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210-RICR-50-00-1 TITLE 210 – EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES CHAPTER 50 – MEDICAID LONG-TERM SERVICES AND SUPPORTS SUBCHAPTER 00 – LONG-TERM SERVICES PART 1 – Medicaid Long-Term Services and Supports Overview and Eligibility Pathways 1.1 Overview
The provisions set forth herein pertain to the scope of Medicaid long-term services and supports (LTSS) and the various pathways for initial and continuing eligibility. 1.2 Legal Authority A. This Chapter of Rules related to Medicaid LTSS 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, 1115, 1902, 1903, 1905, 1915; 1396k; and 1413(b)(1)(A) of the Affordable Care Act. 2. Federal Regulations: 42 C.F.R. Parts 431,435, 440, and 441. 3. The Medicaid State Plan and the Title XIX, Section 1115(a) Demonstration Waiver (11-W-00242/1), effective through December 31, 2018. B. Additionally, legal authority related to LTSS is derived from R.I. Gen. Laws Chapter 40-8 and Chapters 40-8.6 to 40-8.13. 1.3 Definitions A. For the purposes of LTSS Medicaid, the following definitions apply: 1. “Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals" or "BHDDH” means the State agency established under the provisions of R.I. Gen. Laws Chapter 40.1-1 whose duty it is to serve as the State’s mental health authority and establish and promulgate the overall plans, policies, objectives, and priorities for State programs for adults with intellectual and developmental disabilities as well mental illness and substance abuse education, prevention and treatment.