reglab/housing_qa huggingface dataset:
RI Gen L § 42-66.3-4 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.3 - Home and Community Care Services to the Elderly|Section 42-66.3-4 - Persons eligible.

§ 42-66.3-4. Persons eligible.(a) To be eligible for this program the client must be determined, through a functional assessment, to be in need of assistance with activities of daily living or and/or must meet a required level of care as defined in rules and regulations promulgated by the department;(b) Medicaid eligible individuals age sixty-five (65) or older of the state who meet the financial guidelines of the Rhode Island medical assistance program, as defined in rules and regulations promulgated by the department, shall be provided the services without charge; or(c) Persons eligible for assistance under the provisions of this section, subject to the annual appropriations deemed necessary by the general assembly to carry out the provisions of this chapter, include: (1) any homebound unmarried resident or homebound married resident of the state living separate and apart, who is at least sixty-five (65) years of age, ineligible for Medicaid, and whose income does not exceed the income eligibility limits as defined by rules and regulations promulgated by the department and (2) any married resident of the state who is at least sixty-five (65) years of age, ineligible for Medicaid, and whose income when combined with any income of that person's spouse does not exceed the income eligibility limits as defined in rules and regulations promulgated by the department. Persons who meet the eligibility requirement of this subsection shall be eligible for the co-payment portion as set forth in § 42-66.3-5.History of Section.P.L. 1988, ch. 451, § 2; P.L. 1993, ch. 138, art. 72, § 1; P.L. 1993, ch. 190, § 1; P.L. 1993; ch. 455, § 1; P.L. 2003, ch. 140, § 1; P.L. 2003, ch. 147, § 1; P.L. 2005, ch. 410, § 24; P.L. 2008, ch. 100, art. 17, § 13.
RI Gen L § 42-66.3-5 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.3 - Home and Community Care Services to the Elderly|Section 42-66.3-5 - Amount of co-payment.

§ 42-66.3-5. Amount of co-payment.The department of elderly affairs shall establish client co-payments by regulation in accordance with § 42-66.3-7.History of Section.P.L. 1988, ch. 451, § 2; P.L. 1997, ch. 30, art. 17, § 1; P.L. 2003, ch. 140, § 1; P.L. 2003, ch. 147, § 1.
RI Gen L § 42-66.3-6 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.3 - Home and Community Care Services to the Elderly|Section 42-66.3-6 - Contract.

§ 42-66.3-6. Contract.The director is authorized and shall enter into a contract with the contractor for the effective administrative support of this program.History of Section.P.L. 1988, ch. 451, § 2.
RI Gen L § 42-66.3-7 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.3 - Home and Community Care Services to the Elderly|Section 42-66.3-7 - Rules and regulations.

§ 42-66.3-7. Rules and regulations.The director of the department of elderly affairs shall promulgate rules and regulations to effectuate the provisions of this chapter.History of Section.P.L. 1988, ch. 451, § 2.
RI Gen L § 42-66.4-1 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.4 - Long-Term Health Care - Removal from a Skilled Nursing and/or Intermediate Care Facility|Section 42-66.4-1 - Purpose.

§ 42-66.4-1. Purpose.(a) The director of the department of elderly affairs and the director of the department of human services shall cooperate and collaborate in obtaining approval from the health care financing administration for a home and community based services waiver. The waiver shall be designated to bring people who have been admitted to a skilled nursing and/or intermediate care facility back into the community. The waiver shall be reviewed and expanded periodically as funding is made available.(b) The department of elderly affairs shall effectuate a coordinated outreach and education program to create an awareness of the alternatives to placement in a skilled nursing and/or intermediate care facility. The outreach and education program shall be directed to both health care providers and potential clients.History of Section.P.L. 1988, ch. 451, § 3; P.L. 1992, ch. 370, § 1.
RI Gen L § 42-66.4-3 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.4 - Long-Term Health Care - Removal from a Skilled Nursing and/or Intermediate Care Facility|Section 42-66.4-3 - Patient assessment.

