Section 210-RICR-20-00-3.5 - Services Rendered to Temporarily Absent BeneficiariesA. Payment for medical care provided to eligible residents of Rhode Island who are temporarily absent from the State is made under certain circumstances.B. Temporarily absent includes visiting, traveling or residing temporarily in another State without intending to become a permanent resident of the alternate State. Medicaid payment is authorized only in the following circumstances: 1. An emergency arises from an accident or illness; or2. The health of the individual would be endangered if the care and services were postponed until the individual returned to Rhode Island; or3. The health of the individual would be endangered if s/he undertook travel to return to Rhode Island.C. When EOHHS receives a claim for out-of-State medical care not authorized in advance that was rendered to a Medicaid beneficiary temporarily absent from the State, the EOHHS contacts the Medicaid beneficiary to determine residency plans. 1. If the Medicaid beneficiary indicates s/he is planning to return to the State, written notification of this is required to be sent to EOHHS;2. If the Medicaid beneficiary indicates in writing that s/he plans to reside permanently outside Rhode Island, Medicaid benefits are terminated at the end of the month following the month in which the notification of intent to reside outside Rhode Island is received.210 R.I. Code R. 210-RICR-20-00-3.5
Amended effective 10/5/2021