TITLE 89: SOCIAL SERVICES CHAPTER I: DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES SUBCHAPTER d: MEDICAL PROGRAMS PART 148 HOSPITAL SERVICES The General Assembly's Illinois Administrative Code database includes only those rulemakings that have been permanently adopted. This menu will point out the Sections on which an emergency rule (valid for a maximum of 150 days, usually until replaced by a permanent rulemaking) exists. The emergency rulemaking is linked through the notation that follows the Section heading in the menu. View Entire Part SUBPART A: GENERAL PROVISIONS Section 148.10 Hospital Services Section 148.20 Participation Section 148.25 Definitions and Applicability Section 148.30 General Requirements Section 148.40 Special Requirements Section 148.50 Covered Hospital Services Section 148.60 Services Not Covered as Hospital Services Section 148.70 Limitation On Hospital Services SUBPART B: REIMBURSEMENT AND RELATED PROVISIONS Section 148.80 Organ Transplants Services Covered Under Medicaid (Repealed) Section 148.82 Organ Transplant Services Section 148.85 Supplemental Tertiary Care Adjustment Payments (Repealed) Section 148.90 Medicaid Inpatient Utilization Rate (MIUR) Adjustment Payments (Repealed) Section 148.95 Medicaid Outpatient Utilization Rate (MOUR) Adjustment Payments (Repealed) Section 148.100 County Trauma Center Adjustment Payments Section 148.103 Outpatient Service Adjustment Payments (Repealed) Section 148.105 Reimbursement Methodologies for Inpatient Rehabilitation Services Section 148.110 Reimbursement Methodologies for Inpatient Psychiatric Services Section 148.112 Medicaid High Volume Adjustment Payments Section 148.115 Reimbursement Methodologies for Long Term Acute Care Services Section 148.116 Reimbursement Methodologies for Children's Specialty Hospitals Section 148.117 Outpatient Assistance Adjustment Payments (Repealed) Section 148.120 Disproportionate Share Hospital (DSH) Adjustments Section 148.122 Medicaid Percentage Adjustments Section 148.126 Safety Net Adjustment Payments (Repealed) Section 148.130 Outlier Adjustments for Exceptionally Costly Stays Section 148.140 Hospital Outpatient and Clinic Services Section 148.150 Public Law 103-66 Requirements Section 148.160 Payment Methodology for County-Owned Large Public Hospitals Section 148.170 Payment Methodology for University-Owned Large Public Hospitals Section 148.175 Supplemental Disproportionate Share Payment Methodology for Hospitals Organized Under the Town Hospital Act (Repealed) Section 148.180 Payment for Pre-operative Days and Patient Specific Orders Section 148.190 Copayments Section 148.200 Alternate Reimbursement Systems (Repealed) Section 148.210 Filing Cost Reports Section 148.220 Pre September 1, 1991, Admissions (Repealed) Section 148.230 Admissions Occurring on or after September 1, 1991 (Repealed) Section 148.240 Utilization Review and Furnishing of Inpatient Hospital Services Directly or Under Arrangements Section 148.250 Determination of Alternate Payment Rates to Certain Exempt Hospitals (Repealed) Section 148.260 Calculation and Definitions of Inpatient Per Diem Rates (Repealed) Section 148.270 Determination of Alternate Cost Per Diem Rates For All Hospitals; Payment Rates for Certain Exempt Hospital Units; and Payment Rates for Certain Other Hospitals (Repealed) Section 148.280 Reimbursement Methodologies for Children's Hospitals and Hospitals Reimbursed Under Special