89 Ill. Adm. Code 148.30
General Requirements
Section 148
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.