Medicaid Code of Administrative Rules, Section #1400, "Medicaid Integrated Health Care Coverage"

Regulation Authority:

Chapters 40-8, 40-8.13 of the Rhode Island General Laws, as amended; Title XIX of the Social Security Act

Purpose and Reason:

With the enactment of the federal Affordable Care Act in 2010, Medicaid eligibility groups were reorganized into two categories based on whether their eligibility must be determined using the Modified Adjusted Gross Income (MAGI) standard or the more comprehensive requirements associated with the Supplemental Security Income (SSI) Program that consider income as well as certain characteristics – i.e., age, disability and blindness. For the purposes of clarity, the State has designated all MAGI-eligible populations as Medicaid Affordable Care Coverage (MACC) groups and consolidated all rules related to these groups in Chapter Section 1300 et seq. of the Medicaid Code of Administrative Rules (MCAR). Beneficiaries subject to the more comprehensive SSI income standards – elders and adults with disabilities and beneficiaries receiving long-term services and supports (LTSS) – have been organized into a new broad coverage category referred to hereinafter as the “Integrated Health Care Coverage (IHCC)” groups.