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


220-RICR-90-00-1 ACTIVE RULE

My Page Title

1.1Purpose

1.2Authority

1.3Incorporated Materials

1.4Definitions

1.5Qualified Health Plan Eligibility and Enrollment

1.6Annual Open Enrollment and Special Enrollment Periods

1.7Eligibility and Special Rules on the Advanced Payments of the Premium Tax Credit and Cost Sharing Reductions

1.8Application and Renewal Process

1.9Applying for Coverage

1.10Termination of Coverage and Grace Periods

1.11Minimum Essential Coverage Exemptions

1.12Agreements with Issuers

1.13SHOP Exchange

1.14Appeals

1.15Exchange Trust Payments

1.16Request for the Promulgation of a Rule

1.17Consideration and Disposition of Request for the Promulgation of a Rule

1.18Petition for Declaratory Order

1.19Consideration and Disposition of Request for Declaratory Order

1.20Severability


Title 220 Department of Administration
Chapter 90 Health Benefits Exchange
Subchapter 00 N/A
Part 1 Rules and Regulations Pertaining to HealthSource RI (220-RICR-90-00-1)
Type of Filing Amendment
Regulation Status Active
Effective 04/02/2023

Regulation Authority:

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

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 and second 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 and second month’s premium.