Arrangements (Repealed) Section 148.285 Excellence in Academic Medicine Payments (Repealed) Section 148.290 Adjustments and Reductions to Total Payments Section 148.295 Critical Hospital Adjustment Payments (Repealed) Section 148.296 Transitional Supplemental Payments (Repealed) Section 148.297 Physician Development Incentive Payments (Repealed) Section 148.298 Pediatric Inpatient Adjustment Payments (Repealed) Section 148.299 Medicaid Facilitation and Utilization Payments (Repealed) Section 148.300 Payment Section 148.310 Review Procedure Section 148.320 Alternatives (Repealed) Section 148.330 Exemptions Section 148.340 Subacute Alcoholism and Substance Abuse Treatment Services Section 148.350 Definitions (Repealed) Section 148.360 Types of Subacute Alcoholism and Substance Abuse Treatment Services (Repealed) Section 148.370 Payment for Sub-acute Alcoholism and Substance Abuse Treatment Services Section 148.380 Rate Appeals for Subacute Alcoholism and Substance Abuse Treatment Services (Repealed) Section 148.390 Hearings Section 148.400 Special Hospital Reporting Requirements Section 148.401 Alzheimer's Treatment Access Payment Section 148.402 Expensive Drugs and Devices Add-On Payment Section 148.403 General Provisions – Inpatient Section 148.404 General Provisions – Outpatient Section 148.405 Graduate Medical Education (GME) Payment Section 148.406 Graduate Medical Education (GME) Payment for Large Public Hospitals Section 148.407 Medicaid High Volume Hospital Access Payment (Repealed) Section 148.408 Inpatient Simulated Base Rate Adjustment (Repealed) Section 148.409 Inpatient Small Public Hospital Access Payment (Repealed) Section 148.410 Long-Term Acute Care Access Payment (Repealed) Section 148.411 Medicaid Dependent Hospital Access Payment (Repealed) Section 148.412 Outpatient Simulated Base Rate Adjustment (Repealed) Section 148.413 Outpatient Small Public Hospital Access Payment (Repealed) Section 148.414 Perinatal and Rural Care Access Payment (Repealed) Section 148.415 Perinatal and Trauma Center Access Payment (Repealed) Section 148.416 Perinatal Care Access Payment (Repealed) Section 148.417 Psychiatric Care Access Payment for Distinct Part Units (Repealed) Section 148.418 Psychiatric Care Access Payment for Freestanding Psychiatric Hospitals (Repealed) Section 148.419 Safety-Net Hospital, Private Critical Access Hospital, and Outpatient High Volume Access Payments (Repealed) Section 148.420 Trauma Care Access Payment (Repealed) Section 148.421 Hospital Inpatient Adjustment Section 148.422 Outpatient Access Payments (Repealed) Section 148.423 Hospital Outpatient Adjustment Section 148.424 Outpatient Utilization Payments (Repealed) Section 148.425 Directed Payment Classifications Section 148.426 Outpatient Complexity of Care Adjustment Payments (Repealed) Section 148.428 Rehabilitation Hospital Adjustment Payments (Repealed) Section 148.430 Perinatal Outpatient Adjustment Payments (Repealed) Section 148.432 Supplemental Psychiatric Adjustment Payments (Repealed) Section 148.434 Outpatient Community Access Adjustment Payments (Repealed) Section 148.436 Long Term Stay Hospital Per Diem Payments (Repealed) Section 148.440 High Volume Adjustment Payments (Repealed) Section 148.442 Inpatient Services Adjustment Payments (Repealed) Section 148.444 Capital Needs Payments (Repealed) Section 148.446 Obstetrical Care Payments (Repealed) Section 148.448 Trauma Care Payments (Repealed) Section 148.450 Supplemental Tertiary Care Payments (Repealed) Section 148.452 Crossover Care Payments (Repealed) Section 148.454 Magnet Hospital Payments (Repealed) Section 148.456 Ambulatory Procedure Listing Increase Payments (Repealed) Section 148.458 General Provisions (Repealed) Section 148.460 Catastrophic Relief Payments (Repealed) Section 148.462 Hospital Medicaid Stimulus Payments (Repealed) Section 148.464 General Provisions (Repealed) Section 148.466 Magnet and Perinatal Hospital Adjustment Payments (Repealed) Section 148.468 Trauma Level II Hospital Adjustment Payments (Repealed) Section 148.470 Dual Eligible Hospital Adjustment Payments (Repealed) Section 148.472 Medicaid Volume Hospital Adjustment Payments (Repealed) Section 148.474 Outpatient Service Adjustment Payments (Repealed) Section 148.476 Ambulatory Service Adjustment Payments (Repealed) Section 148.478 Specialty Hospital Adjustment Payments (Repealed) Section 148.480 ER Safety Net Payments (Repealed) Section 148.482 Physician Supplemental Adjustment Payments (Repealed) Section 148.484 Freestanding Children's Hospital Adjustment Payments (Repealed) Section 148.486 Freestanding Children's Hospital Outpatient Adjustment Payments (Repealed) SUBPART C: SEXUAL ASSAULT EMERGENCY TREATMENT PROGRAM Section 148.500 Definitions Section 148.510 Reimbursement SUBPART D: STATE CHRONIC RENAL DISEASE PROGRAM Section 148.600 Definitions Section 148.610 Scope of the Program Section 148.620 Assistance Level and Reimbursement Section 148.630 Criteria and Information Required to Establish Eligibility Section 148.640 Covered Services SUBPART E: INSTITUTION FOR MENTAL DISEASES PROVISIONS FOR HOSPITALS Section 148.700 General Provisions SUBPART F: EMERGENCY PSYCHIATRIC DEMONSTRATION PROGRAM Section 148.800 General Provisions Section 148.810 Definitions Section 148.820 Individual Eligibility for the Program Section 148.830 Providers Participating in the Program Section 148.840 Stabilization and Discharge Practices Section 148.850 Medication Management Section 148.860 Community Connect IMD Hospital Payment Section 148.870 Community Connect TCM Agency Payment Section 148.880 Program Reporting Section 148.TABLE A Renal Participation Fee Worksheet Section 148.TABLE B Bureau of Labor Statistics Equivalence Section 148.TABLE C List of Metropolitan Counties by SMSA Definition

AUTHORITY: Implementing and authorized by Articles III, IV, V and VI and Section 12-13 of the Illinois Public Aid Code [305 ILCS 5].

SOURCE: Sections 148.10 thru 148.390 recodified from 89 Ill. Adm. Code 140.94 thru 140.398 at 13 Ill. Reg. 9572; Section 148.120 recodified from 89 Ill. Adm. Code 140.110 at 13 Ill. Reg. 12118; amended at 14 Ill. Reg. 2553, effective February 9, 1990; emergency amendment at 14 Ill. Reg. 11392, effective July 1, 1990, for a maximum of 150 days; amended at 14 Ill. Reg. 15358, effective September 13, 1990; amended at 14 Ill. Reg. 16998, effective October 4, 1990; amended at 14 Ill. Reg. 18293, effective October 30, 1990; amended at 14 Ill. Reg. 18499, effective November 8, 1990; emergency amendment at 15 Ill. Reg. 10502, effective July 1, 1991, for a maximum of 150 days; emergency expired October 29, 1991; emergency amendment at 15 Ill. Reg. 12005, effective August 9, 1991, for a maximum of 150 days; emergency expired January 6, 1992; emergency amendment at 15 Ill. Reg. 16166, effective November 1, 1991, for a maximum of 150 days; amended