Community Medicaid: Medically Needy Eligibility (210-RICR-40-05-2)
|Title||210||Executive Office of Health and Human Services|
|Chapter||40||Medicaid for Elders and Adults with Disabilities|
|Part||2||Community Medicaid: Medically Needy Eligibility (210-RICR-40-05-2)|
|Type of Filing||Amendment|
|Effective||05/01/2020 to 12/27/2020|
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 :
This rule discusses the “medically needy” eligibility pathway for Community Medicaid beneficiaries. The amendments include a new section 2.5(B)(2), “conditions on application”, related to allowable expenses for a Medicaid spenddown. The scope, amount, and duration of the service determines whether it qualifies as an allowable expense as a Medicaid covered or non-covered service and, therefore, the order in which it is deducted from excess income. The sequence of deductions for allowable expenses is set forth in this section.
Editorial Notes :
The agency requested an extension to the effective dates allowed by R.I. Gen. Laws § 42-35-2.10 for this emergency amendment which was promulgated on 5/1/2020. The extension was granted in accordance with Executive Order 20-80 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 12/27/2020.
Brief statement of Reason for Finding Imminent Peril :
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