§ 40-8-17. Waiver request.
(a) Formation. The executive office of health and human services is directed and authorized to apply for and obtain any necessary waiver(s), waiver amendment(s), and/or state plan amendments from the Secretary of the United States Department of Health and Human Services, including, but not limited to, an extension of the section 1115(a) demonstration waiver amended, as appropriate, and renamed to reflect the state’s effort to coordinate all publicly financed health care. The secretary of the office shall ensure that the state’s health and human services departments and the people and communities they serve in the Medicaid program shall have the opportunity to contribute to and collaborate in the formulation of any request for a new waiver, waiver extension, and/or state plan amendment(s). Any actions shall: (1) Continue efforts to rebalance the system of long-term services and supports by assisting people in obtaining care in the most appropriate and least restrictive setting; (2) Pursue further utilization of care-management models that promote preventive care, offer a health home, and provide an integrated system of services; (3) Use smart payments and purchasing to finance and support Medicaid initiatives that fill gaps in the integrated system of care; and (4) Recognize and ensure access to non-medical services and supports, such as peer navigation and employment and housing stabilization services, that are essential for optimizing a person’s health, wellness, and safety and that reduce or delay the need for long-term services and supports.
(b) Effective July 1, 2009, any provision presently in effect in the Rhode Island general laws where the executive office of health and human services is authorized to apply for and obtain any necessary waiver(s), waiver amendment(s), and/or state plan amendment(s) for the purpose of providing medical assistance to recipients, shall authorize the executive office of health and human services to proceed with appropriate category changes in accordance with the special terms and conditions of the Rhode Island Global Consumer Choice Compact section 1115(a) Demonstration Waiver or any extension thereof, as amended and/or renamed under the authority provided in this section.
History of Section.P.L. 1987, ch. 500, § 2; P.L. 1988, ch. 84, § 26; P.L. 2008, ch. 100, art. 17, § 3; P.L. 2009, ch. 68, art. 23, § 11; P.L. 2013, ch. 144, art. 19, § 1.
Structure Rhode Island General Laws
Chapter 40-8 - Medical Assistance
Section 40-8-1. - Declaration of policy.
Section 40-8-2. - Definitions.
Section 40-8-3. - Eligibility requirements.
Section 40-8-3.1. - Life estate in property — Retained powers.
Section 40-8-4. - Direct vendor payment plan.
Section 40-8-4.1. - Lowest price.
Section 40-8-5. - Agencies through which benefits paid.
Section 40-8-6. - Review of application for benefits.
Section 40-8-6.1. - Provider care during pendency of application.
Section 40-8-7. - Appeals — Hearing.
Section 40-8-8. - Judicial review.
Section 40-8-9. - Fraudulent receipt of assistance as larceny — Penalty.
Section 40-8-10. - Recovery of benefits paid in error.
Section 40-8-11. - Civil action to recover benefits.
Section 40-8-12. - Federal approval.
Section 40-8-13. - Rules, regulations, and fee schedules.
Section 40-8-13.1. - [Repealed.]
Section 40-8-13.2. - [Repealed.]
Section 40-8-13.3. - Payment for services provided by in-state and out-of-state hospitals.
Section 40-8-13.4. - Rate methodology for payment for in-state and out-of-state hospital services.
Section 40-8-13.5. - Hospital Incentive Program (HIP).
Section 40-8-14. - Appropriations.
Section 40-8-15. - Lien on deceased recipient’s estate for assistance.
Section 40-8-16. - Notification of long-term care alternative.
Section 40-8-17. - Waiver request.
Section 40-8-18. - Local education agencies as EPSDT providers.
Section 40-8-19. - Rates of payment to nursing facilities.
Section 40-8-19.1. - Nursing facility financial oversight.
Section 40-8-19.2. - Nursing Facility Incentive Program (NFIP).
Section 40-8-20. - [Repealed.]
Section 40-8-20.1. - Prospective rate increments.
Section 40-8-21. - Appeals process.
Section 40-8-22. - Protection of resources — Long-term care insurance partnership program.
Section 40-8-23. - Contracting standards.
Section 40-8-24. - Less expensive alternative medications.
Section 40-8-25. - Nursing facility pharmaceutical waste reduction.
Section 40-8-26. - Community health centers.
Section 40-8-27. - Cooperation by providers.
Section 40-8-28. - Vendors doing business in the state of Rhode Island.
Section 40-8-29. - Selective contracting.
Section 40-8-30. - Suspension of participating providers.
Section 40-8-31. - Payments to out-of-state facilities.
Section 40-8-32. - Support for certain patients of nursing facilities.