“Medicaid MAGI Financial Eligibility Determinations and Verification” (210-RICR-30-00-5)

210-RICR-30-00-5 ACTIVE RULE

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5.1Scope and Legal Authority


5.3MAGI Household Construction

5.4Exceptions Requiring Application of Relationship Household Rules

5.5Determination of Household Income

5.6Verification of Income Using the MAGI Methodology

5.7Verification Process

5.8Medicaid Reasonable Compatibility Standards

5.9Reasonable Explanations

5.10Reconciliation Period

5.11Satisfactory Documentation and Alternative Forms of Verification

5.12Post-Eligibility Verification (PEV) by the Integrated Eligibility System (IES)

Title 210 Executive Office of Health and Human Services
Chapter 30 Medicaid for Children, Families, and Affordable Care Act (ACA) Adults
Subchapter 00 Affordable Coverage Groups
Part 5 “Medicaid MAGI Financial Eligibility Determinations and Verification” (210-RICR-30-00-5)
Type of Filing Periodic Refile
Regulation Status Active
Effective 01/04/2022

Regulation Authority:

Chapters 40-6 and 40-8 of the Rhode Island General Laws
as amended; Title XIX of the Social Security Act

Purpose and Reason:

This rule is being refiled by the agency pursuant to R.I. Gen. Laws § 42-35-4.1. No changes were made to the text of this rule.