Section 216-RICR-20-05-1.6 - Designation of the Newborn Screening Program as a Covered BenefitA. The newborn screenings and testing for hearing loss shall be a covered benefit reimbursable by all health insurers, as defined in R.I. Gen. Laws § 27-38.2-2(4), providing health insurance coverage in Rhode Island except for supplemental policies which only provide coverage for specific diseases, hospital indemnity, Medicare supplement or other supplemental policies.B. When the patient is eligible for Medical Assistance under the provisions of R.I. G en. Laws Chapter 40-8, Medical Assistance, or R.I. Gen. Laws Chapter 42-12.3, Health Care for Children and Pregnant Women, the cost of the newborn screenings and testing for hearing loss shall be paid in accordance with R.I. Gen. Laws § 23-13-14(b).C. In the absence of a third-party payor, or in the absence of insurance information sufficient for billing and collection, the cost for the newborn screenings and testing for hearing loss shall be paid by the hospital or other health care facility where the birth occurred, or, in the event the birth occurred in a location other than a health care facility, by the physician or midwife attending the newborn.D. Any health care provider compensated for the newborn screenings and testing for hearing loss shall reimburse the Department for such newborn screenings and testing for hearing loss in accordance with Part 10-05-2 of this Title.216 R.I. Code R. 216-RICR-20-05-1.6
Amended effective 7/1/2020