5160-15-28 Transportation: services from an eligible provider: payment.  

  • Text Box: ACTION: Final Text Box: DATE: 01/12/2016 10:43 AM

     

     

     

    5160-15-28                  Transportation: services from an eligible provider: payment.

     

     

     

    The amount of payment for a transportation service furnished by an eligible provider on a fee-for-service basis is the lesser of either the provider's submitted charge or the medicaid maximum payment amount for the date of transport. The medicaid maximum payment amounts for transportation services are listed in the appendix to this rule.

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    5160-15-28                                                                                                                            2

    Replaces:                                                              5160-15-04

    Effective:                                                             04/01/2016

    Five Year Review (FYR) Dates:                         04/01/2021

    CERTIFIED ELECTRONICALLY

     

    Certification

     

    01/12/2016

    Date

     

    Promulgated Under:

     

    119.03

    Statutory Authority:

    5164.02

    Rule Amplifies:

    5164.02

    Prior Effective Dates:

    08/15/1982, 06/03/1983, 04/29/1986, 01/13/1989 (Emer), 04/13/1989, 12/01/1990, 04/01/1994, 10/01/1997, 01/01/2000, 12/27/2001, 10/01/2003,

    12/30/2005 (Emer), 03/27/2006, 07/01/2008

Document Information

Effective Date:
4/1/2016
File Date:
2016-01-12
Last Day in Effect:
2016-04-01
Rule File:
5160-15-28_PH_FF_N_RU_20160112_1043.pdf
Related Chapter/Rule NO.: (1)
Ill. Adm. Code 5160-15-28. [Effective 4/1/2016] Transportation: services from an eligible provider: payment