Acute services - State of Illinois

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Revised Inpatient Model With Policy AdjustersRehabilitation services» For COS 22 rehabilitation services, revised model components include:› Rehabilitation-specific standardized per diem rate of $597.93,adjusted for FFY 2012 Medicare IRF-PPS wage index and ruralstatus› Removed relative weight adjustments» Baseline model (without policy adjusters) projected a $1.3 milliondecrease in payments (20.3% reduction) for pediatric psychiatricservices› Policy adjuster of 30% applied to per diem payments forrehabilitation pediatric services to maintain current funding levelsPage 10
Revised Inpatient Model With Policy AdjustersLTAC services» For COS 20 LTAC services, revised model components include:› LTAC-specific standardized per diem rate of $593.79, adjusted forFFY 2012 Medicare IPPS wage index› Removed relative weight adjustments» Since virtually all LTAC claims were adult, no pediatric policy adjusterwas applied in the modelPage 11
Page 1 and 2: Illinois Department of Healthcarean
Page 3 and 4: Revised Inpatient Model withPolicy
Page 5 and 6: Revised Inpatient Model With Policy
Page 7 and 8: Revised Inpatient Model With Policy
Page 9: Revised Inpatient Model With Policy
Page 13 and 14: Shadow Pricing ModelsShadow Pricing
Page 15 and 16: Shadow Pricing ModelsShadow Pricing
Page 17 and 18: Requested TAG AnalysesRequested ana
Page 19 and 20: Requested TAG AnalysesTransplant Se
Page 21 and 22: Requested TAG AnalysesCapital Cost
Page 23 and 24: Alternative Inpatient Model Update
Page 25 and 26: Transitional CorridorPage 25Example

Acute services - State of Illinois

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