Illinois Compiled Statutes 210 ILCS 170/40 – Reimbursement requirements
Current as of: 2024 | Check for updates
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(a) A birth center shall seek certification under Titles XVIII and XIX of the federal Social Security Act.
(b) Reimbursement rates set by the Department of Healthcare and Family Services should be based on all types of medically necessary covered services provided to both the birthing person and the baby, including:
(1) a professional fee for both the birthing person
(b) Reimbursement rates set by the Department of Healthcare and Family Services should be based on all types of medically necessary covered services provided to both the birthing person and the baby, including:
(1) a professional fee for both the birthing person
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and baby;
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(2) a facility fee for the birthing person that is no
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less than 75% of the statewide average facility payment rate made to a hospital for an uncomplicated vaginal birth;
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(3) a facility fee for the baby that is no less than
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75% of the statewide average facility payment rate made to a hospital for a normal baby; and
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(4) additional fees for other services, medications,
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laboratory tests, and supplies provided.
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(c) A birth center shall provide charitable care consistent with that provided by comparable health care providers in the geographic area.
(d) A birth center may not discriminate against any patient requiring treatment because of the source of payment for services, including Medicare and Medicaid recipients.
(d) A birth center may not discriminate against any patient requiring treatment because of the source of payment for services, including Medicare and Medicaid recipients.