjustment period for fiscal year 2009 and
after, total payments will equal the amount determined using the
methodologies described in subsection (c)(1) of this Section and shall be
paid to the hospital, at least, on a quarterly basis.
3) Payments described in subsections (b)(5) through (b)(12) of this Section
are contingent upon approval of federal funding for such payments.
d) Definitions
1) "Emergency care percentage" means a fraction, the numerator of which is
the total Group 3 ambulatory procedure listing services as described in
Section 148.140(b)(1)(C), excluding services for individuals eligible for
