Section 140.405 Non-Institutional Rate Reductions

Section 140

TITLE 89: SOCIAL SERVICES

CHAPTER I: DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES

SUBCHAPTER d: MEDICAL PROGRAMS

PART 140 MEDICAL PAYMENT

SECTION 140.405 NON-INSTITUTIONAL RATE REDUCTIONS

Section 140.405  Non-Institutional

Rate Reductions

Notwithstanding any provisions to the contrary in this Part,

effective for dates of service on or after July 1, 2012, reimbursement rates

and other payments to non-institutional providers shall be reduced by an

additional 2.7% from the rates or payments that were otherwise in effect on

June 30. 2012, except that the reductions shall not apply to:

a)         Rates or payments for physician services, dental services,

services reimbursed through an encounter rate, services provided under the

Medicaid Rehabilitation Option of the Illinois Title XIX State Plan.

b)        Rates or payments, or the portion thereof, paid to a provider

that is operated by a unit of local government or State University that

provides some or all of the non‑federal share of the services.

c)         Pharmacy services, which are reduced pursuant to Sections

140.414 and 140.445.

d)         Notwithstanding

any other provision to the contrary in this Part, federally approved rates or

payments for services related to a public health emergency that:

1)         Appear

on the Department's public health emergency published fee schedule; and

2)         Meet

the date of service specifications on the Department's public health emergency

published fee schedule.

3)         The

Department's public health emergency published fee schedule shall remain in

place until the Department determines the rates or payments described under

this subsection (d) are no longer necessary to address a public health

emergency, for reasons including, but not limited to: the establishment,

termination, or modification of any applicable federal or State disaster

declaration, Executive Orders of the Governor, or disaster-related

flexibilities granted by federal agencies.