reglab/housing_qa huggingface dataset:
RI Gen L § 40-8.8-6 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.8 - Program of All-Inclusive Care for the Elderly|Section 40-8.8-6 - Eligibility.

§ 40-8.8-6. Eligibility.To be eligible for benefits under the program of all-inclusive care for the elderly:(1) The person shall meet the eligibility criteria for both the Rhode Island medical assistance program and for the federal Medicare program; and(2) The person shall meet the eligibility criteria for the program of all-inclusive care for the elderly as established by the United States Department of Health and Human Services and the state department of human services, including, but not limited to:(i) Being at least fifty-five (55) years old;(ii) Residing in the program of all-inclusive care for the elderly service area; and(iii) Being certified as eligible for nursing home care by the state department of human services.History of Section.P.L. 2005, ch. 110, § 1; P.L. 2005, ch. 114, § 1.
RI Gen L § 40-8.8-7 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.8 - Program of All-Inclusive Care for the Elderly|Section 40-8.8-7 - Regulations and commencement of program.

§ 40-8.8-7. Regulations and commencement of program.(a) The department of human services shall submit the Medicaid state plan amendment and promulgate any rules or regulations necessary to implement the provisions of this chapter, contingent upon, and immediately following, federal approval of any program of all-inclusive care of the elderly.(b) Contingent upon completion of the Medicaid state plan amendment process, and the appropriation of necessary funding to implement the program, the program of all-inclusive care for the elderly shall commence on July 1, 2005.History of Section.P.L. 2005, ch. 110, § 1; P.L. 2005, ch. 114, § 1.
RI Gen L § 40-8.9-1 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.9 - Medical Assistance - Long-Term Care Service and Finance Reform|Section 40-8.9-1 - Findings.

§ 40-8.9-1. Findings.(a) The number of Rhode Islanders in need of long-term-care services continues to rise substantially, and the quality of life of these Rhode Islanders is determined by the capacity of the long-term-care system to provide access to the full array of services and supports required to meet their healthcare needs and maintain their independence.(b) It is in the interest of all Rhode Islanders to endorse and fund statewide efforts to build a fiscally sound, dynamic long-term-care system that supports: consumer independence and choice; the delivery of high-quality, coordinated services; the financial integrity of all participants-purchasers, payers, providers, and consumers; and the responsible and efficient allocation of all available public and private resources.(c) It is in the interest of all Rhode Islanders to assure that rates paid for community-based long-term-care services are adequate to assure high quality as well as supportive of workforce recruitment and retention.(d) It is in the interest of all Rhode Islanders to improve consumers' access information regarding community-based alternatives to institutional settings of care.History of Section.P.L. 2006, ch. 263, § 1; P.L. 2006, ch. 286, § 1.
RI Gen L § 40-8.9-2 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.9 - Medical Assistance - Long-Term Care Service and Finance Reform|Section 40-8.9-2 - System reform and rebalancing goal.

§ 40-8.9-2. System reform and rebalancing goal.On or before July 1, 2007, the department of human services shall begin to implement a model system for integrated long-term care, that expands the capacity of the long-term-care system as a whole to support consumer choice and independence; enables consumers to access coordinated services; ensures quality outcomes through certification standards, performance measures, and incentives and rewards that promote service excellence and generates the information consumers need to make reasoned choices about their health care; and improves the system's overall stability by reinvesting the benefits that accrue from the more efficient utilization of services to enhance the capacity of each of its component parts. Attaining systemwide reform of the magnitude set forth herein will require rebalancing the system by making significant changes in the organization, financing, and delivery of services that must be implemented incrementally.History of Section.P.L. 2006, ch. 263, § 1; P.L. 2006, ch. 286, § 1; P.L. 2009, ch. 223, § 1.
RI Gen L § 40-8.9-3 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.9 - Medical Assistance - Long-Term Care Service and Finance Reform|Section 40-8.9-3 - Least-restrictive setting requirement.

§ 40-8.9-3. Least-restrictive setting requirement.The executive office of health and human services (executive office) is directed to recommend the allocation of existing Medicaid resources as needed to ensure that those in need of long-term-care and support services receive them in the least-restrictive setting appropriate to their needs and preferences. The executive office is hereby authorized to utilize screening criteria to avoid unnecessary institutionalization of persons during the full eligibility-determination process for Medicaid community-based care.History of Section.P.L. 2006, ch. 263, § 1; P.L. 2006, ch. 286, § 1; P.L. 2007, ch. 73, art. 14, § 1; P.L. 2016, ch. 142, art. 7, § 5.
RI Gen L § 40-8.9-4 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.9 - Medical Assistance - Long-Term Care Service and Finance Reform|Section 40-8.9-4 - Unified long-term care budget.

§ 40-8.9-4. Unified long-term care budget.Beginning on July 1, 2007, a unified long-term-care budget shall combine in a single, line-item appropriation within the executive office of health and human services (executive office), annual executive office Medicaid appropriations for nursing facility and community-based, long-term-care services for elderly sixty-five (65) years and older and younger persons at risk of nursing home admissions (including adult day care, home health, PACE, and personal care in assisted-living settings). Beginning on July 1, 2007, the total system savings attributable to the value of the reduction in nursing home days including hospice nursing home days paid for by Medicaid shall be allocated in the budget enacted by the general assembly for the ensuing fiscal year for the express purpose of promoting and strengthening community-based alternatives; provided, further, beginning July 1, 2009, said savings shall be allocated within the budgets of the executive office and, as appropriate, the department of human services, office of healthy aging. The allocation shall include, but not be limited to, funds to support an ongoing, statewide community education and outreach program to provide the public with information on home and community services and the establishment of presumptive eligibility criteria for the purposes of accessing home and community care. The home- and community-care service presumptive eligibility criteria shall be developed through rule or regulation on or before September 30, 2007. The allocation may also be used to fund home and community services provided by the office of healthy aging for persons eligible for Medicaid long-term care, and the co-pay program administered pursuant to chapter 66.3 of title 42. Any monies in the allocation that remain unexpended in a fiscal year shall be carried forward to the next fiscal year for the express purpose of strengthening community-based alternatives.The caseload estimating conference pursuant to § 35-17-1 shall determine the amount of general revenues to be added to the current service estimate of community-based, long-term-care services for elderly sixty-five (65) and older and younger persons at risk of nursing home admissions for the ensuing budget year by multiplying the combined, cost per day of nursing home and hospice nursing home days estimated at the caseload conference for that year by the reduction in nursing home and hospice nursing home days from those in the second fiscal year prior to the current fiscal year to those in the first fiscal year prior to the current fiscal year.History of Section.P.L. 2006, ch. 263, § 1; P.L. 2006, ch. 286, § 1; P.L. 2007, ch. 73, art. 14, § 1; P.L. 2007, ch. 128, § 1; P.L. 2007, ch. 186, § 1; P.L. 2009, ch. 68, art. 5, § 8; P.L. 2009, ch. 223, § 1; P.L. 2016, ch. 142, art. 7, § 5.
RI Gen L § 40-8.9-5 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.9 - Medical Assistance - Long-Term Care Service and Finance Reform|Section 40-8.9-5 - Administration and regulations.

§ 40-8.9-5. Administration and regulations.The single state agency designated to administer the Rhode Island Medicaid program is hereby directed and authorized to develop and submit any requests for waivers, demonstration projects, grants and state plan amendments or regulations that may be considered necessary and appropriate to support the general purposes and specific requirements of this statute. The requests shall be made in consultation with any affected departments and, to the extent feasible, any consumer group, advisory body, or other entity designated for such purposes.History of Section.P.L. 2006, ch. 263, § 1; P.L. 2006, ch. 286, § 1; P.L. 2007, ch. 73, art. 14, § 1; P.L. 2009, ch. 223, § 1.
RI Gen L § 40-8.9-6 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.9 - Medical Assistance - Long-Term Care Service and Finance Reform|Section 40-8.9-6 - Recognizing long-term reform performance - Reporting.