at 15 Ill. Reg. 18684, effective December 23, 1991; amended at 16 Ill. Reg. 6255, effective March 27, 1992; emergency amendment at 16 Ill. Reg. 11335, effective June 30, 1992, for a maximum of 150 days; emergency expired November 27, 1992; emergency amendment at 16 Ill. Reg. 11942, effective July 10, 1992, for a maximum of 150 days; emergency amendment at 16 Ill. Reg. 14778, effective October 1, 1992, for a maximum of 150 days; amended at 16 Ill. Reg. 19873, effective December 7, 1992; amended at 17 Ill. Reg. 131, effective December 21, 1992; amended at 17 Ill. Reg. 3296, effective March 1, 1993; amended at 17 Ill. Reg. 6649, effective April 21, 1993; amended at 17 Ill. Reg. 14643, effective August 30, 1993; emergency amendment at 17 Ill. Reg. 17323, effective October 1, 1993, for a maximum of 150 days; amended at 18 Ill. Reg. 3450, effective February 28, 1994; emergency amendment at 18 Ill. Reg. 12853, effective August 2, 1994, for a maximum of 150 days; amended at 18 Ill. Reg. 14117, effective September 1, 1994; amended at 18 Ill. Reg. 17648, effective November 29, 1994; amended at 19 Ill. Reg. 1067, effective January 20, 1995; emergency amendment at 19 Ill. Reg. 3510, effective March 1, 1995, for a maximum of 150 days; emergency expired July 29, 1995; emergency amendment at 19 Ill. Reg. 6709, effective May 12, 1995, for a maximum of 150 days; amended at 19 Ill. Reg. 10060, effective June 29, 1995; emergency amendment at 19 Ill. Reg. 10752, effective July 1, 1995, for a maximum of 150 days; amended at 19 Ill. Reg. 13009, effective September 5, 1995; amended at 19 Ill. Reg. 16630, effective November 28, 1995; amended at 20 Ill. Reg. 872, effective December 29, 1995; amended at 20 Ill. Reg. 7912, effective May 31, 1996; emergency amendment at 20 Ill. Reg. 9281, effective July 1, 1996, for a maximum of 150 days; emergency amendment at 20 Ill. Reg. 12510, effective September 1, 1996, for a maximum of 150 days; amended at 20 Ill. Reg. 15722, effective November 27, 1996; amended at 21 Ill. Reg. 607, effective January 2, 1997; amended at 21 Ill. Reg. 8386, effective June 23, 1997; emergency amendment at 21 Ill. Reg. 9552, effective July 1, 1997, for a maximum of 150 days; emergency amendment at 21 Ill. Reg. 9822, effective July 2, 1997, for a maximum of 150 days; emergency amendment at 21 Ill. Reg. 10147, effective August 1, 1997, for a maximum of 150 days; amended at 21 Ill. Reg. 13349, effective September 23, 1997; emergency amendment at 21 Ill. Reg. 13675, effective September 27, 1997, for a maximum of 150 days; amended at 21 Ill. Reg. 16161, effective November 26, 1997; amended at 22 Ill. Reg. 1408, effective December 29, 1997; amended at 22 Ill. Reg. 3083, effective January 26, 1998; amended at 22 Ill. Reg. 11514, effective June 22, 1998; emergency amendment at 22 Ill. Reg. 13070, effective July 1, 1998, for a maximum of 150 days; emergency amendment at 22 Ill. Reg. 15027, effective August 1, 1998, for a maximum of 150 days; amended at 22 Ill. Reg. 16273, effective August 28, 1998; amended at 22 Ill. Reg. 21490, effective November 25, 1998; amended at 23 Ill. Reg. 5784, effective April 30, 1999; amended at 23 Ill. Reg. 7115, effective June 1, 1999; amended at 23 Ill. Reg. 7908, effective June 30, 1999; emergency amendment at 23 Ill. Reg. 8213, effective July 1, 1999, for a maximum of 150 days; emergency amendment at 23 Ill. Reg. 12772, effective October 1, 1999, for a maximum of 150 