reglab/statecodes huggingface dataset:
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 1 - Rules and Regulations Governing Vital Records › Section 216-RICR-10-10-1.40 - Disclosure of Vital Records

Current through June 14, 2024
A. Pursuant to R.I.
				  Gen. Laws §
										23-3-23,
				  except as provided in §
										1.40(E)   of
				  this Part, in order to protect the integrity of vital records, to ensure their
				  proper use, and to ensure the efficient and proper administration of the vital
				  records system, no person shall permit inspection of or disclose information
				  contained in a vital record, or copy or issue a copy of all or part of any such
				  record prior to the time a record is determined to be a public record, except
				  to those person(s) or entities listed below:
1. For birth records, the registrant, if over
				  eighteen (18) years of age, the registrant's parent or guardian,
				  grandparent(s), sibling(s), if over eighteen (18) years of age, spouse, civil
				  union or registered domestic partner, issue(s), if over eighteen (18) years of
				  age; or
a. Attorneys-at-law, title examiners,
				  or members of legally incorporated genealogical societies, in the conduct of
				  their official duties; or
b. Persons
				  requiring information for the determination or protection of a personal or
				  property right; or
c. A person who
				  presents to the State or local registrar a court order instructing the
				  registrar to provide disclosure.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 1 - Rules and Regulations Governing Vital Records › Section 216-RICR-10-10-1.41 - Reproduction for Preservation of Vital Records

Current through June 14, 2024
To preserve original documents, the State Registrar is
					 authorized to prepare electronic, photographic, or other reproductions of
					 original records and files in his/her office. Such reproductions when certified
					 by him/her shall be accepted as the original records, pursuant to R.I. Gen.
					 Laws §
										23-3-22.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 1 - Rules and Regulations Governing Vital Records › Section 216-RICR-10-10-1.42 - Certified Copies of Vital Records

Current through June 14, 2024
A. Certified copies
				  of vital records may be prepared and issued only by the State Registrar and,
				  where applicable, by the local registrar, in accordance with these Regulations.
				  Only authorized forms provided by the State Registrar may be used for preparing
				  certified copies.
B. Each certified
				  copy issued shall show the following:
1. The
				  date of registration at the place where the record was first
				  registered;
2. The date of issuance
				  of the copy;
3. The signature of
				  the issuing registrar, or an authorized facsimile signature thereof;
4. The seal of the issuing office or as
				  otherwise directed by the State Registrar; and
5. A statement that the facts are true facts
				  as recorded.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 1 - Rules and Regulations Governing Vital Records › Section 216-RICR-10-10-1.43 - Fees

Current through June 14, 2024
A. Certified copies and searches:
1. The State Registrar shall charge fees for
				  certified copies and searches as follows:
a.
				  For a search of two (2) consecutive calendar years under one (1) name and for
				  issuance of a certified copy of a certificate of birth, fetal death, death, or
				  marriage, or a certification of birth, or a certification that the record
				  cannot be found, the fee is as set forth in Fee Structure for Licensing,
				  Laboratory and Administrative Services Provided by the Department of Health,
				  Subchapter 05 Part 2 of this Chapter. For each duplicate copy of a certificate
				  or certification issued at the same time, the fee is as set forth in the Fee
				  Structure for Licensing, Laboratory and Administrative Services Provided by the
				  Department of Health, Subchapter 05 Part 2 of this Chapter;
b. For each additional calendar year search,
				  if applied for at the same time or within three (3) months of the original
				  request and if proof of payment for the basic search is submitted, the fee is
				  as set forth in the Fee Structure for Licensing, Laboratory and Administrative
				  Services Provided by the Department of Health, Subchapter 05 Part 2 of this
				  Chapter;
c. For providing expedited
				  service, the additional handling fee is as set forth in the Fee Structure for
				  Licensing, Laboratory and Administrative Services Provided by the Department of
				  Health, Subchapter 05 Part 2 of this Chapter;
d. For processing of adoptions,
				  legitimations, or paternity determinations as specified in R.I. Gen. Laws
				  §§
												23-3-14 and
				   23-3-15,
				  there shall be a fee as set forth in the Fee Structure for Licensing,
				  Laboratory and Administrative Services Provided by the Department of Health,
				  Subchapter 05 Part 2 of this Chapter.
e. For making authorized corrections,
				  alterations, and additions, the fee is as set forth in the Fee Structure for
				  Licensing, Laboratory and Administrative Services Provided by the Department of
				  Health, Subchapter 05 Part 2 of this Chapter; provided, no fee shall be
				  collected for making authorized corrections or alterations and additions on
				  records filed before one (1) year of the date on which the event recorded has
				  occurred.
f. For examination of
				  documentary proof and the filing of a delayed record, a fee as set forth in the
				  Fee Structure for Licensing, Laboratory and Administrative Services Provided by
				  the Department of Health, Subchapter 05 Part 2 of this Chapter, and in addition
				  to that fee, the fee is as set forth in the Fee Structure for Licensing,
				  Laboratory and Administrative Services Provided by the Department of Health,
				  Subchapter 05 Part 2 of this Chapter, for the issuance of a certified copy of a
				  delayed record.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 1 - Rules and Regulations Governing Vital Records › Section 216-RICR-10-10-1.44 - Violations and Penalties

