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1.2 Scope and Purpose A. The purpose of this Rule is to establish the Medicaid Affordable Care Coverage (MACC) groups and the eligibility pathways for individuals who share one (1) or more of their characteristics and are exempt from the MAGI methodology and/or the provisions for the Integrated Health Care Coverage (IHCC) groups under Chapter 40 of this Title. B. In Rhode Island, CHIP eligibility is administered as an expansion through the Medicaid program rather than through a separate State program as the principal distinction for most eligibility pathways relates to claiming of Title XIX versus Title XXI Federal financial participation rates. The exceptions, as indicated in this Rule, are the CHIP-only eligibility pathways for lawfully present qualified non-citizen children up to the age of nineteen (19) and qualified and non-qualified pregnant women who meet the income limits set forth herein. 1.3 Legal Authority A. This Part is promulgated pursuant to Federal authorities as follows: 1. Federal Law: § 1115 of the Social Security Act, 42 U.S.C. § 1315; Title XIX of the Social Security Act, 42 U.S.C. §§ 1396a-1396w-8; Title XXI of the Social Security Act, 42 U.S.C. §§ 1397aa-1397mm; 42 U.S.C. § 1396k; § 1413(b)(1)(A) of the Patient Protection and Affordable Care Act, Pub. Law No. 111-148. 2. Federal Regulations: 42 C.F.R. Parts 431, 435, 440, and 441. 3. The Medicaid State Plan and the Section 1115 Demonstration Waiver granted pursuant to § 1115 of the Social Security Act, 42 U.S.C. § 1315. B. Applicable State authority is derived from R.I. Gen. Laws Chapters 40-8, 40-8.4, 40-8.12, and 42- 12.3. 1.4 Incorporated Materials A. These regulations hereby adopt and incorporate 42 C.F.R. § 435.1110 (2023) by reference, not including any further editions or amendments thereof, and only to the extent that the provisions therein are not inconsistent with these regulations. 1.5 Definitions A. For the purposes of Medicaid MACC and non-MAGI eligibility groups covered under this Part, the following definitions apply: 1. “ACA expansion adults” means the eligibility pathway established by the Federal Patient Protection and Affordable Care Act (ACA), Pub. Law No. 111-148, and by R.I. Gen. Laws Chapter 40-8.12, for persons between the ages of nineteen (19) and sixty-four (64) who