- a) For the purpose of hospital inpatient, hospital outpatient and hospital-based clinic reimbursement, the following requirements must be met by a hospital to qualify for enrollment in the Illinois Medical Assistance Program:
- b) The hospital must be certified for participation in the Medicare Program (Title XVIII) unless the provisions of subsection (c) apply.
- c) If not eligible for or subject to Medicare certification, the hospital must be accredited by The Joint Commission (TJC) or another Health and Human Services Approved Accreditation Organization.
- d) The hospital must agree to accept the Department's basis for reimbursement.
Effective for dates of service on or after July 1, 2014:
(Source: Amended at 39 Ill. Reg. 10824, effective July 27, 2015)