Rules and Regulations Pertaining to HealthSource RI (220-RICR-90-00-1)

Regulation Authority:

R.I. Gen. Laws § 42-157-14
R.I. Gen. Laws § 42-7.2-1 et seq.
45 C.F.R. § 155.410(g)
45 C.F.R. § 155.315(h)
45 C.F.R. § 155.105(e)

Purpose and Reason:

HealthSource RI ("HSRI") proposes to establish a program for automatically enrolling eligible individuals who lose Medicaid at the end of the COVID-19 Public Health Emergency into a health plan available through HSRI. HSRI also proposes to establish a program for utilizing funds appropriated from the State Fiscal Recovery Fund to HSRI to pay an eligible individual's first month’s premium. 

This proposed amendment makes the following changes to the regulatory status quo:

220-RICR-90-00-1.2(A) – adds R.I. Gen. Laws. § 42-7.2-1 et seq. as an additional source of authority; 

220-RICR-90-00-1.3 – updates version of federal regulations incorporated into this regulation from 2018 to 2022; and

220-RICR-90-00-1.8(D) – creates a new section (D) that establishes the time and manner in which HSRI may automatically enroll eligible individuals and pay their first month’s premium.