Hospitals
Hospital means any institution, place, building, buildings on a campus, or agency, public, or private, whether organized for profit or not, devoted primarily to the maintenance and operation of facilities for the diagnosis and treatment or care of two or more unrelated persons admitted for overnight stay or longer to obtain medical, including obstetric, psychiatric and nursing, care of illness, disease, injury, infirmity, or deformity.
The purpose of Hospital Licensing Act is to provide for the better protection of the public health through the development, establishment, and enforcement of standards
- for the care of individuals in hospitals
- for the construction, maintenance, and operation of hospitals which, in light of advancing knowledge, will promote safe and adequate treatment of such individuals in hospital
- that will have regard to the necessity of determining that a person establishing a hospital have the qualifications, background, character and financial resources to adequately provide a proper standard of hospital service for the community
Types of Hospitals
Critical Access Hospital
A hospital certified under Medicare that has no more than 25 inpatient beds; maintaining an annual average length of stay of no more than 96 hours for acute inpatient care; offering 24-hour, 7-day-a-week emergency care; and located in a rural area, at least 35 miles drive away from any other hospital or critical access hospital (fewer in some circumstances).
Long-Term Acute Care Hospital
A hospital that is certified as an acute care hospital, but focuses on patients who, on average, stay more than 25 days. Many patients in long-term acute care hospitals (LTCHs) are transferred from an intensive or critical care unit. LTCHs specialize in treating patients who have more than one serious condition but may improve with time and care and return home. LTCHs typically provide services like comprehensive rehabilitation, respiratory therapy, head trauma treatment, and pain management.
Pediatric Hospital
A hospital that exclusively provides services to children and adolescents.
Psychiatric Hospital
A hospital primarily engaged in providing, by, or under the supervision of a Doctor of Medicine or Osteopathy, psychiatric services for diagnosing and treating mentally ill persons.
Rehabilitation Hospital
A hospital devoted to rehabilitating patients with various neurological, musculoskeletal, orthopedic, and other medical conditions following stabilization of their acute medical issues.
Rural Emergency Hospital (REH)
A hospital that operates to provide emergency department services, observation care, and other outpatient medical and health services in which the annual per patient average length of stay does not exceed 24 hours. The entity must not provide inpatient services, except those furnished in a unit that is a distinct part licensed as a skilled nursing facility to furnish post-REH or post-hospital extended care services under 42 CFR 485.502.
Transplant Programs
According to the Centers for Medicare & Medicaid Services, “a transplant program is defined as a component within a transplant hospital that provides transplantation of a particular type of organ to include heart, lung, liver, kidney, pancreas, or intestine” for both adults and pediatrics.
How to Become Medicare Certified
Hospitals
Health Care Professional Credentialing
The Health Care Credentials and Data Collection Act requires uniform forms to be utilized in order to collect the credentials data commonly requested by health care entities and health care plans for purposes of credentialing and recredentialing. The forms required for use by the Health Care Professional Credentialing and Data Collection Act (410 ILCS 517) are located under the Forms section on the right-hand side of this page.
"These forms are for use with the entity or entities that are conducting the credentialing. DO NOT SEND COMPLETED FORMS TO THE STATE. Please contact the health care plan, health care entity or hospital that is reviewing your credentials for instructions on where to send this form and any other information it may require in order to complete the credentialing process."
Medical Patient Rights of Women (Pregnancy and Childbirth)
Under Public Act 101-0445, effective January 1, 2020, the Medical Patient Rights Act was amended by requiring information about rights with regard to pregnancy and childbirth to be posted on this website.
In general, with regard to pregnancy and childbirth, every woman has the right to:
- receive health care before, during, and after pregnancy and childbirth
- receive care for her and her infant that is consistent with generally accepted medical standards
- choose a certified nurse midwife or physician as her maternity care professional
- choose her birth setting from the full range of birthing options available in her community
- leave her maternity care professional and select another if she becomes dissatisfied with her care
- receive information about the names of those health care professionals involved in her care
- privacy and confidentiality of records
- receive information concerning her condition and proposed treatment
- accept or refuse any treatment
- be informed if her caregivers wish to enroll her or her infant in a research study
- access her medical records
- receive information in a language in which she can communicate
- receive emotional and physical support during labor and birth
- freedom of movement during labor and to give birth in the position of her choice
- contact with her newborn
- receive information about breastfeeding
- decide collaboratively with caregivers when she and her baby will leave the birth site for home
- be treated with respect at all times before, during, and after pregnancy by her health care professionals
- examine and receive a reasonable explanation of her total bill for services
The exact language for the rights of women with regard to pregnancy and childbirth can be found under Medical Patient Rights of Women under Laws & Rules.
Resources
Forms
- Medicare Intermediary Information
- Hospital Initial Licensure
- Checklist for New Hire/Rehire Background Check
- Health Care Professional Update Data Gathering Form
- Health Care Professional Credentialing and Data Gathering Form
- Health Care Professional Recredentialing and Data Gathering Form
- Rural Emergency Hospital License Application
- Hospital Treatment Plan 2019
- Out of State Hospital Treatment 2019
- Pediatric Facility Plan 2019
- Transfer Hospital Plan 2019
- Treatment Facility with Transfer Peds 2020
Laws & Rules
- Emergency Medical Treatment Act (210 ILCS 70)
- Health Care Professional Credentials Data Collection Code
- Hospital Emergency Service Act (210 ILCS 80)
- Hospital Licensing Act (210 ILCS 85)
- Hospital Report Card Act
- IDPH Administrative Code
- Language Assistance Services Act (210 ILCS 87)
- Medicare Hospital Manual
- Medicare Critical Access Hospital Guide
- SASETA Administrative Code
- Medical Patient Rights of Women