89 Ill. Adm. Code 145.60
Effect of Becoming a Class II IMD and Redetermination Reviews
Section 145
Section 145.60 Effect of
Becoming a Class II IMD and Redetermination Reviews
a) A facility that is classified as a Class II IMD nursing
facility in accordance with the review and determination process in Section
145.50 shall receive the Class II IMD per diem reimbursement rate as stipulated
in Section 145.80(b).
b) The Class II IMD rate shall be effective on the first day of
the quarter after the Department makes its determination that a facility is a
Class II IMD.
c) If requested by a Class II IMD nursing facility, the
Department shall make a redetermination of a facility's status as an IMD by
conducting a resident data review and on-site visit of the facility.
d) If the Department determines that the facility is not an IMD
as the result of a redetermination review, the facility shall be reclassified
to non-IMD status effective the first day of the month following the
redetermination review.