§148.870. Community Connect TCM Agency Payment

 

a)         The Community Connect TCM agency monthly reimbursement rate for each individual will be established in the supplemental provider agreement.

 

b)         The Community Connect TCM agency will be reimbursed on an incentive driven basis for each individual each month.  The Department will reimburse the initial claim at 80% of the individual per month rate.  The remainder of the full 100% of the individual per month rate will be paid if the individual deflected to community services or hospitalized at the Community Connect IMD remains stable in the community without further psychiatric hospitalization for 45 days after the level of care assessment.

 

(Source:  Added at 37 Ill. Reg. 402, effective December 27, 2012)