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-30-05-2.43 - Interim Fee-for-Service Coverage

A. For RIte Care members only, there is a seven (7) day period between Medicaid MCO assignment and MCO enrollment in which services provided to a Medicaid member may be paid for on a fee-for-service basis. The services must be delivered to the Medicaid member by a health provider or practitioner certified to participate in the Rhode Island Medicaid program to qualify for the fee-for service payment. Services delivered prior to MCO enrollment to a pregnant woman who is otherwise ineligible for Medicaid with income above two hundred fifty-three percent (253%) of the FPL are not covered.