days; amended at 23 Ill. Reg. 13621, effective November 1, 1999; amended at 24 Ill. Reg. 2400, effective February 1, 2000; amended at 24 Ill. Reg. 3845, effective February 25, 2000; emergency amendment at 24 Ill. Reg. 10386, effective July 1, 2000, for a maximum of 150 days; amended at 24 Ill. Reg. 11846, effective August 1, 2000; amended at 24 Ill. Reg. 16067, effective October 16, 2000; amended at 24 Ill. Reg. 17146, effective November 1, 2000; amended at 24 Ill. Reg. 18293, effective December 1, 2000; amended at 25 Ill. Reg. 5359, effective April 1, 2001; emergency amendment at 25 Ill. Reg. 5432, effective April 1, 2001, for a maximum of 150 days; amended at 25 Ill. Reg. 6959, effective June 1, 2001; emergency amendment at 25 Ill. Reg. 9974, effective July 23, 2001, for a maximum of 150 days; amended at 25 Ill. Reg. 10513, effective August 2, 2001; emergency amendment at 25 Ill. Reg. 12870, effective October 1, 2001, for a maximum of 150 days; emergency expired February 27, 2002; amended at 25 Ill. Reg. 16087, effective December 1, 2001; emergency amendment at 26 Ill. Reg. 536, effective December 31, 2001, for a maximum of 150 days; emergency amendment at 26 Ill. Reg. 680, effective January 1, 2002, for a maximum of 150 days; amended at 26 Ill. Reg. 4825, effective March 15, 2002; emergency amendment at 26 Ill. Reg. 4953, effective March 18, 2002, for a maximum of 150 days; emergency amendment repealed at 26 Ill. Reg. 7786, effective July 1, 2002; emergency amendment at 26 Ill. Reg. 7340, effective April 30, 2002, for a maximum of 150 days; amended at 26 Ill. Reg. 8395, effective May 28, 2002; emergency amendment at 26 Ill. Reg. 11040, effective July 1, 2002, for a maximum of 150 days; emergency amendment repealed at 26 Ill. Reg. 16612, effective October 22, 2002; amended at 26 Ill. Reg. 12322, effective July 26, 2002; amended at 26 Ill. Reg. 13661, effective September 3, 2002; amended at 26 Ill. Reg. 14808, effective September 26, 2002; emergency amendment at 26 Ill. Reg. 14887, effective October 1, 2002, for a maximum of 150 days; amended at 26 Ill. Reg. 17775, effective November 27, 2002; emergency amendment at 27 Ill. Reg. 580, effective January 1, 2003, for a maximum of 150 days; emergency amendment at 27 Ill. Reg. 866, effective January 1, 2003, for a maximum of 150 days; amended at 27 Ill. Reg. 4386, effective February 24, 2003; emergency amendment at 27 Ill. Reg. 8320, effective April 28, 2003, for a maximum of 150 days; emergency amendment repealed at 27 Ill. Reg. 12121, effective July 10, 2003; amended at 27 Ill. Reg. 9178, effective May 28, 2003; emergency amendment at 27 Ill. Reg. 11041, effective July 1, 2003, for a maximum of 150 days; emergency amendment at 27 Ill. Reg. 16185, effective October 1, 2003, for a maximum of 150 days; emergency amendment at 27 Ill. Reg. 16268, effective October 1, 2003, for a maximum of 150 days; amended at 27 Ill. Reg. 18843, effective November 26, 2003; emergency amendment at 28 Ill. Reg. 1418, effective January 8, 2004, for a maximum of 150 days; emergency amendment at 28 Ill. Reg. 1766, effective January 10, 2004, for a maximum of 150 days; emergency expired June 7, 2004; amended at 28 Ill. Reg. 2770, effective February 1, 2004; emergency amendment at 28 Ill. Reg. 5902, effective April 1, 2004, for a maximum of 150 days; amended at 28 Ill. Reg. 7101, effective May 3, 2004; amended at 28 Ill. Reg. 8072, effective June 1, 2004; emergency