Medicaid Code of Administrative Rules: Section 1318 Presumptive Eligibility for Medicaid as Determined by Rhode Island Hospitals
210-RICR-30-00-4 INACTIVE RULE
| Title | 210 | Executive Office of Health and Human Services |
| Chapter | 30 | Medicaid for Children, Families, and Affordable Care Act (AC |
| Subchapter | 00 | Affordable Coverage Groups |
| Part | 4 | Medicaid Code of Administrative Rules: Section 1318 Presumptive Eligibility for Medicaid as Determined by Rhode Island Hospitals |
| Type of Filing | Amendment |
| Regulation Status | Inactive |
| Effective | 05/25/2014 to 05/25/2014 |
Regulation Authority:
Chapters 40-6 and 40-8 of the Rhode Island General Laws, as amended, and Title XIX of the Social Security Act
Purpose and Reason:
Under the implementing regulations for the federal Affordable Care Act at 42 Code of Federal Regulations (CFR) 435.1110, states must offer Medicaid coverage to individuals who are not already Medicaid members for a limited time period. This form of “presumptive eligibility” is only available in certain circumstances when a qualified hospital determines, on the basis of preliminary information, that an individual has the characteristics for Medicaid eligibility in a certain coverage group. Such individuals are “presumed eligible” for Medicaid until the end of the following month or the date full eligibility is determined, whichever comes first. The EOHHS is adopting these rules to ensure the state’s presumptive eligibility program both complies fully with recently-adopted pertinent federal regulations and procedures and to ensure that the health, safety, and welfare of Rhode Islanders are well-served.
