Illinois Administrative Code

Section 149.305 Termination of ICARE Contracts (Repealed) (Source: Repealed at 16 Ill. Reg. 6195, effective March 27, 1992)

Section 149.325 Hospital Services Procurement Advisory Board (Repealed) (Source: Repealed at 16 Ill. Reg. 6195, effective March 27, 1992)

Section 149.5 Diagnosis Related Grouping (DRG) Prospective Payment System (PPS) (Repealed) (Source: Repealed at 38 Ill. Reg. 15477, effective July 2, 2014)

Section 149.50 Hospital Inpatient Services Subject to and Excluded from the DRG Prospective Payment System Effective for dates of discharge on or after July 1, 2014: a) Inpatient Services Subject to Submission for DRG Grouping. All hospital inpatient services provided to enrollee…

Section 149.75 Conditions for Payment Under the DRG Prospective Payment System Effective for dates of discharge on or after July 1, 2014: a) General Requirements 1) A hospital must meet the conditions of this Section to receive payment under the DRG PPS for inpatient hospital ser…

Section 152.100 Hospital Rate Reductions Notwithstanding any provision to the contrary in 89 Ill. Adm. Code 148 and 149 and this Part 152, effective for dates of service on or after July 1, 2012, any rate of reimbursement for services to hospitals or other payments to hospitals s…

Section 152.150 Hospital Payment Documentation and Coding Improvement Adjustment (Repealed) (Source: Repealed at 42 Ill. Reg. 22547, effective November 28, 2018)

Section 152.200 Non-DRG Reimbursement Methodologies (Repealed) (Source: Repealed at 38 Ill. Reg. 15527, effective July 2, 2014)

Section 152.250 Appeals (Repealed) (Source: Repealed at 21 Ill. Reg. 16153, effective November 26, 1997)

Section 152.300 Adjustment for Potentially Preventable Readmissions a) Notwithstanding any provision set forth in 89 Ill. Adm. Code 148 or 149 and unless otherwise stated in this Section, the changes described in this Section will be effective January 1, 2013. b) For clean claims…

Section 152.350 Inpatient and Outpatient Rate Adjustments Notwithstanding anything to the contrary in 89 Ill. Adm. Code 140, 146, 148, 149 and 152, any updates to the system shall not result in any diminishment of the overall effective rate of reimbursement as of the implementati…

Section 153.100 Reimbursement for Long Term Care Services a) Notwithstanding the provisions set forth in 89 Ill. Adm. Code 140, 144, 146 Subpart H and 147 for reimbursement of long term care services, effective January 18, 1994, reimbursement rates for long term care facilities (…

Section 153.125 Long Term Care Facility Rate Adjustments a) Notwithstanding the provisions set forth in Section 153.100, long term care facility (SNF/ICF and ICF/MR) rates established on July 1, 1996 shall be increased by 6.8 percent for services provided on or after January 1, 1…

Section 153.126 Long Term Care Facility Medicaid Per Diem Adjustments a) Notwithstanding the provisions set forth in Section 153.100, the socio‑development component for facilities that are federally defined as Institutions for Mental Disease (see 89 Ill. Adm. Code 145.30) shall …

Section 153.150 Quality Assurance Review (Repealed) (Source: Repealed at 19 Ill. Reg. 16281, effective November 27, 1995)

Section 220.100 Confidentiality and Disclosure of Information a) No information concerning an older person or obtained from an older person by the Department, area agency on aging, or a provider of services under this rule shall be disclosed by the Department, area agency on agin…

Section 220.200 Client Cooperation a) Clients must cooperate: 1) In the determination of eligibility; 2) With Department programs (quality control and compliance audits) conducted for the purpose of acquisition or verification of information upon which eligibility or level of car…

Section 220.300 Referral Requirements The client shall have the right to receive information about programs and services of the Illinois Department on Aging or the area agency on aging. The client also shall have the right to be referred to other service agencies and/or departmen…

Section 220.400 Other Resources Supporting the Cost of In-Home Care Services a) The Department may require individuals to apply for or obtain available benefits or resources which would support the costs of in-home care services. Where such benefits or resources would be availabl…

Section 220.500 Appeals and Fair Hearings (Repealed) (Source: Repealed at 45 Ill. Reg. 10769, effective August 10, 2021)

Section 220.501 Initiation of Appeal Process (Repealed) (Source: Repealed at 45 Ill. Reg. 10769, effective August 10, 2021)

Section 220.502 Request for Hearing or Appeal (Repealed) (Source: Repealed at 45 Ill. Reg. 10769, effective August 10, 2021)

Section 220.503 Place of Filing (Repealed) (Source: Repealed at 45 Ill. Reg. 10769, effective August 10, 2021)

