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 shall be reduced by an additional 3.5 % from the rates
that were otherwise in effect on July 1, 2012, and with implementation of SMART
hospital payment reform rates in effect on July 1, 2014, except that those
reductions shall not apply to:
a)
Rates or payments for hospital services delivered by a Safety Net Hospital
under Section 5-5e.1 of the Illinois Public Aid Code [305 ILCS 5].
b) Rates or payments for hospital services
delivered by a Critical Access Hospital as defined in 89 Ill. Adm. Code
148.25(g).
c) Rates or payments for hospital services
delivered by a hospital that is operated by a unit of local government or State
university that provides some or all of the non-federal share of the
services.
d) Payments authorized
under Section 5A-12.4 of the Illinois Public Aid Code.
e) Transitional payment authorized in 89 Ill.
Adm. Code
148.296.
f) Notwithstanding any other provision to the
contrary in this Part, federally approved rates or payments for services
related to a public health emergency that:
1)
Appear on the Department's public health emergency published fee schedule;
and
2) Meet the date of service
specifications on the Department's public health emergency published fee
schedule.
3) The Department's
public health emergency published fee schedule shall remain in place until the
Department determines the rates or payments described under this subsection (f)
are no longer necessary to address a public health emergency, for reasons
including, but not limited to: the establishment, termination, or modification
of any applicable federal or State disaster declaration, Executive Orders of
the Governor, or disaster-related flexibilities granted by federal
agencies.
