Section 42-14.6-1. – Short title.

§ 42-14.6-1. Short title. This chapter shall be known and may be cited as the “Rhode Island All-Payer Patient-Centered Medical Home Act.” History of Section.P.L. 2011, ch. 260, § 1.

Section 42-14.6-2. – Legislative purpose and intent.

§ 42-14.6-2. Legislative purpose and intent. (a) The general assembly recognizes that patient-centered medical home (PCMH) is an approach to providing comprehensive primary care for children, youth and adults. The patient-centered medical home is a healthcare setting that facilitates partnerships between individual patients, and their personal physicians, physician assistants and advanced practice nurses, and when […]

Section 42-14.6-3. – Definitions.

§ 42-14.6-3. Definitions. As used in this section, the following terms shall have the following meanings: (1) “Commissioner” means the health insurance commissioner. (2) “Health insurer” means all entities licensed, or required to be licensed, in this state that offer health benefit plans in Rhode Island including, but not limited to, nonprofit hospital service corporations […]

Section 42-14.6-4. – Promotion of the patient-centered medical home.

§ 42-14.6-4. Promotion of the patient-centered medical home. (a) Care coordination payments. (1) The commissioner and the secretary shall convene a patient-centered medical home collaborative consisting of the entities described in § 42-14.6-3(7). The commissioner shall require participation in the collaborative by all of the health insurers described above. The collaborative shall propose, by January […]

Section 42-14.6-5. – Annual reports on implementation and administration.

§ 42-14.6-5. Annual reports on implementation and administration. The secretary and commissioner shall report annually to the legislature on the implementation and administration of the patient-centered medical home model. History of Section.P.L. 2011, ch. 260, § 1.

Section 42-14.6-6. – Evaluation reports.

§ 42-14.6-6. Evaluation reports. (a) The secretary and commissioner shall provide to the legislature comprehensive evaluations of the patient-centered medical home model two (2) years and four (4) years after implementation. The evaluation must include: (1) The number of enrollees in patient-centered medical homes in the collaborative and the health characteristics of enrollees; (2) The […]

Section 42-14.6-7. – Alternative models.

§ 42-14.6-7. Alternative models. Nothing in this section shall preclude the development of alternative patient centered medical home models by an insurer for its group and/or individual policies, or by the secretary, the commissioner or other state agencies or preclude insurers, the secretary, the commissioner or other state agencies from establishing alternative models and payment […]

Section 42-14.6-8. – Regulations.

§ 42-14.6-8. Regulations. The secretary of health and human services and the health insurance commissioner shall develop regulations to implement this chapter. History of Section.P.L. 2011, ch. 260, § 1.

Section 42-14.6-9. – State patient-centered medical home program expansion.

§ 42-14.6-9. State patient-centered medical home program expansion. (a) The director of the department of administration is hereby authorized to expand the current patient-centered medical home program for state employees and retirees with chronic health conditions that are covered by the state employees health benefit program and are high frequency healthcare utilizers. This program shall […]