Medicaid Payments and Providers

210-RICR-20-00-1 ACTIVE RULE

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1.1Legal Authority

1.2Incorporated Materials


1.4Medicaid Payment Policy

1.5Long-term Care Facilities – Surveys

1.6Provider Eligibility – Screening Requirements

1.7Provider Eligibility – Eligibility Criteria

1.8Provider Eligibility – Termination of Participation for Ineligibility

1.9Provider Eligibility – Suspension of Participation Pursuant to United States Department of Health and Human Services Order

1.10Medicaid Provider Administrative Sanctions

1.11Notice of Violations and Sanctions


Title 210 Executive Office of Health and Human Services
Chapter 20 Medicaid Payments and Providers
Subchapter 00 N/A
Part 1 Medicaid Payments and Providers
Type of Filing Amendment
Regulation Status Active
Effective 03/17/2024

Regulation Authority:

Chapters 40-6
and 42-7.2 of the Rhode Island General Laws as amended
Title XIX of the Social Security Act

Purpose and Reason:

This amendment updates regulatory language to reflect the classification of Shared Living Providers and Personal Choice PCAs as High Risk Providers to comply with state risk screening requirements, fingerprinting requirements, and federal regulations governing the enrollment, screening and termination of Medicaid providers pursuant to 42 C.F.R. §455.