Current through June 14, 2024
Any person who willfully and knowingly violates any
					 provisions of the Act, or the requirements of these Regulations, shall be
					 subject to the penalties as set forth in the Act.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 1 - Rules and Regulations Governing Vital Records › Section 216-RICR-10-10-1.45 - Severability

Current through June 14, 2024
If any provision of these Regulations or the application to
					 any person or circumstances shall be held invalid, such invalidity shall not
					 affect the provisions or application of the Regulations which can be given
					 effect, and to this end the provisions of these Regulations are declared to be
					 severable.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 2 - Rhode Island Cancer Registry › Section 216-RICR-10-10-2.1 - Authority

Current through June 14, 2024
These Rules and Regulations are promulgated pursuant to the
					 authority conferred under R.I. Gen. Laws §§
										23-1-18(2),
					  23-8-1, and
					  23-12-4 for the purpose of
					 establishing a unified procedure for the reporting of cancer to the Rhode
					 Island Cancer Registry.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 2 - Rhode Island Cancer Registry › Section 216-RICR-10-10-2.3 - Administration of the Rhode Island Cancer Registry

Current through June 14, 2024
A. All
				  cases as defined in §
										2.2(A)(5)   of
				  this Part shall be reportable in accordance with the statutory and regulatory
				  provision herein.
B. Pursuant to
				  R.I. Gen. Laws §
										23-12-4, the Director may enter
				  into a contract with a non-profit organization to be responsible to the Rhode
				  Island Cancer Registry for the collection and recording of all reportable cases
				  as defined in §
										2.2(A)(5)   of
				  this Part.
1. A contract entered into with a
				  non-profit organization shall clearly delineate the mutual responsibilities of
				  the parties involved and shall include other terms of agreement such as
				  reimbursement, designation of services to be rendered, confidentiality,
				  disclosure of data, assurance of compliance with the requirements herein, and
				  such other terms of agreement as may be mutually acceptable.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 2 - Rhode Island Cancer Registry › Section 216-RICR-10-10-2.4 - Reporting Requirements

Current through June 14, 2024
A. Health care
				  facilities and/or health care providers as defined in §
										2.2(A)(4)   of
				  this Part, shall be responsible to report to the Rhode Island Cancer Registry
				  and the organization and/or agency approved by the Director, each reportable
				  malignant disease indicated by test results, diagnosed and/or confirmed within
				  the health care facility and/or by the health care provider on and after
				  October 1, 1986, each reportable benign neoplasm of the brain or central
				  nervous system indicated by test results, diagnosed and/or confirmed within the
				  health care facility and/or by the health care provider on and after January 1,
				  1998, and each reportable
in situ
carcinomas of the cervix
				  (also known as squamous intraepithelial neoplasia 3: CIN-3 or high-grade
				  squamous epithelial lesion: HSIL) indicated by test results, diagnosed and/or
				  confirmed within the health care facility and/or by the health care provider on
				  and after January 1, 2018, including all histopathology and cytology specimens
				  removed elsewhere but found to be positive for each reportable case upon
				  initial reading or upon consultative reading at the health care facility and/or
				  by the health care provider. Health care facilities and/or health care
				  providers shall report each reportable case treated within the health care
				  facility and/or by the health care provider if that case was diagnosed therein
				  or thereby, or if the treatment therein or thereby is part of the first course
				  of definitive treatment for the case.
B. Each health care facility and/or health
				  care provider shall electronically submit such data and information on
				  reportable cases and shall meet data element requirements, format,
				  completeness, quality, and timelines prescribed by:
1. Chapter VII "Record Layout Table"? of the
				  "Standards Volume II"? of the "Central Cancer Registry Standards"? (Version 22,
				  Revised October 28, 2021) published by the North American Association of
				  Central Cancer Registries, incorporated herein by reference, not including any
				  later editions or amendments thereof; and
2. "Standards for Oncology Registry Entry"?
				  (January 1, 2022) published by the Commission on Cancer, incorporated herein by
				  reference, not including any later editions or amendments thereof.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 2 - Rhode Island Cancer Registry › Section 216-RICR-10-10-2.5 - Procedure for Reporting