§ 42-66.4-3. Patient assessment.(a) The services defined and delineated in § 42-66.4-2 shall be provided only to those patients who are medically eligible and who are in a skilled nursing and/or intermediate care facility. Patients recently admitted shall be assessed as soon as possible. Provisions of long-term home health care services paid for by government funds shall be based upon a comprehensive assessment that shall include, but not be limited to, an evaluation of the medical, social and environmental needs of each applicant for these services or programs. The assessment shall also serve as the basis for the development and provision of an appropriate plan of care for the applicant. The assessment shall be completed by persons designated by the director, including, but not limited to, the applicant's physician and a representative of the department of elderly affairs.(b) Continued provision of long-term home health care services paid for by government funds shall be based upon a comprehensive assessment of the medical, social and environmental needs of the recipient of the services. This assessment shall be performed at least every one hundred eighty (180) days by the department of elderly affairs' case manager.History of Section.P.L. 1988, ch. 451, § 3.
RI Gen L § 42-66.4-4 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.4 - Long-Term Health Care - Removal from a Skilled Nursing and/or Intermediate Care Facility|Section 42-66.4-4 - Provision of long-term home health care program.

§ 42-66.4-4. Provision of long-term home health care program.(a) When a long-term home health care program as defined under this chapter is available, the department of elderly affairs shall notify the eligible person, in writing, of the provisions of this chapter.(b) If a person eligible to receive services under the provisions of this title who requires care, treatment, maintenance, nursing or other services in a nursing home desires to remain and is deemed by his or her physician able to remain in his or her own home or the home of a responsible relative or other responsible adult if the necessary services are provided, that person or that person's representative shall inform the department of elderly affairs. If a long-term home health care program as defined under this chapter is provided, the department of elderly affairs shall authorize an assessment under the provisions of this chapter. If the results of the assessment indicate that the person can receive the appropriate level of care at home, the case manager shall prepare for that person a plan for the provision of services comparable to those that would be rendered in a nursing home. In developing this plan, the department shall consult with those persons performing the assessment. The services shall be provided by certified home health agencies, home health aide/homemaker agencies, and adult day care centers.(c) At the time of the initial assessment, and at the time of each subsequent assessment, the case manager shall establish a monthly budget in accordance with which he shall authorize payment for the services provided under the plan. Total monthly expenditures made under this title for each person shall not exceed a maximum of one hundred percent (100%) or any lesser percentage as may be determined by the director, of the average of the monthly rates payable under this title for skilled nursing/intermediate care facility services as provided for in the department of human services principles of reimbursement for skilled nursing/intermediate care facility services eligible requests of the medical assistance program. If an assessment of the person's needs demonstrates that he or she requires services, the payment for which would exceed the monthly maximum, but it can be reasonably anticipated that total expenditures for required services for that person will not exceed the maximum calculated over a one year period, the department of elderly affairs may authorize payment for those services.History of Section.P.L. 1988, ch. 451, § 3.
RI Gen L § 42-66.4-5 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.4 - Long-Term Health Care - Removal from a Skilled Nursing and/or Intermediate Care Facility|Section 42-66.4-5 - Duties of director of human services.

§ 42-66.4-5. Duties of director of human services.(a) For the purposes of this section, director means the director of human services.(b) Notwithstanding any inconsistent provision of law but subject to expenditure limitations of this chapter, the director, subject to the approval of the state director of the budget, may authorize the utilization of medical assistance funds to pay for services provided by specified home health care services in addition to those services included in the medical assistance program under title 40 of this code, so long as federal financial participation is available for those services. Expenditures made under this subdivision shall be deemed payments for medical assistance for needy persons.(c) The department shall not make payments pursuant to 42 U.S.C. § 1396 et seq. for benefits available under 42 U.S.C. § 1395 et seq. without documentation that 42 U.S.C. § 1395 et seq. claims have been filed and denied.(d) The department shall not make payment for a person receiving a long-term home health care 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. 1988, ch. 451, § 3.
RI Gen L § 42-66.5-1 - 42-66.5-7 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.5 - Care Management Services - Pilot Program|Section 42-66.5-1 - 42-66.5-7 - Repealed.

§ 42-66.5-1 — 42-66.5-7. Repealed.
RI Gen L § 42-66.6-1 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.6 - Long-Term Care Assessment and Care Management Services|Section 42-66.6-1 - Long-term care assessment and care management services - Program establishment.

§ 42-66.6-1. Long-term care assessment and care management services — Program establishment.There is established, within the department of elderly affairs, a long-term care assessment and care management program. The purpose of the program is to provide chronically impaired or disabled persons in need of assistance with activities of daily living with an assessment of need and guidance in the procurement of necessary long term care and supportive services and to make these persons aware of available long-term care service options. The department of human services shall cooperate and assist in the establishment of this program.History of Section.P.L. 1993, ch. 288, § 1.
RI Gen L § 42-66.6-2 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.6 - Long-Term Care Assessment and Care Management Services|Section 42-66.6-2 - Definitions.

