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3. Children and families in the IHCC category who are eligible on the basis of their participation in other programs – e.g., children in foster care or SSI- eligible – are addressed in Part 30-00-1 of this Title. 1.2 Authority A. This Part is promulgated pursuant to Federal authorities as follows: 1. Federal Law: Title XIX of the U.S. Social Security Act, 42 U.S.C. §§ 1396- 1396w-7; § 1413(b)(1)(A) of the Patient Protection and Affordable Care Act, Pub. L. No. 111-148; and the Health Care and Education Reconciliation Act of 2010, Pub. L. No. 111-115. 2. The Medicaid State Plan and the Section 1115 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 Title 40 and R.I. Gen. Laws Chapter 42-7.2.

1.3 Scope and Purpose A. This Part provides an overview of the IHCC groups included in this Chapter. The rules governing the IHCC groups have been amended and revised as set forth herein to reflect programmatic changes resulting from the following State and federal Medicaid initiatives: 1. Section 1115 Waiver – The rules in this Chapter implement Section 1115 Waiver authorities that streamline and refine SSI-based eligibility determinations, enhance the availability of cost-effective primary care, and improve the integration of services and a wider range of supports across the care continuum. 2. ACA Implementation – The federal Patient Protection and Affordable Care Act (ACA), Pub. L. No. 111-148, mandated changes in the way states organize Medicaid coverage groups, the standards they use for determining income-based eligibility, and the application and renewal processes for all eligible populations. This Chapter establishes administrative rules that implement ACA reforms related to eligibility and the application and renewal process for the IHCC groups to ensure they match those already in effect for MACC groups. 3. Integrated Eligibility System – RI Bridges is the State’s integrated health and human services eligibility system (IES). The State’s IES provides the State with the system capacity to implement all programmatic changes required by the ACA and authorized under the Section 1115 Waiver. In addition to automating most facets of the application, eligibility determination and enrollment processes, the State’s IES also conducts a