Illinois Administrative Code
Title 89 - SOCIAL SERVICES
Part 140 - MEDICAL PAYMENT
Subpart D - PAYMENT FOR NON-INSTITUTIONAL SERVICES
Section 140.460 - Clinic Services

Universal Citation: 89 IL Admin Code ยง 140.460

Current through Register Vol. 48, No. 38, September 20, 2024

a) The following types of clinics are eligible to receive payment for clinic services:

1) Hospital-based organized clinics;

2) Encounter rate clinics;

3) Federally Qualified Health Centers (FQHC):

4) Rural health clinics; and

5) Maternal and Child Health Clinics.

b) Behavioral Health Clinics are eligible to receive payment for community-based mental health services as defined in Section 140.454, except Behavioral Health Clinics may not receive reimbursement for the services described in Section 140.453(d)(4)(A) (Assertive Community Treatment) and (d)(2)(F) (Psychosocial Rehabilitation).

c) Clinics enrolled for participation in the Medical Assistance Program pursuant to Sections 140.11 and 140.12 to receive reimbursement on an encounter rate basis are prohibited from receiving reimbursement from the Department for the provision of services in Section 140.453 in any form other than their established behavioral health encounter rate.

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