Illinois Administrative Code
Title 89 - SOCIAL SERVICES
Part 140 - MEDICAL PAYMENT
Subpart E - GROUP CARE
Section 140.583 - Campus Facilities
Universal Citation: 89 IL Admin Code ยง 140.583
Current through Register Vol. 48, No. 38, September 20, 2024
a) A "campus facility" is defined as an entity which consists of a long term care facility (or group of facilities if the facilities are on the same contiguous parcel of real estate) which meets all of the following criteria as of May 1, 1987:
1) The entity provides care for both
children and adults.
2) Residents
of the entity reside in three or more separate buildings with congregate and
small group living arrangements on a single campus.
3) The entity provides three or more separate
licensed levels of care on the same campus. One of these licensed levels of
care must be ICF/MR and the entity must receive funding from the Department of
Mental Health and Developmental Disabilities. The facility must also be
licensed as a child care institution by the Department of Children and Family
Services (see 89 Ill. Adm. Code 404).
b) Allowable costs will be determined under the same guidelines as used for other types of facilities providing services for ICF/MR residents (see Sections 140.530 through 140.541 ).
c) The campus facility reimbursement rate will be determined using the following steps:
1) Determine the total allowable cost for all
residential campus services. Costs for day training, education, and day care
services shall not be included in the calculation of the campus facility
rate.
2) Obtain the per diem cost
by dividing the total allowable cost by the adjusted patient days. The adjusted
patient days will be determined in accordance with Section
140.582.
3) The operating costs are adjusted for
inflation. The inflation factors will be determined in accordance with the
provisions of Section
140.550.
The inflated per diem operating costs are added to the per diem capital costs
to obtain the updated total per diem cost.
4) The updated total per diem cost is
compared to the ceiling. Beginning July 1, 1991, the prior year rate will be
multiplied by .15 and added to the lower of the above two amounts to result in
the prospective payment rate.
5)
The ceiling will be determined at 115% of the average rate being paid to the
Specialized Living Centers for ICF/MR residents.
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