Rhode Island Code of Regulations
Title 210 - Executive Office of Health and Human Services
Chapter 10 - EOHHS General Provisions
Subchapter 00 - General Provisions
Part 1 - Overview of the Rhode Island Medicaid and Children's Health Insurance Programs
Section 210-RICR-10-00-1.1 - Statutory Authority of the State Agency
Current through March 25, 2025
A. R.I. Gen. Laws § 42-7.2-2 created the Rhode Island Executive Office of Health and Human Services (EOHHS) in 2006. EOHHS serves "as the principal agency of the executive branch of state government for managing the departments of children, youth and families, health, human services, and behavioral healthcare, developmental disabilities and hospitals."
B. EOHHS is responsible for administering the State's Medicaid program, which provides health care services and supports to a significant number of Rhode Islanders on an annual basis.
C. The statutory foundations of the Rhode Island Medicaid program are Title XIX of the Social Security Act (42 U.S.C. § 1396a et seq.), and R.I. Gen. Laws Chapters 40-8 and 42-7.2. Statutory authority for health care coverage funded in whole or in part by the federal Children's Health Insurance Program (CHIP) is derived from 42 U.S.C. § 1397aa et seq., of the U.S. Social Security Act, which establishes that program and provides the legal basis for providing health coverage, services and supports to certain targeted low-income children and pregnant women through Medicaid.
D. EOHHS is designated as the "single state agency", authorized under Title XIX and, as such, is legally responsible for the fiscal management and administration of the Medicaid program. As health care coverage funded by CHIP is administered through the State's Medicaid program, EOHHS also serves as the CHIP State Agency under federal and State laws and regulations.
E. The Medicaid and CHIP State Plans and the Rhode Island's Medicaid Section 1115 demonstration waiver provide the necessary authorities for the health care administered through the Medicaid program and establish the respective roles and responsibilities of beneficiaries, providers, and the State.
