Ill. Admin. Code tit. 89, § 545.200 - Rate Setting by the Department
a)
Rates which have not been established by other agencies and which are not
established by providers (Section
545.100(a)(2))
are established by DHS through negotiations with individual
providers.
b) When rates
established by other agencies are not acceptable to DHS' providers, DHS will
establish rates based upon:
1) the direct and
indirect costs of such service to the service provider,
2) a survey of usual rate charged for the
service, and
3) consultation with
DHS' physicians.
c)
Rates established per subsection (b) will be adjusted when:
1) service providers are unwilling to provide
specific services at the established rate, and
2) funds are available to pay for such
adjustments.
Notes
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