Part 140: MEDICAL PAYMENT

Section 140.928 Client Enrollment and Program Components (Repealed) (Source: Repealed at 20 Ill. Reg. 4345, effective March 4, 1996)

Section 140.930 Reimbursement a) Reimbursement Rates for Maternal and Child Health Providers 1) Participating FQHC, as described in Section 140.461(d), that meet the criteria specified in 140.924(a)(2)(A), shall be reimbursed in accordance with Section 140.464(b) for covered serv…

Section 140.932 Payment Authorization for Referrals (Repealed) (Source: Repealed at 20 Ill. Reg. 4345, effective March 4, 1996) SUBPART H: ILLINOIS COMPETITIVE ACCESS AND REIMBURSEMENT EQUITY (ICARE) PROGRAM

Section 140.94 Medicaid Developmentally Disabled Provider Participation Fee Trust Fund/Medicaid Long Term Care Provider Participation Fee Trust Fund (Repealed) (Source: Repealed at 42 Ill. Reg. 14383, effective July 23, 2018)

Section 140.940 Illinois Competitive Access and Reimbursement Equity (ICARE) Program (Recodified) (Source: Recodified to 89 Ill. Adm. Code 149.5 at 12 Ill. Reg. 7401)

Section 140.942 Definition of Terms (Recodified) (Source: Recodified to 89 Ill. Adm. Code 149.25 at 12 Ill. Reg. 7401)

Section 140.944 Notification of Negotiations (Recodified) (Source: Recodified to 89 Ill. Adm. Code 149.50 at 12 Ill. Reg. 7401)

Section 140.946 Hospital Participation in ICARE Program Negotiations (Recodified) (Source: Recodified to 89 Ill. Adm. Code 149.75 at 12 Ill. Reg. 7401)

Section 140.948 Negotiation Procedures (Recodified) (Source: Recodified to 89 Ill. Adm. Code 149.100 at 12 Ill. Reg. 7401)

Section 140.95 Hospital Services Trust Fund (Repealed) (Source: Repealed at 42 Ill. Reg. 14383, effective July 23, 2018)

Section 140.950 Factors Considered In Awarding ICARE Contracts (Recodified) (Source: Recodified to 89 Ill. Adm. Code 149.105 at 12 Ill. Reg. 7401)

Section 140.952 Closing an ICARE Area (Recodified) (Source: Recodified to 89 Ill. Adm. Code 149.125 at 12 Ill. Reg. 7401)

Section 140.954 Administrative Review (Recodified) (Source: Recodified to 89 Ill. Adm. Code 149.150 at 12 Ill. Reg. 7401)

Section 140.956 Payments to Contracting Hospitals (Recodified) (Source: Recodified to 89 Ill. Adm. Code 149.175 at 12 Ill. Reg. 7401)

Section 140.958 Admitting and Clinical Privileges (Recodified) (Source: Recodified to 89 Ill. Adm. Code 149.200 at 12 Ill. Reg. 7401)

Section 140.96 General Requirements (Recodified) (Source: Recodified to 89 Ill. Adm. Code 148.30 at 13 Ill. Reg. 9497)

Section 140.960 Inpatient Hospital Care or Services by Non-Contracting Hospitals Eligible for Payment (Recodified) (Source: Recodified to 89 Ill. Adm. Code 149.205 at 12 Ill. Reg. 7401)

Section 140.962 Payment to Hospitals for Inpatient Services or Care not Provided under the ICARE Program (Recodified) (Source: Recodified to 89 Ill. Adm. Code 149.225 at 12 Ill. Reg. 7401)

Section 140.964 Contract Monitoring (Recodified) (Source: Recodified to 89 Ill. Adm. Code 149.250 at 12 Ill. Reg. 7401)

Section 140.966 Transfer of Recipients (Recodified) (Source: Recodified to 89 Ill. Adm. Code 149.275 at 12 Ill. Reg. 7401)

Section 140.968 Validity of Contracts (Recodified) (Source: Recodified to 89 Ill. Adm. Code 149.300 at 12 Ill. Reg. 7401)

Section 140.97 Special Requirements (Recodified) (Source: Recodified to 89 Ill. Adm. Code 148.40 at 13 Ill. Reg. 9497)

Section 140.970 Termination of ICARE Contracts (Recodified) (Source: Recodified to 89 Ill. Adm. Code 149.305 at 12 Ill. Reg. 7401)

Section 140.972 Hospital Services Procurement Advisory Board (Recodified) (Source: Recodified to 89 Ill. Adm. Code 149.325 at 12 Ill. Reg. 7401) SUBPART I: PRIMARY CARE CASE MANAGEMENT PROGRAM

Section 140.98 Covered Hospital Services (Recodified) (Source: Recodified to 89 Ill. Adm. Code 148.50 at 13 Ill. Reg. 9497)

Section 140.99 Hospital Services Not Covered (Recodified) (Source: Recodified to 89 Ill. Adm. Code 148.60 at 13 Ill. Reg. 9497)

Section 140.990 Primary Care Case Management Program (Repealed) (Source: Repealed at 46 Ill. Reg. 5725, effective March 25, 2022)

Section 140.991 Primary Care Provider Participation Requirements (Repealed) (Source: Repealed at 46 Ill. Reg. 5725, effective March 25, 2022)

Section 140.992 Populations Eligible to Participate in the Primary Care Case Management Program (Repealed) (Source: Repealed at 46 Ill. Reg. 5725, effective March 25, 2022)

Section 140.993 Care Management Fees (Repealed) (Source: Repealed at 46 Ill. Reg. 5725, effective March 25, 2022)

Section 140.994 Panel Size and Affiliated Providers (Repealed) (Source: Repealed at 46 Ill. Reg. 5725, effective March 25, 2022)

Section 140.995 Mandatory Enrollment (Repealed) (Source: Repealed at 46 Ill. Reg. 5725, effective March 25, 2022)

Section 140.996 Access to Health Care Services (Repealed) (Source: Repealed at 46 Ill. Reg. 5725, effective March 25, 2022)

Section 140.997 Payment for Services (Repealed) (Source: Repealed at 46 Ill. Reg. 5725, effective March 25, 2022) SUBPART J: ALTERNATE PAYEE PARTICIPATION

Section 140.TABLE N Program Approval for Specified Behavioral Health Services a) Purpose. Services requiring program approval, as required in Section 140.453, shall be approved based upon the criteria outlined in this Section. For the purposes of this Section, Department shall me…