On July 6, 2010, emergency rules took effect that change the reimbursement method for implants and add accredited Ambulatory Surgical Care Facilities
(ASCFs) to the ASTC fee schedule. The Commission filed the emergency rules with the Illinois Secretary of State for publication in the Illinois
Register. Simultaneously, the Commission filed the same language to go through the normal rule-making process.
The amendment makes two changes to Section 7110.90:
1. It changes the reimbursement method for medical implants from 65% of normal charge to 25% over the manufacturer’s invoice price less rebates,
plus actual and customary shipping costs incurred for the implant.
2. It provides that Ambulatory Surgical Care Facilities (ASCFs) accredited by AAAASF, JCAHO, AAAHC are eligible for reimbursement under the ASTC fee
schedule. Previously, the rule said the ASTC fee schedule applied only to Ambulatory Surgical Treatment Centers licensed by the Illinois Department of Public Health.
Treatment on or after 7/6/10 should be paid according to these new rules.
Comments about the amendment should be submitted in writing by August 30 to:
Darrell Widen
Assistant General Counsel
Illinois Workers¹ Compensation Commission
8-281 JRTC
100 W. Randolph St.
Chicago, IL 60601
312-814-8770
darrell.widen@illinois.gov
To view the emergency rules, go HERE.
