Illinois Administrative Code › Title 89 - SOCIAL SERVICES › Part 150 - ELECTRONIC HEALTH INFORMATION TECHNOLOGY › Subpart A - GENERAL PROVISIONS › Section 150.10 - Definitions

Current through Register Vol. 48, No. 28, July 12, 2024
For the purposes of this Part, the following definitions
				  apply:
"Acute care hospital" means a hospital that has been assigned
				  a CCN with the last four digits in the series 0001-0879 or 1300-1399 and has an
				  average length of a patient stay of 25 or fewer days. Multiple hospitals
				  operating under a single CCN are, for purposes of this Part, considered as a
				  single hospital.
"Children's hospital" means a hospital that predominately
				  treats individuals under the age of 21 and has been assigned a CMS
				  certification number with the last four digits in the series 3300-3399 or, in
				  the instance of a hospital that does not participate in Medicare, is licensed
				  as a pediatric hospital by the Illinois Department of Public Health.
"Coordinated care participating hospital" means a hospital
				  that is located in a geographic area of the State in which HFS mandates some or
				  all of the beneficiaries of the Medical Assistance Program residing in the area
				  to enroll in a care coordination program, as defined in
				  305 ILCS
				  5/5-30, that has entered into a contract to provide
				  hospital services to enrollees of the care coordination program; has not been
				  offered a contract by a care coordination plan that pays no less than HFS would
				  have paid on a fee-for-service (FFS) basis, but excluding disproportionate
				  share hospital adjustment payments or any other supplemental payment that HFS
				  pays directly; or is not licensed to serve the population mandated to enroll in
				  the care coordination program.
"CCN" means CMMS certification number, a six character
				  identification number assigned to CMMS Medicare and Medicaid providers
				  (formerly known as the Medicare/Medicaid provider number, the online survey,
				  certification and reporting (OSCAR) number, or the Medicare identification
				  number).
"CMMS" means the Centers for Medicare and Medicaid Services,
				  the organizational unit within the U.S. Department of Health and Human Services
				  responsible for overseeing the Medicaid program.
"Department" means the Department of Healthcare and Family
				  Services.
"Hospital" means any institution, place, building or agency,
				  public or private, whether organized for profit or not-for-profit, that
				  is:
located in Illinois and is subject to licensure by the
				  Illinois Department of Public Health under the Hospital Licensing Act [210 ILCS
				  85 ] or the University of Illinois Hospital Act [110 ILCS 330 ]; or
located in another state and meets all comparable conditions
				  and requirements of the Hospital Licensing Act in effect for the state in which
				  it is located.
"Medicaid" means medical assistance provided pursuant to
				  Title XIX of the federal Social Security Act, as implemented pursuant to
				  Article V of the Illinois Public Aid Code or a comparable law in another
				  state.
"Medicaid Managed Care Entity (MMCE) participating hospitals"
				  means a hospital that is located in a geographic area of the State in which HFS
				  offers enrollment with an MMCE as a voluntary option to beneficiaries of the
				  Medical Assistance Program and that has entered into a contract to provide
				  hospital services to enrollees of an MMCE.
"Medicare" means health insurance provided pursuant to Title
				  XVIII of the federal Social Security Act.