210 R.I. Code R. 210-RICR-40-05-1.3
This purpose of this Rule is to establish and describe the Community Medicaid IHCC groups and the requirements for determining Medicaid eligibility, effective on and after the effective date of this Rule. The summary table below shows each of these groups and the agency authorized to determine eligibility or the basis for eligibility:
Community Medicaid Eligibility Pathways | |
IHCC Group | Agency Responsible for Determining Eligibility |
Low-income Elders and Adults with Disabilities (EAD) | EOHHS |
SSI Recipients | Social Security Administration (SSA) |
SSP Recipients | SSA and EOHHS |
Pickle Amendment | EOHHS |
§ 1619(a) Employed Adults with Disabilities | SSA |
§ 1619(b) Medicaid While Working | SSA |
Protected Surviving Spouses | EOHHS |
Adult Children with Disabilities | EOHHS |
Divorced/Surviving Spouses with Disabilities | SSA |
SSP Recipients, 12/73 | EOHHS |
Divorced/Surviving Spouses with Disabilities - Actuarial Changes | SSA |
Breast and Cervical Cancer Screening and Treatment | Department of Health (DOH) |
Refugee Medicaid Assistance (RMA) | EOHHS |
Sherlock Plan | EOHHS |
210 R.I. Code R. 210-RICR-40-05-1.3
Amended effective 6/3/2021
Amended effective 4/9/2023
Amended effective 7/29/2023(EMERGENCY)
Amended effective 11/27/2023