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RHP Benefits (a) In-Plan (b) Out-of-Plan Homemaker Minor Environmental Modifications Physical Therapy Evaluation and Services 1.5 Integrated Care Initiative (ICI) 1.5.1 Authority and Overview A. In accordance with R.I. Gen. Laws Chapter 40-8.13, the State’s Section 1115 Waiver Demonstration, and other Federal waivers and authorities, EOHHS has developed and implemented the ICI to expand access to comprehensive care management and services through a managed care delivery system known as the Medicare-Medicaid Plan (MMP). B. Under the authority of a special Federal Financial Alignment Demonstration, the MMP integrates and coordinates Medicare and Medicaid covered services through a managed care arrangement for MME beneficiaries. Enrollment is voluntary for eligible beneficiaries. The operations of the MMP are bound by a three (3) way agreement between EOHHS, the Federal Centers for Medicare and Medicaid Services (CMS), and the participating MCO. 1.5.2 EOHHS Responsibilities A. As the single State agency for Medicaid, EOHHS oversees administration of the program and is responsible for ensuring that eligibility determinations and enrollment procedures are conducted in accordance with applicable Federal and State laws and Regulations. To enroll in the MMP, applicants must qualify as an MME in accordance with the applicable provisions set forth herein. Enrollment in PACE is a standing option for eligible beneficiaries. Applicants are processed as summarized below: 1. Eligibility Determinations – EOHHS or its designee is responsible for determining the eligibility of applicants for Medicaid and Medicaid-funded LTSS, including those who have third (3rd) party coverage through Medicare. All LTSS applicants must meet financial and clinical criteria related to the need for an institutional level of care set forth in Part 50-00-5 of this Title and Part 50-00-6 of this Title. The eligibility duties of EOHHS also include: