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 08/31/2023
Public Comment Dates 08/31/2023 to 09/30/2023

Regulation Authority:

R.I. Gen. Laws § 42-35
R.I. Gen. Laws § 42-7.2
Title XIX of the Social Security Act
§1924 of the Social Security Act
§1917(f)(1) of the Social Security Act
§1917(c)(1)(E) of the Social Security Act
2023-H-520Aaa

Purpose and Reason:

Effective 7/1/23, as part of the FY2024 Budget as enacted, the RI legislature directed EOHHS to raise the state supplemental payment for personal needs allowance for institutionalized individuals from twenty dollars ($20.00) to forty-five dollars ($45.00).  This raises the total personal needs allowance for institutionalized individuals (state and federal) from fifty dollars ($50.00) to seventy-five dollars ($75.00).

EOHHS is also updating regulatory language to replace dollar values with definitions and publishing information for the following: Monthly Federal Benefit Rates (FBR), Optional State Supplement Payment (SSP) Limits, Student Earned Income Exclusion (SEIE), Minimum and Maximum Monthly Maintenance of Need Allowance, Community Spouse Monthly Housing Allowance, Minimum and Maximum Community Spouse Resources, and the Minimum Home Equity Limit. 

Finally, EOHHS is providing updated amounts that better reflect current costs of receiving services at private nursing facilities, intermediate care facilities, and long-term care hospitals.


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