Section 210-RICR-30-00-4.1 - Overview and Statutory AuthorityA. The goal of the federal Affordable Care Act (ACA) of 2010 is to improve access to high quality health insurance coverage for people of all ages and income levels. In keeping with this purpose, the ACA established a presumptive eligibility program for certain individuals and families in the newly reconfigured Medicaid Affordable Care Coverage (MACC) groups. The MACC groups in Rhode Island are described in "Medicaid Code of Administrative Rules, Section 1301, 'Medicaid Affordable Care Coverage Groups'".B. Federal regulations governing the program at 42 C.F.R. § 435.1110 authorize the states to provide Medicaid for a limited period of time to individuals who are determined by a "qualified hospital", on the basis of preliminary information, to be presumptively eligible for Medicaid. This initial determination is made by the hospital on the basis of the characteristics for MACC group eligibility. The states have the discretion under these provisions to tailor presumptive eligibility requirements program within certain parameters to meet their own unique needs.210 R.I. Code R. 210-RICR-30-00-4.1