Current through December 3, 2024
Section 210-RICR-30-10-1.3 - DefinitionsA. For the purposes of this rule, the following definitions apply:1. "Affordable Care Act" or "ACA" means the federal Patient Protection and Affordable Care Act of 2010. The law is also sometimes referred to as "Obamacare" and federal health reform.2. "APTC/CSR eligibility" means the application of the IRS-based measure of income known as "Modified Adjusted Gross Income" (MAGI) for determining eligibility for affordable health care through health insurance exchanges/marketplaces established under the ACA. Also, "APTC" means advanced premium tax credits and "CSR" means cost-sharing reductions.3. "Caretaker" means any adult over age nineteen (19) living with a Medicaid-eligible dependent child who has assumed primary responsibility for that child as defined in MCAR section 1305.13, "Eligibility Requirements." This term includes relatives and non-relatives.4. "HealthSource RI" means the state-based health insurance marketplace (also referred to as a "benefit exchange") established in conjunction with implementation of the federal Affordable Care Act of 2010.5. "Qualified Health Plan" means a health plan certified by HealthSource RI that provides essential benefits and meets all other related ACA requirements to be offered through the State's health benefits exchange.6. "Silver Plan" means a Qualified Health Plan offered through HealthSource RI that covers approximately 70% of an enrollee's medical costs. There are federal subsidies for certain Silver Plan enrollees to help cover co-payments and other out-of-pocket expenses.210 R.I. Code R. 210-RICR-30-10-1.3