Section 42-12.3-1. – Short title.

§ 42-12.3-1. Short title. This chapter shall be known as the “1993 Health Care Act for Children and Pregnant Women”. History of Section.P.L. 1993, ch. 398, § 1.

Section 42-12.3-10. – Administration.

§ 42-12.3-10. Administration. The department of human services may cooperate through interagency cooperative agreements, with the department of health and/or other state agencies, and any other agreements they deem necessary, to assure that health care services for eligible pregnant women and children under the age of eighteen (18) are provided in an efficient and timely […]

Section 42-12.3-11. – Appropriations — Authorization to pay for health care.

§ 42-12.3-11. Appropriations — Authorization to pay for health care. The general assembly shall annually appropriate to the department of human services such sums as it may deem necessary to carry out the purposes of this chapter. Authorization to pay for health care services specified in this chapter shall be made by representatives of the […]

Section 42-12.3-12. – Assignment of medical support rights.

§ 42-12.3-12. Assignment of medical support rights. Any person who is determined eligible for RIte Start, or RIte Track, or the title XIX state plan is hereby deemed to have made an assignment of rights to medical support in accordance with § 40-6-9(b), and the provisions of § 40-6-9(b) and (d) are incorporated herein by […]

Section 42-12.3-13. – Severability.

§ 42-12.3-13. Severability. If any provision in any section of this chapter or the application thereof to any person or circumstances is held invalid, its invalidity does not affect other provisions or applications of this chapter which can be given effect without the invalid provision or application, and to this end the provisions of this […]

Section 42-12.3-14. – Benefits and coverage — Exclusion.

§ 42-12.3-14. Benefits and coverage — Exclusion. For as long as the United States Department of Health and Human Services, Health Care Financing Administration Project No. 11-W-0004/1-01 entitled “RIte Care” remains in effect, any health care services provided pursuant to this chapter shall be exempt from all mandatory benefits and coverage as may otherwise be […]

Section 42-12.3-15. – Expansion of RIte track program.

§ 42-12.3-15. Expansion of RIte track program. (a) The executive office of health and human services is hereby authorized and directed to submit to the United States Department of Health and Human Services an amendment to the “RIte Care” waiver project number 11-W-0004/1-01 to provide for expanded Medicaid coverage for children until they reach eight […]

Section 42-12.3-16. – Repealed.

§ 42-12.3-16. Repealed.

Section 42-12.3-2. – Purposes.

§ 42-12.3-2. Purposes. (a) It is the intent of the general assembly to assure access to the comprehensive health care by providing health insurance to all Rhode Islanders who are uninsured; Universal comprehensive coverage for all Rhode Islanders is a goal to be achieved over the course of several years; The first step in providing […]

Section 42-12.3-3. – Medical assistance expansion for pregnant women/RIte Start.

§ 42-12.3-3. Medical assistance expansion for pregnant women/RIte Start. (a) The secretary of the executive office of health and human services is authorized to amend its Title XIX state plan pursuant to Title XIX of the Social Security Act to provide Medicaid coverage and to amend its Title XXI state plan pursuant to Title XXI […]

Section 42-12.3-4. – “RIte track” program.

§ 42-12.3-4. “RIte track” program. (a) There is hereby established a payor of last resort program for comprehensive health care for children until they reach nineteen (19) years of age, to be known as “RIte track.” The executive office of health and human services is hereby authorized to amend its Title XIX state plan pursuant […]

Section 42-12.3-5. – Managed care.

§ 42-12.3-5. Managed care. The delivery and financing of the health care services provided pursuant to §§ 42-12.3-3 and 42-12.3-4 shall be provided through a system of managed care. A managed care system integrates an efficient financing mechanism with quality service delivery, provides a “medical home” to assure appropriate care and deter unnecessary and inappropriate […]

Section 42-12.3-5.1. – Emergency Care.

§ 42-12.3-5.1. Emergency Care. The department of human services shall ensure that managed care organizations providing services under this chapter comply with the “prudent lay person” emergency care coverage standard as required by § 1931 (b) of Title XIX of the Social Security Act. History of Section.P.L. 1999, ch. 189, § 1; P.L. 1999, ch. […]

Section 42-12.3-6. – Eligibility and services.

§ 42-12.3-6. Eligibility and services. The department of human services may enter into any necessary cooperative agreements with the department of health and/or other state agencies required to assure that for both the RIte Start and the RIte Track Programs enrollment, eligibility and service delivery can be determined and provided in a timely, efficient and […]

Section 42-12.3-7. – Financial contributions.

§ 42-12.3-7. Financial contributions. The department of human services may require the payment of enrollment fees, sliding fees, deductibles, co-payments, and/or other contributions based on ability to pay. These fees shall be established by rules and regulations to be promulgated by the department of human services or the department of health, as appropriate. History of […]

Section 42-12.3-8. – Enhanced services for children.

§ 42-12.3-8. Enhanced services for children. (a) The department of human services shall develop a panel of enhanced services to be available as appropriate to RIte Track and medical assistance recipients under the age of eighteen (18), who are considered at risk, as defined by department of human services regulations. These services shall include, but […]

Section 42-12.3-9. – Insurance coverage — Third party insurance.

§ 42-12.3-9. Insurance coverage — Third party insurance. (a) No payment will be made nor service provided in the RIte Start or RIte Track program with respect to any health care that is covered or would be covered, by any employee welfare benefit plan under which a woman or child is either covered or eligible […]