TITLE 40

Human services

CHAPTER 40-8

Medical Assistance

SECTION 40-8-31



   § 40-8-31  Payments to out-of-state

facilities. –

Effective September 1, 2014, the office of health and human services shall

require that any payment to an out-of-state provider from whom a Medicaid

eligible individual receives services must be a facility that applies for and

is approved to participate in the Rhode Island Medicaid program. This excludes

payments to out-of-state providers that do not participate in the Rhode Island

Medicaid program but that are determined to be acceptable due to extenuating

circumstances by the secretary of the office of health and human services.

Furthermore, the department of children, youth and families is required to

submit a bi-weekly report to the chair of the house committee on finance, the

chair of the senate committee on finance, the house fiscal advisor, the senate

fiscal advisor, and the office of management and budget detailing payments for

placements to out-of-state facilities. The report should also indicate the

entity recommending or ordering the placement, the types of services required,

and reason for using an out-of-state facility. This change may require the

adoption of new or amended rules, regulations and procedures.



History of Section.

(P.L. 2014, ch. 145, art. 18, § 2.)