Page 20

210-RICR-40-15-1 TITLE 210 - EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES CHAPTER 40 - MEDICAID FOR ELDERS AND ADULTS WITH DISABILITIES SUBCHAPTER 15 - DISABLED WORKING ADULTS PART 1 - “MEDICAID CODE OF ADMINISTRATIVE RULES, SECTION 1373: MEDICAID FOR WORKING PEOPLE WITH DISABILITIES PROGRAM” (210-RICR-40- 15-1) Type of Filing: Amendment Agency Signature _________________________________________________________________ Agency Head Signature Agency Signing Date Department of State ____________________________ Regulation Effective Date _________________________________________________________________ Department of State Initials Department of State Date 01/02/2025 December 13, 2024 E-SIGNED by Richard Charest on 2024-12-13 11:56:43 EST December 13, 2024 E-SIGNED by Department of State on 2024-12-13 12:46:37 EST