Section 210-RICR-30-05-2.13 - Mainstreaming/Selective ContractingA. The mainstreaming of Medicaid beneficiaries into the broader health delivery system is an important objective of the Medicaid program. The MCO must ensure that all of its network providers accept RIte Care members for treatment. The MCO also must accept responsibility for ensuring that network providers do not intentionally segregate RIte Care members in any way from other persons receiving services.B. Health plans may develop selective contracting arrangements with certain providers for the purpose of cost containment, but must still adhere to the access standards as defined in the health plan contracts.210 R.I. Code R. 210-RICR-30-05-2.13
Amended effective 10/5/2021
Amended effective 12/12/2023
Amended effective 3/17/2024