Ill. Admin. Code tit. 89, § 140.460 - Clinic Services
a) The
following types of clinics are eligible to receive payment for clinic services:
1) Hospital-based organized
clinics;
2) Encounter rate
clinics;
3) Federally Qualified
Health Centers (FQHC):
4) Rural
health clinics; and
5) Maternal and
Child Health Clinics.
b)
Behavioral Health Clinics are eligible to receive payment for community-based
mental health services as defined in Section
140.454,
except Behavioral Health Clinics may not receive reimbursement for the services
described in Section
140.453(d)(4)(A)
(Assertive Community Treatment) and
(d)(2)(F) (Psychosocial Rehabilitation).
c) Clinics enrolled for participation in the
Medical Assistance Program pursuant to Sections
140.11
and
140.12
to receive reimbursement on an encounter rate basis are prohibited from
receiving reimbursement from the Department for the provision of services in
Section
140.453
in any form other than their established behavioral health encounter
rate.
Notes
Amended at 20 Ill. Reg. 4345, effective March 4, 1996
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