Ill. Admin. Code tit. 89, pt. 149 - DIAGNOSIS RELATED GROUPING (DRG) PROSPECTIVE PAYMENT SYSTEM (PPS)

  1. § 149.5 - Diagnosis Related Grouping (DRG) Prospective Payment System (PPS) (Repealed)
  2. § 149.10 - Applicability of Other Provisions
  3. § 149.25 - General Provisions
  4. § 149.50 - Hospital Inpatient Services Subject to and Excluded from the DRG Prospective Payment System
  5. § 149.75 - Conditions for Payment Under the DRG Prospective Payment System
  6. § 149.100 - Methodology for Determining DRG PPS Payment Rates
  7. § 149.105 - Payment For Outlier Cases
  8. § 149.125 - Special Treatment of Certain Facilities (Repealed)
  9. § 149.140 - Methodology for Determining Primary Care Access Health Care Education Payments (Repealed)
  10. § 149.150 - Payments to Hospitals Under the DRG Prospective Payment System (Repealed)
  11. § 149.175 - Payments to Contracting Hospitals (Repealed)
  12. § 149.200 - Admitting and Clinical Privileges (Repealed)
  13. § 149.205 - Inpatient Hospital Care or Services by Non-Contracting Hospitals Eligible for Payment (Repealed)
  14. § 149.225 - Payment to Hospitals for Inpatient Services or Care not Provided under the ICARE Program (Repealed)
  15. § 149.250 - Contract Monitoring (Repealed)
  16. § 149.275 - Transfer of Recipients (Repealed)
  17. § 149.300 - Validity of Contracts (Repealed)
  18. § 149.305 - Termination of ICARE Contracts (Repealed)
  19. § 149.325 - Hospital Services Procurement Advisory Board (Repealed)

Notes

Ill. Admin. Code tit. 89, pt. 149
Recodified from 89 Ill. Adm. Code 140.940 through 140.972 at 12 Ill. Reg. 7401; amended at 12 Ill. Reg. 12095, effective July 15, 1988; amended at 13 Ill. Reg. 554, effective January 1, 1989; amended at 13 Ill. Reg. 15070, effective September 15, 1989; amended at 15 Ill. Reg. 1826, effective January 28, 1991; emergency amendment at 15 Ill. Reg. 16308, effective November 1, 1991, for a maximum of 150 days; amended at 16 Ill. Reg. 6195, effective March 27, 1992; emergency amendment at 16 Ill. Reg. 11937, effective July 10, 1992, for a maximum of 150 days; emergency amendment at 16 Ill. Reg. 14733, effective October 1, 1992, for a maximum of 150 days; amended at 16 Ill. Reg. 19868, effective December 7, 1992; amended at 17 Ill. Reg. 3217, effective March 1, 1993; emergency amendment at 17 Ill. Reg. 17275, effective October 1, 1993, for a maximum of 150 days; amended at 18 Ill. Reg. 3378, effective February 25, 1994; amended at 19 Ill. Reg. 10674, effective July 1, 1995; amended at 21 Ill. Reg. 2238, effective February 3, 1997; emergency amendment at 22 Ill. Reg. 13064, effective July 1, 1998, for a maximum of 150 days; amended at 22 Ill. Reg. 19866, effective October 30, 1998; amended at 25 Ill. Reg. 8775, effective July 1, 2001; amended at 26 Ill. Reg. 13676, effective September 3, 2002; emergency amendment at 27 Ill. Reg. 11080, effective July 1, 2003, for a maximum of 150 days; amended at 27 Ill. Reg. 18872, effective November 26, 2003; amended at 28 Ill. Reg. 2836, effective February 1, 2004; amended at 38 Ill. Reg. 15477, effective 7/2/2014. Amended at 41 Ill. Reg. 1059, effective 1/19/2017. Amended at 42 Ill. Reg. 22533, effective 11/28/2018. Amended at 49 Ill. Reg. 2090, effective 2/10/2025.

AUTHORITY: Implementing and authorized by Articles III, IV, V, VI and VII and Section 12-13 of the Illinois Public Aid Code [305 ILCS 5/Arts. III, IV, V, VI and VII and 12-13].

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