210 R.I. Code R. 210-RICR-30-05-3.18

Current through December 3, 2024

Section 210-RICR-30-05-3.18 - Role of RIte Share Unit

A. The RIte Share Unit is responsible for overseeing the operations of the program as follows:

1. Eliciting information from employers about the health plans they offer to workers on an ongoing basis;

2. Evaluating health plans for RIte Share approval;

3. Maintaining a database of RIte Share-approved ESI plans; and

4. Contacting employers to make RIte Share enrollment decisions.

B. Upon receipt of beneficiary referral information, the RIte Share Unit verifies employment and access to a RIte Share-approved ESI plan. Based on this review, the RIte Share Unit determines:

1. Whether the Medicaid beneficiary is approved for RIte Share; and

2. The date that individual or family must enroll in the ESI in order to maintain Medicaid eligibility.

C. The specific procedures for making such determinations vary depending on the enrollment status of the Medicaid beneficiary and the employer's customary enrollment process.

210 R.I. Code R. 210-RICR-30-05-3.18

Amended effective 8/6/2019