WAG 20-06-01.

Inpatient

To be qualified providers, hospitals must be in the medical program. A general hospital must be Medicare certified to receive payment. A special hospital that does not qualify for Medicare certification, such as a childrens' hospital, must meet Illinois' licensing requirements.

revised textFor TANF and AABD clients, care can be in a participating psychiatric hospital for:

  • clients 65 and over;
  • clients under 21; or
  • clients up to 22 who were receiving services immediately before reaching 21.

Outpatient

Services may be in hospitals in the medical program or out-of-state hospitals that are not in the program. A general hospital must be Medicare certified. A special hospital that does not qualify for Medicare certification, such as a childrens' hospital, must meet Illinois' licensing requirements.