Current through June 14, 2024
A. Each health care
				  facility and/or health care provider shall submit a set of available
				  information on reportable cases within thirty (30) to forty-five (45) days from
				  the date of a case first seen by provider (including but not limited to:
				  patient demographic information, date of diagnosis, primary site, histology,
				  behavior, tumor identifier, tumor sequence number, and facility/provider
				  information), as defined in §
										2.2   of this Part, and
				  specified by the Rhode Island Cancer Registry.
B. Within one hundred eighty (180) days from
				  the date of a reportable case first seen by provider as defined in §
										2.2   of this Part, a health
				  care facility and/or health care provider shall report complete all required
				  information, as specified by the Rhode Island Cancer Registry. The originating
				  health care facility and/or provider shall retain a duplicate copy of submitted
				  information for a two (2) year period from the date of submission. Said
				  information and data shall be submitted in a manner consistent with §
										2.4   of this Part.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 2 - Rhode Island Cancer Registry › Section 216-RICR-10-10-2.6 - Validation of Data

Current through June 14, 2024
A. To ensure the
				  accuracy of the data and the completeness of reporting, the Administrator is
				  authorized to review periodically patients' medical records and all other
				  sources of patient information, including but not limited to, pathology reports
				  or logs, cytology reports or logs, disease indexes, operating room logs, or
				  radiation therapy logs, as may be necessary to substantiate the accuracy of the
				  data and the completeness of reporting.
1.
				  Nothing under the provisions of the Acts and this Part shall be construed to
				  compel any individual to submit to physical examination or medical
				  supervision.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 2 - Rhode Island Cancer Registry › Section 216-RICR-10-10-2.7 - Confidentiality

Current through June 14, 2024
A. The Rhode Island Cancer Registry shall
				  maintain comprehensive records of all reports of reportable cases submitted
				  pursuant to the provisions of the Acts and the Rules and Regulations herein.
				  Such reports shall be confidential in accordance with R.I. Gen. Laws Chapter
				  5-37.3 and subject to the restrictions on release incorporated therein.
1. The mutual exchange of cancer related data
				  with neighboring States pursuant to reciprocal contracts for said purpose shall
				  also be subject to the aforementioned statutory provisions on
				  confidentiality.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 2 - Rhode Island Cancer Registry › Section 216-RICR-10-10-2.8 - Ownership and Publication of Data

Current through June 14, 2024
All individual records and aggregate data relating to the
					 Rhode Island Cancer Registry are the property of the Rhode Island Department of
					 Health. The use of confidential records by any person shall be subject to the
					 approval of the Director in accordance with applicable Federal and State law,
					 Rules and Regulations regarding confidentiality and public access to
					 data.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 2 - Rhode Island Cancer Registry › Section 216-RICR-10-10-2.9 - Violations/Sanctions

Current through June 14, 2024
Failure of any health care facility and/or health care
					 provider to comply with the provisions of the Acts and this Part, shall be
					 subject to sanctions and referred to the appropriate licensing and/or
					 disciplinary body.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 2 - Rhode Island Cancer Registry › Section 216-RICR-10-10-2.10 - Exception

Current through June 14, 2024
A. Modification of any individual requirement
				  of this Part may be granted by the Director upon motion of the Rhode Island
				  Cancer Registry or upon request of a contracting agency and/or organization in
				  a specific case, if the Director finds that the modification to the requirement
				  is not contrary to the purpose of the Rhode Island Cancer Registry nor contrary
				  to the public interest.
1. A request for
				  modification of a requirement shall require advance written request to the
				  Director and written approval by the Director.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 3 - Rhode Island Birth Defects Registry (216-RICR-10-10-3) › Section 216-RICR-10-10-3.1 - Authority

Current through June 14, 2024
A. These regulations are promulgated pursuant
				  to the authority conferred in R.I. Gen. Laws §
										23-13.3-3(f),
				  and are hereby adopted for the purpose of establishing a unified procedure for
				  the reporting of birth defects of newborns and spontaneous fetal deaths to the
				  Rhode Island Birth Defects Registry.
B. The Rhode Island General Assembly has
				  found that birth defects are a major cause of infant deaths and childhood
				  disabilities; and that early recognition and response to birth defects often
				  prevents more serious effects; and that the epidemiological patterns of
				  specific birth defects may provide keys to improved birth outcomes. An active
				  birth defects surveillance and information system is essential to developing
				  programs and disseminating information that can reduce birth defects and infant
				  mortality. An active birth defects surveillance and information system serves
				  to describe occurrence of birth defects in the newborn and children up to five;
				  detect trends of morbidity and mortality, stimulate epidemiological research to
				  diminish the impact of birth defects and infant mortality; and identify
				  newborns and children with birth defects to intervene on a timely basis for
				  treatment.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 3 - Rhode Island Birth Defects Registry (216-RICR-10-10-3) › Section 216-RICR-10-10-3.2 - Incorporated Materials

