210 R.I. Code R. 210-RICR-30-00-5.1

Current through December 3, 2024

Section 210-RICR-30-00-5.1 - Scope and Legal Authority

A. The purpose of this rule is to describe the Modified Adjust Gross Income (MAGI) standard and explain how it is applied; and establish the role and responsibilities of the State and consumers when determining MAGI-related eligibility for the Medicaid Affordable Care Coverage (MACC) groups identified in Part 1 of this Subchapter.

B. This Part is promulgated pursuant to:

1. Federal authorities as follows:

a. Federal Laws: § 1115 of the Social Security Act, 42 U.S.C. § 1315; Title IV of the Social Security Act, 42 U.S.C. §§ 601-687 ; Title XIX of the Social Security Act, 42 U.S.C. §§ 1396a-1396w-7 ; Title XXI of the Social Security Act, §§ 42 U.S.C. 1397aa1397mm; § 1413(b)(1)(A) of the Patient Protection and Affordable Care Act, Pub. L. No. 111-148; § 1004 of the Health Care and Education Reconciliation Act of 2010, Pub. Law 111-115; Title I § 11051(c) of the Tax Cuts and Jobs Act of 2017, Pub. Law 115-197, § 5112 of the Consolidated Appropriations Act, Pub. Law 117-328.

b. Federal Regulations - 42 C.F.R. §§ 435.603; 435.902-910; 435.916; and 435.1005

c. The Medicaid State Plan and the Section 1115 Demonstration Waiver. granted pursuant to § 1115 of the Social Security Act, 42 U.S.C § 1315

2. State authorities - R.I. Gen. Laws Chapters 40-6, 40-8, and 42-7.2.

210 R.I. Code R. 210-RICR-30-00-5.1

Amended effective 8/25/2020
Amended effective 10/1/2024