§ 40-8.9-6. Recognizing long-term reform performance — Reporting.(a) Annual performance reports showing progress in long-term-care system reform and rebalancing shall be submitted by April 1 of each year by the executive office of health and human services to the finance committees of both the senate and the house of representatives and the long-term care coordinating council and shall include:(1) The number of Medicaid-eligible persons aged sixty-five (65) years and over and adults with disabilities served in nursing facilities;(2) The number of Medicaid-eligible persons aged sixty-five (65) years and over and adults with disabilities transitioned from nursing homes to Medicaid-supported home- and community-based care;(3) The number of persons aged sixty-five (65) years and over and adults with disabilities served in Medicaid and office of healthy aging home and community care, to include home care, adult day services, assisted living, the personal choice program, the program of all-inclusive care of the elderly (PACE) and shared living;(4) The dollar amounts and percent of expenditures spent on nursing facility care and home- and community-based care for those aged sixty-five (65) years and over and adults with disabilities and the average cost of care for nursing facility care and home- and community-based care;(5) The amount of savings attributed to the value of the reduction in nursing home days, including hospice nursing home days paid for by Medicaid in accordance with § 40-8.9-4, and how the savings, if any, are allocated in the current fiscal year and in the proposed budget for the ensuing fiscal year to promote and strengthen community-based alternatives; and(6) Estimates of the continued investments necessary to provide stability to the existing system and establish the infrastructure and programs required to achieve systemwide reform and the targeted goal of spending fifty percent (50%) of Medicaid long-term-care dollars on nursing facility care and fifty percent (50%) on home- and community-based services.(b) Beginning in 2019, to measure and show progress in achieving the state's goals for long-term services and supports reform, the executive office of health and human services shall develop and make public on its website a long-term services and supports performance scorecard based on the measures detailed in subsections (a)(1) through (a)(5) of this section showing data for the most recent four-year (4) period.History of Section.P.L. 2006, ch. 263, § 1; P.L. 2006, ch. 286, § 1; P.L. 2009, ch. 223, § 1; P.L. 2010, ch. 239, § 5; P.L. 2016, ch. 142, art. 7, § 5; P.L. 2018, ch. 148, § 1; P.L. 2018, ch. 255, § 1.
RI Gen L § 40-8.9-7 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.9 - Medical Assistance - Long-Term Care Service and Finance Reform|Section 40-8.9-7 - Rate reform.

§ 40-8.9-7. Rate reform.The executive office of health and human services shall design, and require to be submitted by all service providers, cost reports for all community-based, long-term services, including patient liability owed and collected.History of Section.P.L. 2006, ch. 263, § 1; P.L. 2006, ch. 286, § 1; P.L. 2016, ch. 142, art. 7, § 5.
RI Gen L § 40-8.9-8 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.9 - Medical Assistance - Long-Term Care Service and Finance Reform|Section 40-8.9-8 - System screening.

§ 40-8.9-8. System screening.The executive office of health and human services shall develop and implement a screening strategy for the purpose of identifying entrants to the publicly financed, long-term-care system prior to application for eligibility as well as defining their potential service needs.History of Section.P.L. 2006, ch. 263, § 1; P.L. 2006, ch. 286, § 1; P.L. 2016, ch. 142, art. 7, § 5.
RI Gen L § 40-8.10-1 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.10 - Long-Term Care Service Reform for Medicaid Eligible Individuals|Section 40-8.10-1 - Purpose.

