Illinois Administrative Code
Title 89 - SOCIAL SERVICES
Part 148 - HOSPITAL SERVICES
Subpart B - REIMBURSEMENT AND RELATED PROVISIONS
Section 148.190 - Copayments
Current through Register Vol. 48, No. 12, March 22, 2024
The following implements cost sharing in compliance with 42 USC 1396o (section 1916 of the Social Security Act):
a) With the exception of those classes of individuals identified in 89 Ill. Adm. Code 140.402(d) and those services identified in 89 Ill. Adm. Code 140.402(e), copayments will be assessed on inpatient services provided under all Medical Assistance Programs administered by the Department, as provided in the Illinois Public Aid Code [305 ILCS 5]. Effective July 1, 2012 through August 31, 2019, copayments will be in the following amounts:
b) In each instance where a copayment is payable, the Department will reduce the amount payable to the affected provider by the amount of the required copayment.
c) No provider may deny care or services on account of an individual's inability to pay a copayment; this requirement, however, shall not extinguish the liability for payment of the copayment by the individual to whom the care or services were furnished.