PART149. DIAGNOSIS RELATED GROUPING (DRG) PROSPECTIVE PAYMENT SYSTEM (PPS)  


§ 149.5. Diagnosis Related Grouping (DRG) Prospective Payment System (PPS) [Repealed]
§ 149.10. Applicability of Other Provisions
§ 149.25. General Provisions
§ 149.50. Hospital Inpatient Services Subject to and Excluded from the DRG Prospective Payment System
§ 149.75. Conditions for Payment Under the DRG Prospective Payment System
§ 149.100. Methodology for Determining DRG PPS Payment Rates
§ 149.105. Payment For Outlier Cases
§ 149.125. Special Treatment of Certain Facilities [Repealed]
§ 149.140. Methodology for Determining Primary Care Access Health Care Education Payments [Repealed]
§ 149.150. Payments to Hospitals Under the DRG Prospective Payment System [Repealed]
§ 149.175. Payments to Contracting Hospitals [Repealed]
§ 149.200. Admitting and Clinical Privileges [Repealed]
§ 149.205. Inpatient Hospital Care or Services by Non-Contracting Hospitals Eligible for Payment [Repealed]
§ 149.225. Payment to Hospitals for Inpatient Services or Care not Provided under the ICARE Program [Repealed]
§ 149.250. Contract Monitoring [Repealed]
§ 149.275. Transfer of Recipients [Repealed]
§ 149.300. Validity of Contracts [Repealed]
§ 149.305. Termination of ICARE Contracts [Repealed]
§ 149.325. Hospital Services Procurement Advisory Board [Repealed]
SOURCE: Recodified from 89 Ill. Adm. Code 140.940 through 140.972 at 12 Ill. Reg. 7401; amended at 12 Ill. Reg. 12095, effective July 15, 1988; amended at 13 Ill. Reg. 554, effective January 1, 1989; amended at 13 Ill. Reg. 15070, effective September 15, 1989; amended at 15 Ill. Reg. 1826, effective January 28, 1991; emergency amendment at 15 Ill. Reg. 16308, effective November 1, 1991, for a maximum of 150 days; amended at 16 Ill. Reg. 6195, effective March 27, 1992; emergency amendment at 16 Ill. Reg. 11937, effective July 10, 1992, for a maximum of 150 days; emergency amendment at 16 Ill. Reg. 14733, effective October 1, 1992, for a maximum of 150 days; amended at 16 Ill. Reg. 19868, effective December 7, 1992; amended at 17 Ill. Reg. 3217, effective March 1, 1993; emergency amendment at 17 Ill. Reg. 17275, effective October 1, 1993, for a maximum of 150 days; amended at 18 Ill. Reg. 3378, effective February 25, 1994; amended at 19 Ill. Reg. 10674, effective July 1, 1995; amended at 21 Ill. Reg. 2238, effective February 3, 1997; emergency amendment at 22 Ill. Reg. 13064, effective July 1, 1998, for a maximum of 150 days; amended at 22 Ill. Reg. 19866, effective October 30, 1998; amended at 25 Ill. Reg. 8775, effective July 1, 2001; amended at 26 Ill. Reg. 13676, effective September 3, 2002; emergency amendment at 27 Ill. Reg. 11080, effective July 1, 2003, for a maximum of 150 days; amended at 27 Ill. Reg. 18872, effective November 26, 2003; amended at 28 Ill. Reg. 2836, effective February 1, 2004; amended at 38 Ill. Reg. 15477, effective July 2, 2014; amended at 41 Ill. Reg. 1059, effective January 19, 2017; emergency amendment at 42 Ill. Reg. 13876, effective July 2, 2018, for a maximum of 150 days; amended at 42 Ill. Reg. 22533, effective November 28, 2018.

Notation

AUTHORITY: Implementing and authorized by Articles III, IV, V, VI and VII and Section 12-13 of the Illinois Public Aid Code [305 ILCS 5/Arts. III, IV, V, VI and VII and 12-13].