210 R.I. Code R. 210-RICR-30-10-1.3

Current through December 3, 2024
Section 210-RICR-30-10-1.3 - Definitions
A. 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