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.
For 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.
