Rhode Island Code of Regulations › Title 210 - Executive Office of Health and Human Services › Chapter 20 - Medicaid Payments and Providers › Subchapter 00 - N/A › Part 2 - Medicaid Payments and Providers: Transportation Services › Section 210-RICR-20-00-2.3 - Definitions

Current through June 14, 2024
A. Wherever used in these rules and
				  regulations, the following terms shall be construed as follows:
1. "Border communities" means the list of
				  locations contained in §
											2.20   of this Part.
2. "Curb-to-curb" means transportation of the
				  beneficiary from the curb in front of his/her residence to the curb in front of
				  the destination, including the return trip. The driver may assist the
				  individual to get in and out of the vehicle.
3. "Door-to-door" means transportation of the
				  beneficiary from the outside door of his/her residence to the outside door of
				  his/her destination, including the return trip. "Door-to-door" is further
				  defined herein to mean the transport of the beneficiary from the ground level
				  door of his/her residence to the ground level door of his/her destination,
				  including the return trip.
4.
				  "Elderly", as used herein, means persons aged 60 and older.
5. "Emergency transportation" means
				  transportation to obtain emergency health care services for unforeseen
				  circumstances which demand immediate attention at a hospital to prevent serious
				  impairment or loss of life. Medically necessary emergency transportation must
				  be provided by ambulance.
6.
				  "Executive Office of Health and Human Services" or "EOHHS" means the state
				  agency that is designated under the Medicaid State Plan as the single state
				  agency responsible for the administration of the Title XIX Medicaid
				  Program.
7. "Limited public motor
				  vehicle" or "LPMV" means and includes every motor vehicle for hire, other than
				  a jitney, as defined in R.I. Gen. Laws §
											39-13-1,
				  or a taxicab equipped with a taximeter used for transporting members of the
				  general public for compensation only from a designated location on private
				  property to such points as may be directed by the passenger.
8. "Medicaid-covered service" means the full
				  scope of services and supports authorized by the Medicaid State Plan and the
				  Section 1115 demonstration waiver. Although there is variation in benefits by
				  coverage group, in general, Medicaid health coverage includes the benefits set
				  forth in Part 10-00-1 of this Title, "Overview of the Rhode Island Medicaid and
				  Children's Health Insurance Program."
9. "Medically necessary" means and includes
				  medical/health visits that are part of a total patient plan of care supervised
				  and ordered by a health care professional.
10. "Ride share program" means a
				  transportation service provided through a Transportation Network Company (TNC)
				  regulated by the Rhode Island Division of Public Utilities and Carriers under
				  R.I. Gen. Laws Chapter 39-14.2.
11.
				  "R.I. Gen. Laws" means the Rhode Island General Laws, as amended.
12. "Transportation management authority"
				  means an entity that provides, or arranges to provide, transportation services
				  to EOHHS beneficiaries and elderly non-Medicaid riders, as provided
				  herein.
13. "Transportation
				  provider" means an entity that transports EOHHS beneficiaries and elderly
				  non-Medicaid riders, as provided herein, via public transit (bus), taxi, LPMV,
				  ride share program, public motor vehicles, multi-passenger van, ambulance, or
				  wheelchair van.