Current through June 14, 2024
These regulations hereby adopt and incorporate the National
					 Center for Health Statistics' "International Classification of Diseases, 10th
					 Revision Clinical Modification" (2015) by reference, not including any further
					 editions or amendments thereof and only to the extent that the provisions
					 therein are not inconsistent with these regulations.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 3 - Rhode Island Birth Defects Registry (216-RICR-10-10-3) › Section 216-RICR-10-10-3.4 - General Reporting Requirements

Current through June 14, 2024
A. Due to
				  increasingly timely and accurate detecting methods in the prenatal stages, all
				  new cases of reportable birth defects as listed in §
										3.5   of this Part diagnosed on
				  and after July 1, 2016 in all unborn fetuses and children up to sixty (60)
				  months (five years) of age shall be reportable by health care facilities,
				  health care practitioners, and clinical laboratories in accordance with the Act
				  and this Part. Reporting is required for all children residing in Rhode
				  Island.
B. The administrative
				  officer, or his/her designee, of each health care facility, health care
				  practitioner practice setting, or clinical laboratory shall be responsible for
				  establishing the reporting procedures at that facility or practice setting.
				  These procedures shall ensure that every case up to sixty (60) months [five (5
				  years)] of age that is diagnosed in the facility-operated inpatient or
				  outpatient setting, by a health care practitioner, or by a clinical laboratory
				  shall be reported to the Registry. If a child is transported to another
				  facility, the health care facility, health care practitioner practice setting,
				  or clinical laboratory at which the reportable diagnosis is first made shall be
				  responsible for reporting. This reporting requirement also applies in cases
				  where the child dies before the age of five (5) or in cases where the birth
				  defect is corrected.
C. Within
				  sixty (60) days from the date of diagnosis or confirmation of a new case of a
				  reportable birth defect as listed in §
										3.5   of this Part, a health
				  care facility, health care practitioner, or clinical laboratory shall report in
				  the manner specified by the Department all the information and data requested.
				  The originating health care facility, health care practitioner, or clinical
				  laboratory shall retain a duplicate copy of submitted information for a two (2)
				  year period from the date of submission.
D. Nothing under the provisions of the Act
				  and this Part shall be construed to compel any individual to submit to medical
				  or Department examination or supervision.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 3 - Rhode Island Birth Defects Registry (216-RICR-10-10-3) › Section 216-RICR-10-10-3.5 - Reportable Defects

Current through June 14, 2024
A. Health care
				  facilities and clinical laboratories shall report those defects identified by
				  the "Q" codes listed in the publication entitled, "International
				  Classifications of Diseases, 10th Revision, Clinical Modification" incorporated
				  above at 3.2 of this Part, as well as the following selected codes: C 09-11,
				  C22, C 56-58, C62, C 64-66, C 68-69, C 74-75, F84, H54, H 90-919, P96.1,
				  P04.41, and P04.4. The Q codes for birth defects are separated by the following
				  body systems:
1. Q00-Q07 - Nervous
				  System
2. Q10-Q18 - Eye, Ear, Face,
				  and Neck Anomalies
3. Q20-Q28 -
				  Cardiovascular System
4. Q30-Q34 -
				  Respiratory System
5. Q35-Q37 -
				  Orofacial Anomalies
6. Q38-Q45 -
				  Digestive System
7. Q50-Q56 -
				  Reproductive System
8. Q60-Q64 -
				  Urinary System
9. Q65-Q79 -
				  Musculoskeletal System
10. Q80-Q89
				  - Other Anomalies
11. Q90-Q99 -
				  Chromosomal Abnormalities
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 3 - Rhode Island Birth Defects Registry (216-RICR-10-10-3) › Section 216-RICR-10-10-3.6 - Validation of Data

Current through June 14, 2024
To ensure the accuracy of the data and the completeness of
					 reporting, the Registrar is authorized to review periodically patients' medical
					 records and all other sources of patient information, including but not limited
					 to, disease/diagnosis indices, labor and delivery logs, nursery log, newborn
					 intensive care unit log, pediatric log, pediatric intensive care log, stillborn
					 log, pathology/autopsy log, ultrasound reports, or cytogenetic reports as may
					 be necessary to substantiate the accuracy of the data and the completeness of
					 reporting.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 3 - Rhode Island Birth Defects Registry (216-RICR-10-10-3) › Section 216-RICR-10-10-3.7 - Confidentiality

