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210-RICR-50-00-4 TITLE 210 - EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES CHAPTER 50 - MEDICAID LONG-TERM SERVICES AND SUPPORTS SUBCHAPTER 00 - LONG-TERM SERVICES PART 4 - Long-Term Services and Supports Application and Renewal Process 4.1 Overview

The purpose of this regulation is to set forth the Long-Term Services and Supports (LTSS) application review and renewal process in accordance with current State and federal laws and regulations. 4.2 Legal Authority A. Title XIX of the U.S. Social Security Act provides the legal authority for the RI Medicaid program. Additionally, legal authority related to long-term services and supports is derived from the following sources: 1. State Law: R.I. Gen. Laws § 40-8-6.1 2. Federal Law: 42 U.S.C. § 1396a; 42 U.S.C. § 1396k; Section 1413(b)(1)(A) of the Affordable Care Act 3. Federal Regulations: 42 C.F.R. §§ 435.905 THROUGH 910; 42 C.F.R. § 435.912(c) (timelines). 4.3 Definitions A. For the purposes of this rule, the following definitions apply: 1. “ACA adults” means persons between the ages of 19 and 64 who are eligible for Medicaid authorized by the federal Affordable Care Act (ACA) of 2010. 2. “Additional documentation request” or “ADR” means the notice sent to applicants subsequent to an initial review of the application’s completeness that identifies any additional information/forms that must be submitted, and any related deadlines, for a determination of eligibility to proceed. 3. “Application completeness” means the point in time when all information requested by the State, including the application and any ancillary