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210-RICR-40-05-1 TITLE 210 – EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES CHAPTER 40 – MEDICAID FOR ELDERS AND ADULTS WITH DISABILITIES SUBCHAPTER 05 – COMMUNITY MEDICAID PART 1 – MEDICAID FOR ELDERS AND ADULTS WITH DISABILITIES: COMMUNITY MEDICAID 1.1 Overview A. The IHCC groups established in this Section provide the principal Medicaid non- Long-Term Services and Supports (LTSS) eligibility pathways for elders and adults with disabilities who have Supplemental Security Income (SSI), an SSI characteristic, and/or meet special program specific requirements. The medically needy (MN) eligibility pathway for all populations seeking non-LTSS Medicaid coverage is also included in this Section as well as Part 2 of this Subchapter. The State uses the term “Community Medicaid” to distinguish Integrated Health Care Coverage (IHCC) group members from Medicaid LTSS beneficiaries eligible using SSI financial eligibility requirements. 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. §§ 1396a-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. 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 Incorporated Materials A. These Regulations hereby adopt and incorporate 8 C.F.R. Part 204 (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. B. These Regulations hereby adopt and incorporate 8 C.F.R. Part 213A (2023) by reference, not including any further editions or amendments