Medicaid Payments and Providers

210-RICR-20-00-1 PROPOSED RULE

Title 210 Executive Office of Health and Human Services
Chapter 20 Medicaid Payments and Providers
Subchapter 00 N/A
Part 1 Medicaid Payments and Providers
Type of Filing Amendment
Regulation Status Proposed
Filing Notice Date 06/29/2026
Filing Hearing Date(s) 07/22/2026
Public Comment Dates 06/29/2026 to 07/29/2026
Additional Information eohhs.ri.gov/reference-center/rules-procedures/proposed-and-pending-actions

Regulation Authority:

Title XIX of the Social Security Act
R.I. Gen. Laws § 42-7.2-18.1 through 18.4 and 40-8.2-3
42 C.F.R. Part 455

Purpose and Reason:

This amendment makes changes to clarify the Medicaid provider enrollment and program integrity processes under the federal frameworks established in the Social Security Act and 42 C.F.R. Part 455. The purpose of this amendment is to promote program integrity and continuous quality improvement within the Medicaid program. The amendment primarily addresses federal requirements and audit findings and makes technical edits to improve clarity for the provider community. It also codifies and fully documents the existing processes and requirements to enroll and remain enrolled as a provider in the Medicaid program.

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