Ill. Admin. Code tit. 89 § 545.200

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

Section 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.

Ill. Admin. Code tit. 89, § 545.200