Medicaid Payments and Providers (formerly Medicaid Code of Administrative Rules, Section #0301) (210-RICR-20-00-1)

Regulation Authority :

Chapters 40-6 and 40-8 of the Rhode Island General Laws, as amended; Title XIX of the Social Security Act

Purpose and Reason :

To qualify for federal matching funds, payments to certified Medicaid providers for authorized services must be made in accordance with methodologies established by the State and approved for such purposes by the Secretary of the U.S. Department of Health and Human Services (DHHS) and/or the federal Centers for Medicare and Medicaid Services (CMS). The purpose of this rule is to govern the participation of, and payments to, health care providers participating in the Medicaid Program. As part of the public comment process, EOHHS received correspondence from Planned Parenthood in New Haven, Connecticut concerning the proposed "Payments and Providers" rule. The comments contained within the Planned Parenthood’s correspondence are suggested clarifications and/or explanations of the contents of the proposed Regulations, rather than any raised objections or concerns regarding the legality of the proposed Regulations. As such, their letter does not rise to the level of an objection to the proposed "Payments and Providers" Regulations and EOHHS is proceeding with filing as a direct final rule.

Editorial Notes :

The agency requested an extension to the effective dates allowed by R.I. Gen. Laws § 42-35-2.10 for this emergency adoption which was promulgated on March 24, 2020. The extension was granted in accordance with Executive Order 20-72 which permits extensions for sixty (60) days. As a result of this additional extension, the effective dates have been revised and the regulation will now become ineffective on November 19, 2020.

Brief statement of Reason for Finding Imminent Peril :

COVID