§ 42-66.6-2. Definitions.As used in this chapter:(1) "Care management services" means the coordination of a plan of care and services provided at home or in the home of a responsible adult to an eligible client. Care management should include, but is not limited to, the following: a listing, whether provided by a for-profit or not-for-profit agency of in-home services which are available to the client; a listing of available community services; a referral to other agencies for program services which the client is eligible; procurement of services for the client by supervision of the contact and/or contract between the client and the provider; and continued guidance, supervision and monitoring of the services provided to and procured by the client.(2) "Long-term care assessment" means a program that provides a uniform health, social and functional assessment of persons in need of long-term care services due to chronic impairment or disability. The assessment will include providing information regarding appropriate community support services, including but not limited to, nutrition and transportation programs, home care and adult day care and residential placement alternatives including residential care/assisted living and nursing facilities.History of Section.P.L. 1993, ch. 288, § 1.
RI Gen L § 42-66.6-3 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.6 - Long-Term Care Assessment and Care Management Services|Section 42-66.6-3 - Responsibilities of department.

§ 42-66.6-3. Responsibilities of department.(a) Long-term care assessment. The director shall establish, with the cooperation of the director of human services, a program for making long-term care assessments as defined in § 42-66.6-2. The assessment will be provided at no cost to the person being assessed and will be carried out by individuals designated by the director as qualified to administer the assessment. The assessment will include providing information regarding appropriate community support services and residential placement alternatives. Persons receiving assessment program services will be given recommendations on the appropriate need for care. The recommendations in the assessment will not be binding and the person will have the right to choose from any options, which are available.(b) The department shall make available to persons choosing home and/or community based care, a care management services program which will provide the individual with continued guidance, supervision and monitoring of the services procured by the client and periodic reassessment of the adequacy of the care plan in meeting the individual's long-term care needs. The director is authorized to enter into contracts with community agencies to provide these care management services and to establish a client fee schedule for care management services.(c) The department shall develop and disseminate to all nursing facilities, residential/assisted living care facilities, hospitals and appropriate health care providers information relating to the long-term care assessment program and how individuals may access the program.(d) All persons seeking admission to or discharge from a licensed long-term care residential facility including nursing facilities and licensed residential care/assisted living facilities shall be provided with information prepared by the department about the availability of the long-term care assessment and care management program as defined in § 42-66.6-2(1). Persons seeking admission to a long-term care facility from an acute care hospital shall be provided with this information by the hospital's discharge or social service staff. Persons being admitted from or discharged to the community shall be provided this information by the admission staff on the long-term care facility. Those persons seeking admission to a long-term care facility on an emergency basis or for skilled care are exempt from this provision.History of Section.P.L. 1993, ch. 288, § 1.
RI Gen L § 42-66.6-4 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.6 - Long-Term Care Assessment and Care Management Services|Section 42-66.6-4 - Rules and regulations.

§ 42-66.6-4. Rules and regulations.The director of the department of elderly affairs shall promulgate rules and regulations to implement this chapter.History of Section.P.L. 1993, ch. 288, § 1.
RI Gen L § 42-66.6-5 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.6 - Long-Term Care Assessment and Care Management Services|Section 42-66.6-5 - Community living options.

§ 42-66.6-5. Community living options.(a) As part of the long-term care assessment and care management program as defined in § 42-66.6-2(1), all persons with a disability who are age sixty-five (65) years of age or younger and who are: (i) seeking admission to or discharge from a licensed long-term care residential facility including nursing facilities and licensed assisted living facilities; and/or (ii) any residents of such facilities whose care is paid for by the state and/or Medicaid, shall be provided with information prepared jointly by the department and the department of human services in collaboration with the Rhode Island independent living centers about the availability of the community living option. The information shall include what home and community-based services and other supportive services are available and eligible for state and/or Medicaid funding as an option for placement in a long-term care institution or residential facility in order to secure services in the least restrictive setting appropriate to their needs.(b) As used herein: (i) The term "community living option" shall mean providing opportunities for people with disabilities to choose to live in a less restrictive environment; and (ii) The term "disability" shall have the same meaning as set forth in § 42-87-1.(c) Whenever allowable by state and/or Medicaid program requirements, funds that shall be provided for the long-term care services referred to in this section shall follow individuals as their placement and/or setting of care changes.(d) Persons seeking admission to a long-term care facility from an acute care hospital shall be provided with this information by the hospital's discharge or social service staff. Persons being admitted from or discharged to the community shall be provided this information by the admissions staff on the long-term care facility. Those persons seeking admission to a long-term care facility on an emergency basis or for skilled care shall be exempt from the provisions of this subsection.History of Section.P.L. 2004, ch. 367, § 1; P.L. 2004, ch. 411, § 1.
RI Gen L § 42-66.7-1 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.7 - Long-Term Care Ombudsperson Act of 1995|Section 42-66.7-1 - Short title.

