Ill. Admin. Code tit. 89, § 148.150 - Public Law 103-66 Requirements
a) All cost reporting hospitals are required
to submit annually, on or before August 15 of the rate year in a form or format
specified by the Department, at least the following information separated by
inpatient and outpatient (including hospital-based clinic services) to the
Department:
1) The dollar amount of Illinois
Medicaid charges rendered in the base year.
2) The dollar amount of hospital charity care
charges rendered in the base year for uninsured patients.
3) The dollar amount of hospital bad debt,
less any recoveries, rendered in the base year for uninsured
patients.
4) The dollar amount of
Illinois total hospital charges for care rendered in the base year.
b) Definitions
1) "Medicaid charges" means hospital charges
for inpatient, outpatient and hospital-based clinic services provided to
recipients of medical assistance under Title XIX of the Social Security
Act.
2) "Total charges" means the
total amount of a hospital's charges for inpatient, outpatient and
hospital-based clinic services it has provided.
3) "Base year" means the hospital's cost
reporting period, utilized in the current rate year disproportionate share
determination, and as described in Section
148.120(i)(1).
4) "Hospital charity care charges" and
"hospital bad debt" mean inpatient, outpatient and hospital clinic services
provided to individuals without health insurance or other sources of third
party coverage. For purposes of the previous statement in this subsection
(b)(4), State or unit of local government payments made to a hospital on behalf
of indigent patients is not considered to be a form of insurance or a source of
third-party coverage. Therefore, unreimbursed charges for persons covered under
these programs may be included. Charity care charges and bad debt cannot
include unpaid co-pays or third party obligations of insured patients,
contractual allowances, or the hospital's charges or reduced charges
attributable to services provided under its obligation pursuant to the federal
Hill-Burton Act (
42 USC
291 ).
Notes
Amended at 28 Ill. Reg. 9661, effective July 1, 2004
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