§ 40-8.10-1. Purpose.In order to ensure that all Medicaid recipients eligible for long-term care have access to the full continuum of services they need, the secretary of the executive office of health and human services, in collaboration with the directors of EOHHS departments, shall offer eligible Medicaid recipients the full range of services as allowed under the terms and conditions of the Rhode Island Medicaid section 1115 demonstration waiver, including institutional services and the home- and community-based services provided for under the previous Medicaid section 1915(c) waivers, as well as additional services for medication management, transition services, and other authorized services as defined in this chapter, in order to meet the individual needs of the Medicaid recipient.History of Section.P.L. 2009, ch. 68, art. 23, § 9; P.L. 2015, ch. 141, art. 5, § 17.
RI Gen L § 40-8.10-2 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.10 - Long-Term Care Service Reform for Medicaid Eligible Individuals|Section 40-8.10-2 - Definitions.

§ 40-8.10-2. Definitions.As used in this chapter:(1) "Core services" mean homemaker services, environmental modifications (home accessibility adaptations, special medical equipment (minor assistive devices), meals on wheels (home delivered meals), personal emergency response (PERS), licensed practical nurse services, community transition services, residential supports, day supports, supported employment, supported living arrangements, private duty nursing, supports for consumer direction (supports facilitation), participant directed goods and services, case management, senior companion services, assisted living, personal care assistance services and respite.(2) "Preventive services" mean homemaker services, minor environmental modifications, physical therapy evaluation and services, and respite services.History of Section.P.L. 2009, ch. 68, art. 23, § 9.
RI Gen L § 40-8.10-3 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.10 - Long-Term Care Service Reform for Medicaid Eligible Individuals|Section 40-8.10-3 - Levels of care.

§ 40-8.10-3. Levels of care.(a) The secretary of the executive office of health and human services shall coordinate responsibilities for long-term-care assessment in accordance with the provisions of this chapter. Importance shall be placed upon the proper and consistent determination of levels of care across the state departments for each long-term-care setting, including behavioral health residential treatment facilities, long-term-care hospitals, intermediate-care facilities, and/or skilled nursing facilities. Specialized plans of care that meet the needs of the individual Medicaid recipients shall be coordinated and consistent across all state departments. The development of care plans shall be person-centered and shall support individual self-determination, family involvement, when appropriate, individual choice, and interdepartmental collaboration.(b) Levels of care for long-term-care institutions (behavioral health residential treatment facilities, long-term-care hospitals, intermediate-care facilities and/or skilled nursing facilities), for which alternative community-based services and supports are available, shall be established pursuant to § 40-8.9-9. The structure of the three (3) levels of care is as follows:(1) Highest level of care. Individuals who are determined, based on medical need, to require the institutional level of care will have the choice to receive services in a long-term-care institution or in a home- and community-based setting.(2) High level of care. Individuals who are determined, based on medical need, to benefit from home- and community-based services.(3) Preventive level of care. Individuals who do not presently need an institutional level of care but who need services targeted at preventing admission, re-admissions, or reducing lengths of stay in an institution.(c) Determinations of levels of care and the provision of long-term-care health services shall be determined in accordance with this section and shall be in accordance with the applicable provisions of § 40-8.9-9.History of Section.P.L. 2009, ch. 68, art. 23, § 9; P.L. 2015, ch. 141, art. 5, § 17.
RI Gen L § 40-8.10-4 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.10 - Long-Term Care Service Reform for Medicaid Eligible Individuals|Section 40-8.10-4 - Long-term care assessment and coordination.