§ 42-66.7-1. Short title.This chapter shall be known and may be cited as the "Long-Term Care Ombudsperson Act of 1995".History of Section.P.L. 1995, ch. 92, § 1.
RI Gen L § 42-66.7-2 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.7 - Long-Term Care Ombudsperson Act of 1995|Section 42-66.7-2 - Program established.

§ 42-66.7-2. Program established.There is established a program of the Long-Term Care Ombudsperson to be administratively attached to the department of elderly affairs in accordance with its mandate under § 42-66-4 and the Older Americans Act, 42 U.S.C. § 3001 et seq.History of Section.P.L. 1995, ch. 92, § 1.
RI Gen L § 42-66.7-4 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.7 - Long-Term Care Ombudsperson Act of 1995|Section 42-66.7-4 - Long-term care ombudsperson.

§ 42-66.7-4. Long-term care ombudsperson.The department of elderly affairs shall establish the position(s) of long-term care ombudsperson for the purpose of advocating on behalf of long-term care facility residents and of receiving, investigating and resolving through mediation, negotiation, and administrative action complaints filed by residents of long-term care facilities, individuals acting on their behalf or any individual organization or government agency that has reason to believe that a long-term care facility, organization or government agency has engaged in activities, practices or omissions that constitute a violation of applicable statutes or regulations or that may have an adverse effect upon the health, safety, welfare, rights or the quality of life of residents of long-term care facilities. The department of elderly affairs may operate the office of long-term care ombudsperson and carry out the program, directly or by contract or other arrangement with any public agency or non-profit organization.History of Section.P.L. 1995, ch. 92, § 1.
RI Gen L § 42-66.7-5 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.7 - Long-Term Care Ombudsperson Act of 1995|Section 42-66.7-5 - Powers and duties.

§ 42-66.7-5. Powers and duties.The long-term care ombudsperson shall:(1) Identify, investigate, and resolve complaints that: (a) are made by, or on behalf of, residents; and (b) relate to action, inaction, or decisions, that may adversely affect the health, safety, welfare, or rights of the residents (including the welfare and rights of the residents with respect to the appointment and activities of guardians and representative payees) and health care and financial powers of attorney;(2) Receive all reports of incidents reportable to the department of health within twenty-four (24) hours, or by the next business day of the occurrence, in cases of resident abuse, neglect, exploitation, theft, sexual abuse, accidents involving fires, elopement and patient to patient abuses;(3) Receive all reports of thirty (30) day notices of resident discharge from long-term care facilities;(4) Provide referral services to assist residents in protecting their health, safety, welfare and rights;(5) Inform residents of their rights and advocate on their behalf to improve their quality of life and live with dignity and respect;(6) Formulate policies and procedures to identify, investigate, and resolve complaints;(7) Make appropriate referrals of investigations to other state agencies, including, but not limited to, the departments of health, human services and attorney general;(8) Offer assistance and training to public and private organizations on long-term care of elders and persons with disabilities;(9) Represent the interests of residents of facilities before government agencies and seek administrative, legal, and other remedies to protect the health, safety, welfare, and rights of the residents including, but not limited to, rights with respect to the appointment or removal of guardians and representative payees powers of attorney;(10) Review and, if necessary, comment on any existing and proposed laws, regulations, and other government policies and actions, that pertain to the rights and well-being of residents of facilities.History of Section.P.L. 1995, ch. 92, § 1; P.L. 2003, ch. 55, § 1; P.L. 2003, ch. 74, § 1; P.L. 2006, ch. 361, § 1; P.L. 2006, ch. 501, § 1.
RI Gen L § 42-66.7-6 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.7 - Long-Term Care Ombudsperson Act of 1995|Section 42-66.7-6 - Confidentiality.

§ 42-66.7-6. Confidentiality.The files maintained by the long-term care ombudsperson program are confidential and shall be disclosed only with the written consent of the resident client affected or his or her legal representative, or if any disclosure is required by court order. Nothing in this paragraph shall be construed to prohibit the disclosure of information gathered in an investigation to any interested party as may be necessary to resolve the complaint or to refer to other appropriate state agencies investigating civil, criminal or licensing violations.History of Section.P.L. 1995, ch. 92, § 1; P.L. 2003, ch. 55, § 1; P.L. 2003, ch. 74, § 1.