Rhode Island Code of Regulations
Title 210 - Executive Office of Health and Human Services
Chapter 30 - Medicaid for Children, Families, and Affordable Care Act (ACA) Adults
Subchapter 05 - Service Delivery Options
Part 2 - Medicaid Managed Care Delivery Options
- Section 210-RICR-30-05-2.1 - RIte Care Overview
- Section 210-RICR-30-05-2.2 - Scope and Purpose
- Section 210-RICR-30-05-2.3 - Program Management
- Section 210-RICR-30-05-2.4 - Definitions
- Section 210-RICR-30-05-2.5 - Coverage Groups in RIte Care
- Section 210-RICR-30-05-2.6 - Excluded Medicaid Coverage Groups
- Section 210-RICR-30-05-2.7 - Retroactive Coverage
- Section 210-RICR-30-05-2.8 - Overview of RIte Care Services
- Section 210-RICR-30-05-2.9 - RIte Care In-Plan Capitated Benefits
- Section 210-RICR-30-05-2.10 - Out-of-Plan Benefits
- Section 210-RICR-30-05-2.11 - Limits on Services
- Section 210-RICR-30-05-2.12 - Scope of Provider Networks
- Section 210-RICR-30-05-2.13 - Mainstreaming/Selective Contracting
- Section 210-RICR-30-05-2.14 - Primary Care Providers (PCPs)
- Section 210-RICR-30-05-2.15 - Service Accessibility Standards
- Section 210-RICR-30-05-2.16 - Mandatory Participation in Managed Care
- Section 210-RICR-30-05-2.17 - Enrollment Procedures, Rights and Responsibilities
- Section 210-RICR-30-05-2.18 - Rhody Health Partners - Program Overview
- Section 210-RICR-30-05-2.19 - Scope and Purpose
- Section 210-RICR-30-05-2.20 - Applicability
- Section 210-RICR-30-05-2.21 - MACC Group in Rhody Health Partners
- Section 210-RICR-30-05-2.22 - Overview of RHP
- Section 210-RICR-30-05-2.23 - Access to Benefits
- Section 210-RICR-30-05-2.24 - RHP In-Plan Capitated Benefits
- Section 210-RICR-30-05-2.25 - SPMI Modifications
- Section 210-RICR-30-05-2.26 - Out-of-Plan Benefits
- Section 210-RICR-30-05-2.27 - Services that are Not Covered by Medicaid
- Section 210-RICR-30-05-2.28 - Scope of Provider Networks
- Section 210-RICR-30-05-2.29 - Mainstreaming/Selective Contracting
- Section 210-RICR-30-05-2.30 - Primary Care Providers (PCPs)
- Section 210-RICR-30-05-2.31 - Service Accessibility Standards
- Section 210-RICR-30-05-2.32 - Mandatory Participation in Managed Care
- Section 210-RICR-30-05-2.33 - Enrollment Procedures, Rights, and Responsibilities
- Section 210-RICR-30-05-2.34 - Enrollment Processes for RIte Care and Rhody Health Partners Managed Care Plans Overview
- Section 210-RICR-30-05-2.35 - Scope and Purpose
- Section 210-RICR-30-05-2.36 - Initiating Enrollment: No Wrong Door
- Section 210-RICR-30-05-2.37 - Enrollment of Newborns and Adopted Children
- Section 210-RICR-30-05-2.38 - Medicaid Members Exempt from Enrollment Managed Care
- Section 210-RICR-30-05-2.39 - MCO Lock-In
- Section 210-RICR-30-05-2.40 - Open Enrollment
- Section 210-RICR-30-05-2.41 - Membership Handbook
- Section 210-RICR-30-05-2.42 - Identification Cards
- Section 210-RICR-30-05-2.43 - Interim Fee-for-Service Coverage
- Section 210-RICR-30-05-2.44 - Verification of Eligibility/Enrollment
- Section 210-RICR-30-05-2.45 - Responsibility of Medicaid Members to Report Change in Status
- Section 210-RICR-30-05-2.46 - Transitioning Members between MCOs and Delivery Systems
- Section 210-RICR-30-05-2.47 - Grievances, Appeals, and Hearings
- Section 210-RICR-30-05-2.48 - MCO Initiated Disenrollment
- Section 210-RICR-30-05-2.49 - EOHHS Authority
- Section 210-RICR-30-05-2.50 - Reasons for Disenrollment
- Section 210-RICR-30-05-2.51 - Disenrollment Effective Dates
- Section 210-RICR-30-05-2.52 - Right to Appeal
- Section 210-RICR-30-05-2.53 - Medicaid Member Rights and Protections
- Section 210-RICR-30-05-2.54 - Pharmacy Home Program
- Section 210-RICR-30-05-2.55 - Rite Smiles Dental Plan Overview
- Section 210-RICR-30-05-2.56 - Legal Authority
- Section 210-RICR-30-05-2.57 - Coverage Groups
- Section 210-RICR-30-05-2.58 - Excluded Coverage Groups
- Section 210-RICR-30-05-2.59 - Retroactive Eligibility
- Section 210-RICR-30-05-2.60 - Enrollment Process
- Section 210-RICR-30-05-2.61 - Voluntary Selection of a Dental Plan
- Section 210-RICR-30-05-2.62 - Auto Re-Enrollment Following Resumption of Eligibility
- Section 210-RICR-30-05-2.63 - Rite Smiles Lock-In
- Section 210-RICR-30-05-2.64 - Open Enrollment
- Section 210-RICR-30-05-2.65 - Voluntary Disenrollment
- Section 210-RICR-30-05-2.66 - Member Disenrollment
- Section 210-RICR-30-05-2.67 - Information and Referral
- Section 210-RICR-30-05-2.68 - Severability
Disclaimer: These regulations may not be the most recent version. Rhode Island may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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