The State of Rhode Island Executive Office of Health and Human Services (EOHHS), as the single state agency responsible for the State of Rhode Island Medicaid Program, reviews compliance with federal requirements to determine whether a Medicaid provider remains eligible for Medicaid reimbursement. R.I. Gen. Laws § 42-7.2-2(a)(6); Title XIX of the U.S. Social Security Act, 42 U.S.C. § 1396a et seq . This includes ensuring compliance with federal regulations regarding whether a facility is excluded from the Medicaid program as an Institution for Mental Disease (IMD). 42 C.F.R. § 435.1010; CMS State Medicaid Manual, § 4390. T his IMD compliance review is critical to the proper administration of the Medicaid Program in compliance with all applicable federal laws and regulations.
210 R.I. Code R. 210-RICR-10-00-7.1