MEDICAL ASSISTANCE PROGRAM- SECTION 0348- RITE CARE PROGRAM


218-909 INACTIVE RULE

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Title 218 Department of Human Services
Chapter XXX Old Regulations Which Were Not Assigned Chapter-Subchap-Part
Subchapter XX Old Regulations Which Were Not Assigned Chapter-Subchap-Part
Part 909 MEDICAL ASSISTANCE PROGRAM- SECTION 0348- RITE CARE PROGRAM
Type of Filing Amendment
Regulation Status Inactive
Effective 09/29/2009 to 09/01/2010

Regulation Authority:

RIGL 40-6; Title XIX of the Social Security Act

Purpose and Reason:

Pending approval from the Centers for Medicaid and Medicare Services (CMS), effective October 1, 2009, reimbursement for hospital emergency room visits for all Medical Assistance recipients (including RIte Care and RIte Share), except for those under age twenty- one (21) will be limited to twelve (12) visits per year. Emergency room visits that are immediately followed by admission to an inpatient status will not be included in the twelve (12) visit limit. This change will result in a decrease of an annual aggregate expenditure of $ 2.8 million for Hospital Emergency Room; and in accordance with Sections 44-30.1-1, 44-30.1-3, 44-30.1-4 and 44-30.1-8 of the Rhode Island General Laws in Chapter 44-30.1 entitled 'Setoff of Refund of Personal Income Tax', DHS through the CCR/Fraud Unit will recover Medical Assistance benefit overpayment claims and cost share arrearages through offset of the individual state income tax refund.