Current through June 14, 2024
A. The birth defects surveillance and
				  information system shall maintain comprehensive records of all reports
				  submitted pursuant to the Act and this Part. These reports shall be
				  confidential in accordance with R.I. Gen. Laws Chapter 5-37.3 and subject to
				  the restrictions on release incorporated in that Chapter. Provided, however,
				  any such information shall be available only for the purposes of the Act, and
				  any data requested for demographic or epidemiological studies shall be provided
				  in a format without individually identifiable information.
B. All individual records and aggregate data
				  including abstract report forms relating to the Rhode Island Birth Defects
				  Registry are the property of the Department. The use of records and aggregate
				  data by any person shall be subject to the approval of the Director.
				  Furthermore, requests for access to data compiled pursuant to the provisions of
				  this Part may be granted only by the Director in accordance with applicable
				  federal and state law, rules and regulations regarding confidentiality and
				  public access to data.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 3 - Rhode Island Birth Defects Registry (216-RICR-10-10-3) › Section 216-RICR-10-10-3.8 - Violations/Sanctions

Current through June 14, 2024
Failure of any health care facility or clinical laboratory
					 to comply with the provisions of the Act and this Part shall be subject to
					 sanctions and referred to the appropriate licensing and/or disciplinary
					 body.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 3 - Rhode Island Birth Defects Registry (216-RICR-10-10-3) › Section 216-RICR-10-10-3.9 - Exception and Severability

Current through June 14, 2024
A. Modification of
				  any individual rule and regulation of this Part may be granted by the Director
				  upon motion of the Registrar or upon request of a contracting agency and/or
				  organization in a specific case, if the Director finds that the modification to
				  the rule is not contrary to the purpose of the Rhode Island Birth Defects
				  Registry nor contrary to the public interest. A request for modification of a
				  rule shall require advance written request to the Director and written approval
				  by the Director.
B. If any
				  provision of this Part or the application thereof to any facility or provider
				  or circumstances shall be held invalid, such invalidity shall not affect the
				  provisions or application of this Part which can be given effect, and to this
				  end the provisions of this Part are declared to be severable.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 4 - Rhode Island Traumatic Brain Injury and Spinal Cord Injury Registry (216-RICR-10-10-4) › Section 216-RICR-10-10-4.1 - Authority

Current through June 14, 2024
These rules and regulations pertaining to the Rhode Island
					 Traumatic Brain Injury/Spinal Cord Injury Registry are promulgated pursuant to
					 the authority conferred in R.I. Gen. Laws §
										23-1-49 for the purpose of establishing a unified procedure for the reporting of
					 traumatic brain injuries and spinal cord injuries to the Rhode Island Traumatic
					 Brain Injury Spinal Cord Injury Registry maintained by the Rhode Island
					 Department of Health.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 4 - Rhode Island Traumatic Brain Injury and Spinal Cord Injury Registry (216-RICR-10-10-4) › Section 216-RICR-10-10-4.2 - Incorporated Materials

Current through June 14, 2024
These regulations hereby adopt and incorporate the U.S.
					 Department of Health and Human Services "International Classification of
					 Disease, 9th Revision Clinical Modification" (1989), by reference, not
					 including any further editions or amendments thereof and only to the extent
					 that the provisions therein are not inconsistent with these
					 regulations.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 4 - Rhode Island Traumatic Brain Injury and Spinal Cord Injury Registry (216-RICR-10-10-4) › Section 216-RICR-10-10-4.3 - Definitions

Current through June 14, 2024
A. Wherever used in these rules and
				  regulations the following terms shall be construed as follows:
1. "Act" means R.I. Gen. Laws §
											23-1-49.
2. "Traumatic brain injury" means all
				  injuries codes: 310.2, 800, 801, 803, 804, 850, 851, 852, 853, 854, 959.01,
				  905.0, and 907.0 as defined by the International Classification of Disease, 9th
				  Revision Clinical Modification, incorporated above at §
											4.2   of this Part.
3. "Spinal cord injury" means all injuries
				  codes: 806, 952, and 907.2 as defined by the International Classification of
				  Disease, 9th Revision Clinical Modification, incorporated above at §
											4.2   of this Part.
4. "Department" means the Rhode Island
				  Department of Health.
5. "Director"
				  means the Director of the Department of Health.
6. "Hospital" means a facility licensed in
				  Rhode Island with a governing body, an organized medical staff and a nursing
				  service providing equipment and services primarily for inpatient care to
				  persons who require definitive diagnosis and treatment for injury, illness or
				  other disabilities or pregnancy. A hospital shall provide psychiatric and/or
				  medical and/or surgical care and at least the following services: dietetic,
				  infection control, medical records, laboratory, pharmaceutical and radiology,
				  except that a psychiatric facility need not provide radiology
				  services.
7. "Registrar of the
				  Traumatic Brain Injury/Spinal Cord Injury Registry" hereinafter referred to as
				  Registrar, means the person within the Department designated by the Director to
				  be responsible for the operation of the Rhode Island Traumatic Brain
				  Injury/Spinal Cord Injury Registry.
8. "Rhode Island Traumatic Brain
				  Injury/Spinal Cord Injury Registry" means the central registry established
				  within the Department by the Director pursuant to the Act as the statewide
				  registry for the collection and recording of information on all cases of
				  traumatic brain injuries and spinal cord injuries for the purpose of describing
				  the occurrence of traumatic brain injury and spinal cord injury among Rhode
				  Islanders; detecting trends of morbidity and mortality, stimulating
				  epidemiological research, diminishing the impact of these injuries; and
				  identifying survivors of these injuries in order to intervene on a timely basis
				  for treatment.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 4 - Rhode Island Traumatic Brain Injury and Spinal Cord Injury Registry (216-RICR-10-10-4) › Section 216-RICR-10-10-4.4 - General Reporting Requirements

