89 Ill. Adm. Code 148.401
Alzheimer's Treatment Access Payment
Section 148.401 Alzheimer's Treatment Access Payment
Effective for dates of service starting July 1, 2020, except
when specifically designated otherwise in this Section:
a) Qualifying
Criteria. An Illinois academic medical center or teaching hospital as defined
in Section 148.25(h) that is identified as the primary hospital affiliate of
one of the regional Alzheimer's Disease Assistance Centers as designated by the
Alzheimer's Disease Assistance Act [410 ILCS 405] and identified in the Illinois
Department of Public Health Alzheimer's Disease State Plan dated December 2016.
b) Payment.
A qualifying hospital shall receive a payment that is the product of the
following factors:
1) The hospital's calendar
year 2019 inpatient days; and
2) The hospital's
Alzheimer's Treatment Rate:
A) For
qualifying hospitals located in Cook County: $
244.36
;
and
B) For
qualifying hospitals located outside of Cook County: $
312.03
.
c) "Inpatient
days" means, for a given hospital, the sum of inpatient fee-for-service
hospital days provided to recipients of medical assistance under Title XIX of
the Social Security Act for general acute care, psychiatric care, and
rehabilitation care, excluding days for individuals eligible for Medicare under
Title XVIII of the Social Security Act (Medicaid/Medicare crossover days), as
tabulated from the Department's paid claims data for total days occurring
during SFY 2018 as of July 10, 2019.