§ 40-8.10-4. Long-term care assessment and coordination.(a) The executive office of health and human services shall implement a long-term-care-options counseling program to provide individuals or their representative, or both, with long-term-care consultations that shall include, at a minimum, information about long-term-care options, sources and methods of both public and private payment for long-term-care services; information on caregiver support services, including respite care; and an assessment of an individual's functional capabilities and opportunities for maximizing independence. Each individual admitted to or seeking admission to a long-term-care facility, regardless of the payment source, shall be informed by the facility of the availability of the long-term-care-options counseling program and shall be provided with a long-term-care-options consultation, if he or she so requests. Each individual who applies for Medicaid long-term-care services shall be provided with a long-term-care consultation.(b) Core and preventative home- and community-based services defined and delineated in § 40-8.10-2 shall be provided only to those individuals who meet one of the levels of care provided for in this chapter. Other long-term-care services authorized by the federal government, such as medication management, may also be provided to Medicaid-eligible recipients who have established the requisite need.(c) The assessments for individuals conducted in accordance with this section shall serve as the basis for individual budgets for those medical assistance recipients eligible to receive services utilizing a self-directed delivery system.(d) Nothing in this section shall prohibit the secretary of the executive office of health and human services, or the directors of that office's departments from utilizing community agencies or contractors when appropriate to perform assessment functions outlined in this chapter.History of Section.P.L. 2009, ch. 68, art. 23, § 9; P.L. 2013, ch. 457, § 1; P.L. 2013, ch. 469, § 1; P.L. 2015, ch. 141, art. 5, § 17.
RI Gen L § 40-8.10-5 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.10 - Long-Term Care Service Reform for Medicaid Eligible Individuals|Section 40-8.10-5 - Payments.

§ 40-8.10-5. Payments.The executive office of health and human services shall not make payment for a person receiving a long-term home healthcare program, while payments are being made for that person for inpatient care in a skilled nursing and/or intermediate-care facility or hospital.History of Section.P.L. 2009, ch. 68, art. 23, § 9; P.L. 2015, ch. 141, art. 5, § 17.
RI Gen L § 40-8.10-6 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.10 - Long-Term Care Service Reform for Medicaid Eligible Individuals|Section 40-8.10-6 - Rules and regulations.

§ 40-8.10-6. Rules and regulations.The secretary of the executive office of health and human services, the directors of the department of human services, the office of healthy aging, the department of children, youth and families and the department of behavioral healthcare, development disabilities and hospitals are hereby authorized to promulgate rules and regulations necessary to implement all provisions of this chapter and to seek necessary federal approvals in accordance with the provisions of the state's Medicaid section 1115 demonstration waiver.History of Section.P.L. 2009, ch. 68, art. 23, § 9; P.L. 2015, ch. 141, art. 5, § 17.
RI Gen L § 40-8.11-1 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.11 - Family Caregivers Support Act of 2013|Section 40-8.11-1 - Findings.

§ 40-8.11-1. Findings.(a) Family members, partners, and close friends provide the vast majority of long-term services and supports.(b) An estimated one hundred and forty-eight thousand (148,000) persons in Rhode Island are providing care at any one time to persons living in the community. The estimated value of their unpaid contributions in 2009 was one billion eight hundred eighty million dollars ($1,880,000,000).(c) Family or other caregivers who provide the majority of care in the home are frequently under substantial physical, psychological, and financial stress. The stress, if unrelieved by support for the caregiver, may lead to premature or unnecessary nursing home and institutional placement and health and financial burdens for the caregiver.(d) Respite care and other community-based supportive services for the family caregiver can relieve some of the stresses faced by caregivers; maintain and strengthen the family structure; postpone or prevent institutionalization; and lead to better outcomes for both the caregiver and care recipient.(e) The percent of Rhode Islanders age sixty-five (65) years of age and older is projected to grow from fourteen percent (14%) of the state population in 2010 to twenty-one percent (21%) by 2030. As persons age, they have greater dependency needs and an increased need for long-term-care services and support. Younger people with disabilities also require continued supportive long-term-care services as they age.(f) As informal caregivers and families are a vital part of the long-term-care services and support system, it is an important public purpose to recognize and respect their contributions; to assess their needs; and to provide them with counseling, education, and support services.History of Section.P.L. 2013, ch. 457, § 2; P.L. 2013, ch. 469, § 2; P.L. 2019, ch. 110, § 1; P.L. 2019, ch. 130, § 1.