Page 3

210-RICR-40-05-3 TITLE 210 - EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES CHAPTER 40 - MEDICAID FOR ELDERS AND ADULTS WITH DISABILITIES SUBCHAPTER 05 - COMMUNITY MEDICAID PART 3 - RETROACTIVE COVERAGE (210-RICR-40-05-3) Type of Filing: Refile Capabilities Department of State _________________________________________________________________ Regulation Effective Date Original Signing Date _________________________________________________________________ Department of State Initials Department of State Date 01/04/2022 N/A December 15, 2021 E-SIGNED by Department of State on 2021-12-15 16:19:15 EST