Current through June 14, 2024
A. All newly
				  diagnosed traumatic brain and/or spinal cord injuries and the submission of any
				  specified additional information on reported injuries that the Director deems
				  necessary and appropriate for the recognition, prevention, or control of those
				  injuries shall be reported to the Department in the manner described herein.
1. All cases of traumatic brain injury and
				  spinal cord injury as listed in §
											4.5   of this Part diagnosed on
				  and after July 1, 2007 shall be reportable by hospitals in accordance with the
				  statutory and regulatory provisions herein. Reporting is required for all such
				  injuries occurring in Rhode Island.
2. The administrative officer, or his/her
				  designee, of each hospital shall be responsible for establishing the reporting
				  procedures at that facility. These procedures shall ensure that every case that
				  is diagnosed either in the facility-operated inpatient or emergency department
				  shall be reported to the Registry. Cases wherein death occurs prior to
				  discharge from the facility shall also be reported to the Registry.
3. Within fourteen (14) days from the date of
				  diagnosis or confirmation of a new case of a reportable traumatic brain injury
				  or spinal cord injury as listed in §
											4.5   of this Part, a hospital
				  shall report in the manner specified by the Department all the information and
				  data requested. The originating hospital shall retain a duplicate copy of
				  submitted information for a two (2) year period from the date of
				  submission.
4. Nothing under the
				  provisions of the Act and the rules and regulations herein shall be construed
				  to compel any individual to submit to medical or Departmental examination or
				  supervision.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 4 - Rhode Island Traumatic Brain Injury and Spinal Cord Injury Registry (216-RICR-10-10-4) › Section 216-RICR-10-10-4.5 - Reportable Injuries

Current through June 14, 2024
A. Hospitals shall
				  report those injuries identified by the following selected codes listed in the
				  publication entitled, "International Classifications of Diseases, 9th Revision,
				  Clinical Modification" as incorporated above at §
										4.2   of this Part:
1. Traumatic Brain Injury
a. 310.2 Post-concussion syndrome/post
				  traumatic encephalopathy
b. 800
				  Skull fracture (vault)
c. 801 Skull
				  fractures (base)
d. 803 other and
				  unqualified skull fractures
e. 804
				  Multiple fracture of skull and face with other bones
f. 850 Concussion
g. 851 cerebral laceration/
				  confusions
h. 852 SAH, SDH
				  && EDH with SD injury
i.
				  853 other and unspecified IC hemorrhage
j. 854 IC injury other and
				  unspecified
k. 995.55 Shaken Infant
				  Syndrome
l. 959.01 Head injury
				  unspecified
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 4 - Rhode Island Traumatic Brain Injury and Spinal Cord Injury Registry (216-RICR-10-10-4) › Section 216-RICR-10-10-4.6 - Confidentiality

Current through June 14, 2024
The Traumatic Brain Injury/Spinal Cord Injury Registry
					 shall maintain comprehensive records of all reports submitted pursuant to the
					 Act and the rules and regulations herein. These reports shall be confidential
					 in accordance with R.I. Gen. Laws Chapter 5-37.3 and subject to the
					 restrictions on release incorporated in that Chapter.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 4 - Rhode Island Traumatic Brain Injury and Spinal Cord Injury Registry (216-RICR-10-10-4) › Section 216-RICR-10-10-4.7 - Ownership and Publication of Data