amendment at 28 Ill. Reg. 8167, effective June 1, 2004, for a maximum of 150 days; amended at 28 Ill. Reg. 9661, effective July 1, 2004; emergency amendment at 28 Ill. Reg. 10157, effective July 1, 2004, for a maximum of 150 days; emergency amendment at 28 Ill. Reg. 12036, effective August 3, 2004, for a maximum of 150 days; emergency expired December 30, 2004; emergency amendment at 28 Ill. Reg. 12227, effective August 6, 2004, for a maximum of 150 days; emergency expired January 2, 2005; amended at 28 Ill. Reg. 14557, effective October 27, 2004; amended at 28 Ill. Reg. 15536, effective November 24, 2004; amended at 29 Ill. Reg. 861, effective January 1, 2005; emergency amendment at 29 Ill. Reg. 2026, effective January 21, 2005, for a maximum of 150 days; amended at 29 Ill. Reg. 5514, effective April 1, 2005; emergency amendment at 29 Ill. Reg. 5756, effective April 8, 2005, for a maximum of 150 days; emergency amendment repealed by emergency rulemaking at 29 Ill. Reg. 11622, effective July 5, 2005, for the remainder of the 150 days; amended at 29 Ill. Reg. 8363, effective June 1, 2005; emergency amendment at 29 Ill. Reg. 10275, effective July 1, 2005, for a maximum of 150 days; emergency amendment at 29 Ill. Reg. 12568, effective August 1, 2005, for a maximum of 150 days; emergency amendment at 29 Ill. Reg. 15629, effective October 1, 2005, for a maximum of 150 days; amended at 29 Ill. Reg. 19973, effective November 23, 2005; amended at 30 Ill. Reg. 383, effective December 28, 2005; emergency amendment at 30 Ill. Reg. 596, effective January 1, 2006, for a maximum of 150 days; emergency amendment at 30 Ill. Reg. 955, effective January 9, 2006, for a maximum of 150 days; amended at 30 Ill. Reg. 2827, effective February 24, 2006; emergency amendment at 30 Ill. Reg. 7786, effective April 10, 2006, for a maximum of 150 days; emergency amendment repealed by emergency rulemaking at 30 Ill. Reg. 12400, effective July 1, 2006, for the remainder of the 150 days; emergency expired September 6, 2006; amended at 30 Ill. Reg. 8877, effective May 1, 2006; amended at 30 Ill. Reg. 10393, effective May 26, 2006; emergency amendment at 30 Ill. Reg. 11815, effective July 1, 2006, for a maximum of 150 days; amended at 30 Ill. Reg. 18672, effective November 27, 2006; emergency amendment at 31 Ill. Reg. 1602, effective January 1, 2007, for a maximum of 150 days; emergency amendment at 31 Ill. Reg. 1997, effective January 15, 2007, for a maximum of 150 days; amended at 31 Ill. Reg. 5596, effective April 1, 2007; amended at 31 Ill. Reg. 8123, effective May 30, 2007; amended at 31 Ill. Reg. 8508, effective June 1, 2007; emergency amendment at 31 Ill. Reg. 10137, effective July 1, 2007, for a maximum of 150 days; amended at 31 Ill. Reg. 11688, effective August 1, 2007; amended at 31 Ill. Reg. 14792, effective October 22, 2007; amended at 32 Ill. Reg. 312, effective January 1, 2008; emergency amendment at 32 Ill. Reg. 518, effective January 1, 2008, for a maximum of 150 days; emergency amendment at 32 Ill. Reg. 2993, effective February 16, 2008, for a maximum of 150 days; amended at 32 Ill. Reg. 8718, effective May 29, 2008; amended at 32 Ill. Reg. 9945, effective June 26, 2008; emergency amendment at 32 Ill. Reg. 10517, effective July 1, 2008, for a maximum of 150 days; emergency expired November 27, 2008; amended at 33 Ill. Reg. 501, effective December 30, 2008; peremptory amendment at 33 Ill. Reg. 1538, effective