§ 40-8.13-7. Willing provider.
A managed care organization must contract with and cover services furnished by any nursing facility licensed under chapter 17 of title 23 and certified by CMS that provides Medicaid-covered nursing facility services pursuant to a provider agreement with the state, provided that the nursing facility is not disqualified under the managed care organization’s quality standards that are applicable to all nursing facilities; and the nursing facility is willing to accept the reimbursement rates described in § 40-8.13-5.
History of Section.P.L. 2014, ch. 145, art. 18, § 6.
Structure Rhode Island General Laws
Chapter 40-8.13 - Long-Term Managed Care Arrangements
Section 40-8.13-1. - Definitions.
Section 40-8.13-2. - Beneficiary choice.
Section 40-8.13-3. - Ombudsman process.
Section 40-8.13-4. - Provider/plan liaison.
Section 40-8.13-5. - Financial principles under managed care.
Section 40-8.13-6. - Payment incentives.
Section 40-8.13-7. - Willing provider.
Section 40-8.13-8. - Level-of-care tool.
Section 40-8.13-9. - Case management/plan of care.
Section 40-8.13-10. - Care transitions.