Current through June 14, 2024
All individual records and aggregate data including
					 abstract report forms relating to the Rhode Island Traumatic Brain
					 Injury/Spinal Cord Injury Registry are the property of the Department. The use
					 of records and aggregate data by any person shall be subject to the approval of
					 the Director. Furthermore, requests for access to data compiled pursuant to the
					 provisions of these regulations may be granted only by the Director in
					 accordance with applicable federal and state law, rules and regulations
					 regarding confidentiality and public access to data.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 4 - Rhode Island Traumatic Brain Injury and Spinal Cord Injury Registry (216-RICR-10-10-4) › Section 216-RICR-10-10-4.8 - Violations/Sanction

Current through June 14, 2024
Failure of any health care facility to comply with the
					 provisions of the Acts and the rules and regulations herein shall be subject to
					 sanctions and referred to the appropriate licensing and/or disciplinary
					 body.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 4 - Rhode Island Traumatic Brain Injury and Spinal Cord Injury Registry (216-RICR-10-10-4) › Section 216-RICR-10-10-4.9 - Exception and Severability

Current through June 14, 2024
Modification of any individual rule and regulation herein
					 may be granted by the Director upon motion of the Rhode Island Traumatic Brain
					 Injury/Spinal Cord Injury Registry are or upon request of a contracting agency
					 and/or organization in a specific case, if the Director finds that the
					 modification to the rule is not contrary to the purpose of the Rhode Island
					 Traumatic Brain Injury/Spinal Cord Injury Registry nor contrary to the public
					 interest. Provided, however, modifications shall not be made to the
					 confidentiality protections contained in §§4.5.1, 4.6 and 4.7 of this
					 Part.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 4 - Rhode Island Traumatic Brain Injury and Spinal Cord Injury Registry (216-RICR-10-10-4) › Section 216-RICR-10-10-4.10 - Severability

Current through June 14, 2024
If any provision of the rules and regulations herein or the
					 application thereof to any facility or provider or circumstances shall be held
					 invalid, such invalidity shall not affect the provisions or application of the
					 regulations which can be given effect, and to this end the provisions of the
					 rules and regulations are declared to be severable.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 5 - Rhode Island All-Payer Claims Database › Section 216-RICR-10-10-5.1 - Authority

Current through June 14, 2024
These Regulations are promulgated pursuant to the authority
					 conferred under R.I. Gen. Laws §
										23-17.17-4(b) 
					 and are established for the purpose of defining the reporting requirements for
					 health plans and Insurers to submit data and information to the Rhode Island
					 All-Payer Claims Database (APCD), and to define the parameters for release of
					 data, including the administrative process for release in a manner that
					 maximizes public access while adhering to the highest standards of data privacy
					 and security as permitted by applicable State and Federal law.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 5 - Rhode Island All-Payer Claims Database › Section 216-RICR-10-10-5.3 - General Provisions

Current through June 14, 2024
5.3.1
Applicability
Unless specifically exempted pursuant to § 5.3.2 of
					 this Part, this Part applies to all Insurers, as defined in §
											5.2(A)(16)
					   of this Part.
5.3.2
Exemptions
A. The requirements
				  of this Part shall not apply to:
1. An Insurer
				  that on January 1 of a reporting year has less than three thousand (3,000)
				  enrolled or covered Members; or
2.
				  Insurance coverage providing benefits for:
a.
				  Hospital confinement indemnity;
b.
				  Disability income;
c. Accident
				  only;
d. Long-term care;
e. Medicare supplement;
f. Limited benefit health insurance as
				  defined by R.I. Gen. Laws §
													27-50-3(x);
g. Specified disease
				  indemnity;
h. Sickness or bodily
				  injury or death by accident or both; or
i. Other limited benefit policies, including
				  but not limited to those exempt from the application of R.I. Gen. Laws §
													27-50-3 pursuant to subsection (t)(2) through (4) of that statute.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 5 - Rhode Island All-Payer Claims Database › Section 216-RICR-10-10-5.4 - Confidentiality

Current through June 14, 2024
5.4.1
Access to RIAPCD
				  Information
A. Health Care Claims Data
				  Sets and any other information submitted pursuant to this Part, by and between
				  Insurers, the RIAPCD, the Data Aggregator, and the Encrypted Unique Identifier
				  Vendor:
1. Shall not be a public record as
				  defined pursuant to R.I. Gen. Laws §
												38-2-2. No
				  Disclosure of any RIAPCD data set(s) or health information shall be made unless
				  specifically authorized by the Director pursuant to this Part and as otherwise
				  may be prescribed by law or Regulation.
2. Shall be transmitted in accordance with
				  the Rules adopted in HIPAA (45 C.F.R. Parts 160 through 164), Confidentiality
				  of Health Care Communications and Information Act (R.I. Gen. Laws Chapter
				  5-37.3) and other applicable law(s).
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 5 - Rhode Island All-Payer Claims Database › Section 216-RICR-10-10-5.5 - Submission Requirements

