Section 210-RICR-50-10-2.5 - EligibilityA. All general eligibility Rules for Medicaid LTSS contained in the Rhode Island Code of Regulations, Subchapter 00 Part 1 of this Chapter, Medicaid LTSS Overview and Eligibility Pathways, and Subchapter 00 Part 4 of this Chapter, Medicaid Long-Term Services and Supports Application and Renewal Process, apply to the Personal Choice Program. Additional eligibility requirements for Personal Choice are as follows: 1. Individuals who are either aged (age sixty-five (65) and older) or who have a disability and are at least eighteen (18) years old and are determined to have high or highest need for level of care;2. Individuals who have demonstrated the ability and competence to direct their own care or have a qualified designated representative to direct care, and want to either remain in their home or return to their home; and3. Individuals who have been determined to have a developmental disability and are receiving services via the Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals (BHDDH) and are interested in the Personal Choice Program must be approved by BHDDH and EOHHS Medicaid.B. Income All income eligibility Rules contained in Subchapter 00 Part 6 of this Chapter, Medicaid Long-Term Services and Supports: Financial Eligibility, apply. If Medically Needy eligible, the applied income cannot exceed the cost of services.
C. Resources All resource Rules contained in Subchapter 00 Part 6 of this Chapter, Medicaid Long-Term Services and Supports: Financial Eligibility, apply.
D. Post Eligibility Treatment of Income All Post Eligibility Treatment of Income (PETI) rules contained in Subchapter 00 Part 8 of this Chapter, Post-Eligibility Treatment of Income, apply.
210 R.I. Code R. 210-RICR-50-10-2.5
Amended effective 10/28/2019
Amended effective 12/15/2020
Amended effective 3/8/2023
Amended effective 2/12/2024