§ 40-8-3. Eligibility requirements.
Medical care benefits shall be provided under this chapter to at least any person:
(1) Who has attained the age of sixty-five (65) years; or
(2) Who has no vision or whose vision is so defective as to prevent performance of ordinary activities for which eyesight is essential; or
(3) Who is at least eighteen (18) years of age and who is permanently and totally disabled; or
(4) Who is under the age of eighteen (18) years, and who has been deprived of parental support or care by reason of the death, continued absence from the home, unemployment, or physical or mental incapacity of a parent (called hereafter “dependent child”) and who is living with a relative in a place of residence maintained by one or more of these relatives as his or her or their own home, or is in foster boarding care; or
(5) The relative as defined in subsection (8) of § 40-8-2, with whom the dependent child is living; provided the person:
(i) Is a resident of this state; and
(ii) Is not receiving public assistance under the provisions of § 40-5.1-9(b) [repealed] or § 40-6-27; and
(iii) Is not an inmate of a public institution other than as a patient in a medical institution; and
(iv) Is not a patient in an institution for tuberculosis or mental disease, unless the person has attained the age of sixty-five (65) years; provided, however, that this clause shall become void and of no effect if and when legislation enacted by the Congress of the United States shall become effective providing for payments for medical care on behalf of persons who have not attained the age of sixty-five (65) years who are patients in an institution for tuberculosis or mental disease; and
(v) Has insufficient income and resources. The department shall establish income and resource rules, regulations, and limits in accordance with Title XIX of the federal Social Security Act, 42 U.S.C. § 1396 et seq., as applicable to the medically needy only applicants and recipients. The income limits established by the department must be more than the AFDC standard in effect on July 16, 1996, under the Rhode Island state plan approved under part A of Title IV of the federal Social Security Act, 42 U.S.C. § 601 et seq., but shall not be more than one hundred thirty-three and one-third percent (133⅓%) of the AFDC standard in effect on July 16, 1996, under the Rhode Island state plan approved under part A of Title IV of the federal Social Security Act; provided, however, that subject to the maximum percentage increase allowable under § 1931(b)(2)(B), the department shall increase the income limits on July 1, 1999, by six and six-tenths percent (6.6%), and on January 1, of each year commencing in the year 2000 by a percentage equal to the annual federal adjustment percentage as determined under the provisions of Title XVI of the federal Social Security Act, 42 U.S.C. § 1381 et seq. The department shall establish resource limits equal to two thousand dollars ($2,000) for an individual and three thousand dollars ($3,000) for a family. Provided, however, the department shall apply to the United States Department of Health and Human Services for a waiver relating to application of the reduced resource limit, and subject to the granting of the waiver by the Secretary of the United States Department of Health and Human Services, the resource limit shall be applied to all applicants who: (A) Become eligible for benefits under this chapter on or after the effective date of this amendment and (B) Who were not receiving benefits under this chapter prior to July 1, 1993. In the event the secretary does not approve the waiver request, the current department regulations relating to resource limits shall remain in effect for all eligible beneficiaries.
For the purposes of this subsection, a vehicle necessary to transport a family member with a disability, where the vehicle is specially equipped to meet the specific needs of the person with a disability or if the vehicle is a special type of vehicle that makes it possible to transport the person with the disability, shall not be counted as resources of the applicants and recipients.
History of Section.P.L. 1966, ch. 266, § 2; G.L. 1956, § 40-10.1-3; Reorg. Plan No. 1, 1970; P.L. 1978, ch. 249, § 1; P.L. 1983, ch. 3, art. 3, § 1; P.L. 1989, ch. 53, § 1; P.L. 1990, ch. 65, art. 27, § 1; P.L. 1993, ch. 138, art. 21, § 2; P.L. 1996, ch. 129, § 19; P.L. 1996, ch. 131, § 19; P.L. 1996, ch. 132, § 19; P.L. 1996, ch. 133, § 19; P.L. 1998, ch. 72, § 2; P.L. 1999, ch. 31, art. 14, § 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.