Current through June 14, 2024
5.5.1
Specific
				  Submission Requirements
A. Except as
				  specifically exempted pursuant to § 5.3.2 of this Part, each Insurer shall
				  submit to the Director a Health Care Claims Data Set pursuant to § 5.5.3
				  of this Part and an APM File, pursuant to § 5.5.4 of this Part. The Health
				  Care Claims Data Set shall include claims-line detail for all health care
				  services provided to a Member, whether or not the health care was provided
				  within Rhode Island. Such data shall include, but shall not be limited to,
				  fully-insured and self-funded accounts, all commercial medical products for all
				  individuals and all group sizes and Medicare or Medicaid health plans. Such
				  data shall not include Direct Personal Identifiers. The APM File shall include
				  all payments for Members under contracts sitused in Rhode Island. For contracts
				  issued at the group level, the contract is considered sitused in the State
				  where the contract is sold. For contracts that are issued at the individual
				  level, the contract is considered sitused in the State where the individual
				  resides.
1. Should the Insurer have
				  insufficient information to populate a Provider File in compliance with §
				  5.5.3(E) of this Part for services provided to a Member by an out-of-State,
				  out-of-network provider, the Insurer may omit the Provider File from an
				  otherwise complete health care claims data set file submission.
2. Each Insurer shall also be responsible for
				  the submission of all health care claims data and APM File data processed by
				  any sub-contractor on its behalf unless such sub-contractor is already
				  submitting the identical data as an Insurer in its own right.
3. The Health Care Claims Data Set submitted
				  shall include, where applicable, a Member Eligibility File, not including any
				  Direct Personal Identifiers, but utilizing the Unique Encrypted Identifier
				  assigned to the Member, covering every Member enrolled during the reporting
				  month whether or not the Member utilized services during the reporting period,
				  and a Provider File, to be defined in the RIAPCD Technical Specification
				  Manual.
4. The data submitted shall
				  also include supporting definition files for payer specific provider specialty
				  taxonomy codes and procedure and/or diagnosis codes.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 5 - Rhode Island All-Payer Claims Database › Section 216-RICR-10-10-5.6 - Technical Requirements

Current through June 14, 2024
5.6.1
Code
				  Sources and File Specifications
Only code sources and file specifications specified in this
					 Part and/or the RIAPCD Technical Specification Manual shall be utilized in
					 submission of the Health Care Claims Data Sets required pursuant to §
											5.5   of this Part.
5.6.2
Schedule for
				  Submissions
A. Insurers shall submit
				  information to the RIAPCD and the Encrypted Unique Identifier Vendor in the
				  specified format in accordance with the following schedule:
1. Test Data Submissions
a. Within one hundred twenty (120) days of
				  notification by the Department, or other date mutually agreed upon by the
				  Department and Insurer, Insurers shall submit test files containing a month of
				  representative Member Eligibility Files or as specified in the RIAPCD Technical
				  Specification Manual to the Encrypted Unique Identifier Vendor.
b. The Encrypted Unique Identifier Vendor
				  shall return the Member Eligibility File to the Insurer with an assigned
				  Encrypted Unique Identifier within fifteen (15) days of a test file submission
				  by an Insurer.
c. Within one
				  hundred and fifty (150) days of notification by the Department, or other date
				  mutually agreed upon by the Department and Insurer, Insurers shall submit part
				  one of their test files containing a month of representative Member Eligibility
				  Files, Medical Claims Files, Pharmacy Files, Dental Files, and Provider Files
				  as specified in the RIAPCD Technical Specification Manual to the Data
				  Aggregator.
Rhode Island Code of Regulations › Title 216 - Department of health › Chapter 10 - Public Health Administration › Subchapter 10 - Registries › Part 5 - Rhode Island All-Payer Claims Database › Section 216-RICR-10-10-5.7 - Compliance with Data Standards

Current through June 14, 2024
5.7.1
Standards
A. The Data Aggregator
				  shall evaluate each Member Eligibility File, Provider File, Medical Claims
				  File, Pharmacy Claims File, and Dental File in accordance with the following
				  standards:
1. The applicable code for each
				  data element shall be as identified in the RIAPCD Technical Specification
				  Manual and shall be included within eligible values for the element;
2. Coding values indicating "data not
				  available," "data unknown," or the equivalent shall not be used for individual
				  data elements unless specified as an eligible value for the element;
3. The Encrypted Unique Identifier assigned
				  to each Member shall be consistent across files; and
4. Files submitted to the Data Aggregator
				  shall not contain Direct Personal Identifiers.