210 R.I. Code R. 210-RICR-40-10-1.12

Current through December 3, 2024
Section 210-RICR-40-10-1.12 - Mainstreaming/Selective Contracting

The mainstreaming of Medicaid beneficiaries into the broader health delivery system is an important objective of RHP and MMP. The MCO therefore must ensure that all of its network providers accept its members for treatment. The MCO also shall accept responsibility for ensuring that network providers do not intentionally segregate RHP and MMP members in any way from other persons receiving services. MCOs may develop selective contracting arrangements with certain providers for the purpose of cost containment but shall adhere to the access standards as defined in the MCO contracts.

210 R.I. Code R. 210-RICR-40-10-1.12

Amended effective 10/5/2021