# 89 Ill. Adm. Code 1480.148.105: Section 148.105 Reimbursement Methodologies for Inpatient Rehabilitation Services

> Illinois · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P1480_S148_105

## Section

- **Citation:** 89 Ill. Adm. Code 1480.148.105
- **Heading:** Section 148.105 Reimbursement Methodologies for Inpatient Rehabilitation Services
- **Jurisdiction:** Illinois
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Illinois Administrative Code / Title 89  /  / Part 1480  / Section 148.105 Reimbursement Methodologies for Inpatient Rehabilitation Services

## Text

TITLE 89: SOCIAL SERVICES
CHAPTER I: DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
SUBCHAPTER d: MEDICAL PROGRAMS
PART 148 HOSPITAL SERVICES
SECTION 148.105 REIMBURSEMENT METHODOLOGIES FOR INPATIENT REHABILITATION SERVICES
Section 148.105  Reimbursement
Methodologies for Inpatient Rehabilitation Services
Effective with discharges on
or after July 1, 2014:
a)         Inpatient rehabilitation services not
excluded from the DRG PPS pursuant to 89 Ill. Adm. Code 149.50(b) shall be reimbursed
through the DRG PPS.
b)         Inpatient rehabilitation services excluded
from the DRG PPS shall be reimbursed a hospital-specific rate paid per day of
covered inpatient care, determined pursuant to subsection (c) or (d), as
applicable.  The total payment for an inpatient stay will equal the sum of:
1)         the payment determined in this Section; and
2)         any applicable adjustments to payment
specified in Section 148.290.
c)         Rehabilitation Hospital.  Effective January
1, 2024, payment for inpatient rehabilitation services provided by a
rehabilitation hospital, as defined in Section 148.25(d)(2):
1)         That was not enrolled with the Department on
December 31, 2023, shall be the product of the following:
A)        $1,000.67; and
B)        The length of stay, as defined in 89 Ill.
Adm. Code 149.100(i).
2)         That was enrolled with the Department on
December 31, 2023, shall be the product of the following:
A)        The
greater of:
i)          the hospital's rehabilitation rate in
effect on December 31, 2023 multiplied by 1.1; or
ii)         $1,000.67.
B)        The length of stay, as defined in 89 Ill.
Adm. Code 149.100(i).
d)         Distinct Part Rehabilitation Unit
. Code 149.100(i).
2)         That was enrolled with the Department on
December 31, 2023, shall be the product of the following:
A)        The
greater of:
i)          the hospital's rehabilitation rate in
effect on December 31, 2023 multiplied by 1.1; or
ii)         $1,000.67.
B)        The length of stay, as defined in 89 Ill.
Adm. Code 149.100(i).
d)         Distinct Part Rehabilitation Unit.  Effective
January 1, 2024, payment for inpatient rehabilitation services provided by a
distinct part rehabilitation unit, as defined in Section 148.25(c)(2):
1)         For which was not enrolled with the
Department on December 31, 2023, shall be the product of the following:
A)        $593.25; and
B)        The length of stay, as defined in 89 Ill.
Adm. Code 149.100(i).
2)         For which was enrolled with the Department on
December 31, 2023, shall be the product of the following:
A)        The greater of:
i)          The distinct part rehabilitation rate in
place on December 31, 2023 multiplied by 1.1; or
ii)         $593.25.
B)        The length of stay, as defined in 89 Ill.
Adm. Code 149.100(i).

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P1480_S148_105. Check the current official text before relying on it. Not legal advice.
