Source: http://www.healthinfolaw.org/state-topics/40,59/f_topics
Timestamp: 2019-07-17 04:28:35
Document Index: 621435427

Matched Legal Cases: ['§ 42', '§ 40', '§ 40', '§ 40', '§ 40', '§ 42', '§ 42', '§ 40', '§ 40', '§ 40', '§ 40', '§ 42', '§ 42', '§ 40', '§ 42', '§ 42', '§ 40', '§ 40', '§ 42', '§ 42']

Medicaid/CHIP Data Requirements in Rhode Island | Health Information & the Law
Medicaid/CHIP Data Requirements in Rhode Island
Rhode Island passed a Medicaid reform bill in 2008 that requires the executive office of health and human services to reform the Medicaid system “so that it is a person-centered, financially sustainable, cost-effective, and opportunity driven program…”1
Rhode Island provides Medicaid services for families through a managed care system that utilizes the medical home model and emphasizes both preventive and primary care.2 The department of human services may provide a Medicaid buy-in program to persons with disabilities3 and elect to establish a program for all-inclusive care (PACE) for elderly persons.4 The department should, when appropriate, provide “enhanced services” (e.g. care coordination, home visitation) to pregnant women eligible for Medicaid.5 The department must implement the “RIte Track Program” to act as the payor of last resort for children under the age of 19 who lack health insurance but have a family income above the 250% threshold.6 RIte Track services will be provided through a managed care system. Person’s that apply for Medicaid funded long-term care services must receive long-term care counseling.7
1. Gen.Laws 1956, § 42-7.2-16.
2. Gen.Laws 1956, § 40-8.4-19.
3. Gen.Laws 1956, § 40-8.7-5.
4. Gen.Laws 1956, § 40-8.8-2; Gen.Laws 1956, § 40-8.8-3.
5. Gen.Laws 1956, § 42-12.3-3.
6. Gen.Laws 1956, § 42-12.3-4.
7. Gen.Laws 1956, § 40-8.10-4.
Medicaid/CHIP Data Requirements Assessment and Coordination Unit (ACU) - R.I. Gen. Laws Ann. § 40-8.10-4 The department of human services must establish a “long-term care options counseling program” that will provide individuals with...
Authorization for the Medicaid buy-in program and personal care services - R.I. Gen. Laws Ann. § 40-8.7-5 Rhode Island authorizes the department of service to amend the state Medicaid plan to include “a Medicaid buy-in program for employed...
Eligibility requirements - R.I. Gen. Laws Ann. § 40-8-3 Rhode Island provides medical assistance to persons that: (1) are 65 years of age or older; (2) lack sufficient vision to perform ordinary activities...
Enhanced services for children - R.I. Gen. Laws Ann. § 42-12.3-8 The department of human services must specify the services available to “at risk” RIte Track and medical assistance recipients under the...
Managed care - R.I. Gen. Laws Ann. § 42-12.3-5 Rhode Island will utilize a managed care system to deliver and finance medical assistance through the RIte Start and RIte Track programs. Rhode...
Managed health care delivery systems for families - R.I. Gen. Laws Ann. § 40-8.4-19 Medicaid services for families will be provided through a managed care system. Rhode Island defines “managed care” as a system that...
Medicaid System Reform 2008 - R.I. Gen. Laws Ann. § 42-7.2-16 The executive office of health and human services must reform the Medicaid system “so that it is a person-centered, financially sustainable,...
Medical assistance expansion for pregnant women/RIte Start - R.I. Gen. Laws Ann. § 42-12.3-3 The director of the department of human services has authority to extend Medicaid coverage pregnant women with family income levels between 185%-250...
Program for all-inclusive care for the elderly - R.I. Gen. Laws Ann. § 40-8.8-2 Rhode Island authorizes the department of human services to “elect a program for all-inclusive care for the elderly program as an optional...
Purpose - R.I. Gen. Laws Ann. § 40-8.8-3 The program for all-inclusive care for the elderly (PACE) provides an alternative to nursing home care to “frail elders.” PACE services...
Purposes - R.I. Gen. Laws Ann. § 42-12.3-2 The Rhode Island General Assembly intends to assure access to comprehensive health care by providing health insurance to all uninsured residents. As...
“RIte Track Program” - R.I. Gen. Laws Ann. § 42-12.3-4 The department of health services must amend the Medicaid state plan to expand coverage for children under the age of 19 whose family income is less...