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
Subchapter 05 Community Medicaid
Part 2 Community Medicaid: Medically Needy Eligibility (210-RICR-40-05-2)
Type of Filing Amendment
Regulation Status Active
Effective 05/01/2020 to 10/28/2020

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.

Brief statement of Reason for Finding Imminent Peril :