December 30, 2008; emergency amendment at 33 Ill. Reg. 5821, effective April 1, 2009, for a maximum of 150 days; emergency expired August 28, 2009; amended at 33 Ill. Reg. 13246, effective September 8, 2009; emergency amendment at 34 Ill. Reg. 15856, effective October 1, 2010, for a maximum of 150 days; emergency expired February 27, 2011; amended at 34 Ill. Reg. 17737, effective November 8, 2010; amended at 35 Ill. Reg. 420, effective December 27, 2010; expedited correction at 38 Ill. Reg. 12618, effective December 27, 2010; amended at 35 Ill. Reg. 10033, effective June 15, 2011; amended at 35 Ill. Reg. 16572, effective October 1, 2011; emergency amendment at 36 Ill. Reg. 10326, effective July 1, 2012 through June 30, 2013; emergency amendment to Section 148.70(g) suspended at 36 Ill. Reg. 13737, effective August 15, 2012; suspension withdrawn from Section 148.70(g) at 36 Ill. Reg. 18989, December 11, 2012; emergency amendment in response to Joint Committee on Administrative Rules action on Section 148.70(g) at 36 Ill. Reg. 18976, effective December 12, 2012 through June 30, 2013; emergency amendment to Section 148.140(b)(1)(F) suspended at 36 Ill. Reg. 13739, effective August 15, 2012; suspension withdrawn from Section 148.140(b)(1)(F) at 36 Ill. Reg. 14530, September 11, 2012; emergency amendment to Sections 148.140(b) and 148.190(a)(2) in response to Joint Committee on Administrative Rules action at 36 Ill. Reg. 14851, effective September 21, 2012 through June 30, 2013; amended at 37 Ill. Reg. 402, effective December 27, 2012; emergency rulemaking at 37 Ill. Reg. 5082, effective April 1, 2013 through June 30, 2013; amended at 37 Ill. Reg. 10432, effective June 27, 2013; amended at 37 Ill. Reg. 17631, effective October 23, 2013; amended at 38 Ill. Reg. 4363, effective January 29, 2014; amended at 38 Ill. Reg. 11557, effective May 13, 2014; amended at 38 Ill. Reg. 13263, effective June 11, 2014; amended at 38 Ill. Reg. 15165, effective July 2, 2014; emergency amendment at 39 Ill. Reg. 10453, effective July 10, 2015, for a maximum of 150 days; emergency expired December 6, 2015; amended at 39 Ill. Reg. 10824, effective July 27, 2015; amended at 39 Ill. Reg. 16394, effective December 14, 2015; amended at 41 Ill. Reg. 1041, effective January 19, 2017; amended at 42 Ill. Reg. 3152, effective January 31, 2018; emergency amendment at 42 Ill. Reg. 13740, effective July 2, 2018, for a maximum of 150 days; emergency amendment to emergency rule at 42 Ill. Reg. 16318, effective August 13, 2018, for the remainder of the 150 days; emergency expired November 28, 2018; amended at 42 Ill. Reg. 22401, effective November 29, 2018; emergency amendment at 43 Ill. Reg. 9813, effective August 26, 2019, for a maximum of 150 days; amended at 44 Ill. Reg. 2545, effective January 22, 2020; amended at 44 Ill. Reg. 18579, effective November 9, 2020; emergency amendment at 44 Ill. Reg. 12832, effective July 17, 2020, for a maximum of 150 days; amended at 44 Ill. Reg. 19767, effective December 11, 2020; amended at 46 Ill. Reg. 5254, effective March 11, 2022; amended at 47 Ill. Reg. 5648, effective April 5, 2023; amended at 47 Ill. Reg. 13121, effective August 25, 2023; amended at 47 Ill. Reg. 16418, effective November 3, 2023; expedited correction at 48 Ill. Reg. 10028, effective November 3, 2023; amended at 48 Ill. Reg. 10834, effective July 12, 2024; amended at 48 Ill. Reg. 15451, effective October 17, 2024.