Medicaid Integrated Health Care Coverage, SSI Financial Eligibility Determinations (210-RICR-40-00-3)

210-RICR-40-00-3 PROPOSED RULE

Title 210 Executive Office of Health and Human Services
Chapter 40 Medicaid for Elders and Adults with Disabilities
Subchapter 00 Integrated Coverage Groups
Part 3 Medicaid Integrated Health Care Coverage, SSI Financial Eligibility Determinations (210-RICR-40-00-3)
Type of Filing Amendment
Regulation Status Proposed
Filing Notice Date 08/29/2024
Public Comment Dates 08/29/2024 to 09/30/2024

Regulation Authority:

R.I. Gen. Laws § 42-35
R.I. Gen. Laws § 42-7.2
Title XIX of the Social Security Act
R.I. Gen. Laws § 40-8.7

Purpose and Reason:

As part of the FY24 Budget, the RI legislature directed OHHS Medicaid to establish a Medicaid buy-in program for working people with disabilities using the "Ticket to Work" federal Medicaid option. 

People currently enrolled in the Sherlock Plan will not experience any programmatic changes when their program switches to be called Ticket to Work.  For those already on Sherlock, this will amount to a program name change and nothing more. For people under age 65 who earn too much money to qualify for Sherlock, Ticket to Work may be an opportunity to access Medicaid eligibility by paying a monthly premium.  For people over 65, the Sherlock Plan will continue in its current form.  

Although it has the same name, this new Medicaid eligibility program is NOT related to the Social Security Administration's Ticket to Work employment program and does not add new rules about what jobs qualify a person for Medicaid buy-in eligibility. 


ACTIVE RULE Amendment - effective from 05/20/2024
INACTIVE RULE Amendment - effective from 11/23/2023 to 05/20/2024
INACTIVE RULE EMERGENCY RULE Amendment - effective from 07/29/2023 to 11/23/2023
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INACTIVE RULE EMERGENCY RULE Amendment - effective from 01/01/2023 to 04/22/2023
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INACTIVE RULE EMERGENCY RULE Amendment - effective from 06/17/2022 to 07/23/2022
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INACTIVE RULE EMERGENCY RULE Amendment - effective from 12/29/2021 to 02/04/2022
INACTIVE RULE Amendment - effective from 09/12/2021 to 12/29/2021
INACTIVE RULE EMERGENCY RULE Amendment - effective from 06/25/2021 to 09/12/2021
INACTIVE RULE Amendment - effective from 06/03/2021 to 06/25/2021
INACTIVE RULE EMERGENCY RULE Amendment - effective from 01/01/2021 to 05/01/2021
INACTIVE RULE Amendment - effective from 11/05/2020 to 06/03/2021
INACTIVE RULE EMERGENCY RULE Amendment - effective from 07/20/2020 to 11/05/2020
INACTIVE RULE Amendment - effective from 04/28/2020 to 07/20/2020
INACTIVE RULE EMERGENCY RULE Amendment - effective from 01/01/2020 to 04/28/2020
INACTIVE RULE Amendment - effective from 07/01/2019 to 01/01/2020
INACTIVE RULE Amendment - effective from 05/06/2019 to 07/01/2019
INACTIVE RULE Amendment - effective from 01/08/2019 to 05/06/2019
INACTIVE RULE Amendment - effective from 03/02/2018 to 01/08/2019
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