Section 210-RICR-50-00-1.11 - Roles and ResponsibilitiesA. Persons seeking LTSS Medicaid eligibility must meet the general requirements that apply program-wide related to residency, citizenship, and cooperation, among others. 1. Agency responsibilities - The EOHHS is responsible for determining Medicaid LTSS eligibility, authorizing services, the appropriate level of care planning and service coordination, as dictated by setting, and enrollment in service delivery option of choice. Under the terms of interagency agreements, the DHS and BHDDH have been authorized to determine all or some aspects of LTSS eligibility as an agent of the EOHHS.2. Applicant Responsibilities - Beneficiaries determined eligible through this pathway must provide accurate and timely information and the consent necessary for EOHHS, or its agent(s), to obtain the health care information required for the clinical eligibility determination.210 R.I. Code R. 210-RICR-50-00-1.11
Amended effective 10/5/2021
Amended effective 12/29/2022