Section 210-RICR-30-05-2.43 - Interim Fee-for-Service CoverageA. For RIte Care members only, there is a seven (7) day period between Medicaid MCO assignment and MCO enrollment in which services provided to a Medicaid member may be paid for on a fee-for-service basis. The services must be delivered to the Medicaid member by a health provider or practitioner certified to participate in the Rhode Island Medicaid program to qualify for the fee-for service payment. Services delivered prior to MCO enrollment to a pregnant woman who is otherwise ineligible for Medicaid with income above two hundred fifty-three percent (253%) of the FPL are not covered.210 R.I. Code R. 210-RICR-30-05-2.43
Amended effective 10/5/2021
Amended effective 12/12/2023
Amended effective 3/17/2024