Section 220.504 Responsibility of Department or Area Agency on Aging (Repealed) (Source: Repealed at 45 Ill. Reg. 10769, effective August 10, 2021)

Section 220.505 Informal Review (Repealed) (Source: Repealed at 45 Ill. Reg. 10769, effective August 10, 2021)

Section 220.506 Hearing Officer (Repealed) (Source: Repealed at 45 Ill. Reg. 10769, effective August 10, 2021)

Section 220.507 Notice of Hearing (Repealed) (Source: Repealed at 45 Ill. Reg. 10769, effective August 10, 2021)

Section 220.508 Representation of Appellant (Repealed) (Source: Repealed at 45 Ill. Reg. 10769, effective August 10, 2021)

Section 220.509 Appellant Participation in Hearing (Repealed) (Source: Repealed at 45 Ill. Reg. 10769, effective August 10, 2021)

Section 220.510 Amendment of Appeal (Repealed) (Source: Repealed at 45 Ill. Reg. 10769, effective August 10, 2021)

Section 220.511 Consolidation of Appeals (Repealed) (Source: Repealed at 45 Ill. Reg. 10769, effective August 10, 2021)

Section 220.512 Postponement of Hearing (Repealed) (Source: Repealed at 45 Ill. Reg. 10769, effective August 10, 2021)

Section 220.513 Withdrawal of Appeal (Repealed) (Source: Repealed at 45 Ill. Reg. 10769, effective August 10, 2021)

Section 220.514 Evidentiary Requirements (Repealed) (Source: Repealed at 45 Ill. Reg. 10769, effective August 10, 2021)

Section 220.515 Closing of Hearing Record (Repealed) (Source: Repealed at 45 Ill. Reg. 10769, effective August 10, 2021)

Section 220.516 Dismissal of Appeals (Repealed) (Source: Repealed at 45 Ill. Reg. 10769, effective August 10, 2021)

Section 220.517 Transcript (Repealed) (Source: Repealed at 45 Ill. Reg. 10769, effective August 10, 2021)

Section 220.518 Decision (Repealed) (Source: Repealed at 45 Ill. Reg. 10769, effective August 10, 2021)

Section 220.519 Notice of Decision to Appellant (Repealed) (Source: Repealed at 45 Ill. Reg. 10769, effective August 10, 2021)

Section 220.520 Public Review (Repealed) (Source: Repealed at 45 Ill. Reg. 10769, effective August 10, 2021)

Section 220.600 Case Coordination Unit Minimum Standards a) To be designated as a Case Coordination Unit (CCU) for a specific geographic area, as identified by the Area Agency on Aging (AAA) in a specified planning and service area, an agency shall enter into a contract or grant …

Section 220.605 Case Management Staff Requirements and Qualifications The agency shall have sufficient staff to perform all activities and to fulfill all responsibilities outlined in 89 Ill. Adm. Code 230.Subpart G and 89 Ill. Adm. Code 240.Subpart N for which a contract/grant is…

Section 220.610 Case Coordination Unit Procurement a) Although the Department is not required to competitively bid purchase of care, which includes case management services, in order to maximize competition in procurement, case management services shall be procured through use of…

Section 220.615 Procurement Cycle (Repealed) (Source: Repealed at 22 Ill. Reg. 3426, effective February 1, 1998)

Section 220.620 Definition of Case Coordination Unit Request For Proposal (Repealed) (Source: Repealed at 22 Ill. Reg. 3426, effective February 1, 1998)

Section 220.625 Issuance of Case Coordination Unit Proposal and Guidelines (Repealed) (Source: Repealed at 22 Ill. Reg. 3426, effective February 1, 1998)

Section 220.630 Content of Case Coordination Unit Request For Proposal Documents a) A standard CCU Proposal, with instructions, and Guidelines shall be utilized by a AAA conducting a solicitation, or by the Department in the event that a particular AAA is unwilling or unable to c…

Section 220.635 Review of Case Coordination Unit Proposals a) In order to determine if an applicant shall be recommended for designation, the AAA and the Department shall separately review and evaluate the complete CCU proposal in accordance with Department review procedures. 1) …

Section 220.640 Recommendations for Case Coordination Unit Designation a) The AAA shall make recommendation(s) for designation to the Department. b) If the Department agrees with the AAA recommendation(s), a joint recommendation for designation shall be made to the Director. c) I…

Section 220.645 Designation of Case Coordination Units and Award of Contracts/Grants a) The Director of the Department shall represent and act for the State in all matters pertaining to the Request for Proposal (RFP) process and to contracts awarded as a result of that process. T…