Ill. Admin. Code tit. 89 § 148.112

Current through Register Vol. 48, No. 52, December 27, 2024

Section 148.112 - Medicaid High Volume Adjustment Payments

Effective for dates of service on or after July 1, 2014:

a) The Department shall make Medicaid High Volume Adjustments (MHVA) to hospitals that are eligible to receive the adjustment payments described in Section 148.122.

b) Calculation of Medicaid High Volume Adjustments

1) A children's hospital, as defined in Section 148.25(d)(3), shall receive an MHVA payment adjustment of $120.

2) Any hospital other than a children's hospital meeting the criteria specified in subsection (a) shall receive an MHVA payment adjustment of $60.

3) The amount calculated pursuant to subsections (b)(1) and (b)(2) shall be adjusted as authorized in Section 5-5.02 of the Illinois Public Aid Code.

c) Payment

The adjustments calculated under subsection (b)(3) shall be paid on a per diem basis and shall be applied to each covered day of care provided so long as the hospital meets the criteria specified in subsection (a) on the covered day. The annual effective dates for the adjustments calculated under subsection (b)(3) shall be consistent with the "Medicaid Percentage determination year" as defined in Section 148.122(g)(1).

Ill. Admin. Code tit. 89, § 148.112

Amended at 29 Ill. Reg. 8363, effective June 1, 2005

Amended at 38 Ill. Reg. 15165, effective 7/2/2014

Amended at 48 Ill. Reg. 10834, effective 7/12/2024