§ 40-8-27. Cooperation by providers.
Medicaid providers who employ individuals applying for benefits under any chapter of this title shall comply in a timely manner with requests made by the department for any documents describing employer-sponsored health insurance coverage or benefits the provider offers that are necessary to determine eligibility for the state’s premium assistance program pursuant to § 40-8.4-12. Documents requested by the department may include, but are not limited to, certificates of coverage or a summary of benefits and employee obligations. Upon receiving notification that the department has determined that the employee is eligible for premium assistance under § 40-8.4-12, the provider shall accept the enrollment of the employee and his or her family in the employer-based health insurance plan without regard to any seasonal enrollment restrictions, including open-enrollment restrictions, and/or the impact on the employee’s wages. Additionally, the Medicaid provider employing such persons shall not offer “pay in lieu of benefits.” Providers who do not comply with the provisions set forth in this section shall be subject to suspension as a participating Medicaid provider.
History of Section.P.L. 2008, ch. 100, art. 17, § 7.
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 - [Repealed.]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 - [Repealed.]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.