218 R.I. Code R. 218-RICR-10-00-1.2
"Affordable Care Coverage" or "ACC" means affordable Medicaid coverage for low-income individuals who are otherwise ineligible for Medicaid and not eligible for or enrolled in Medicare.
"Agency" means the Department of Human Services (DHS), including any board, commission or officer of the department.
"Agency error" means that an individual or household unintentionally received increased or decreased benefits caused by incorrect actions (including delayed or no action) by the Department of Human Services staff or department processes.
"Child Care Assistance Program" or "CCAP" means a state agency program for low-income working families to access affordable, high-quality early care and afterschool programs.
"Department of Behavioral Healthcare, Development Disabilities and Hospitals" or "BHDDH" means the state agency that is responsible for planning, funding and overseeing a community system of services and supports for adults with behavioral health disabilities and/or developmental disabilities.
"Department of Children, Youth and Families" or "DCYF" means the state agency which is responsible for the safety, protection and well-being of children through a family and child-centered wrap-around model of care. DCYF partners with families and communities to raise safe and healthy children and youth in a caring environment.
"Department of Human Services" or "DHS" means the state agency that provides a full continuum of services for families, adults, children, elders, individuals with disabilities and veterans.
"Division of Elderly Affairs" or "DEA" means the state agency that provides care and support for the state's elderly population and their families.
"Elders and Adults with Disabilities" "EAD" means the Medicaid IHCC group established by R.I. Gen. Laws Chapter 40-8.5 for adults with a SSI characteristic related to age (elders 65 years of age or older) or disability.
"Executive Office of Health and Human Services" or "EOHHS" means the state agency that is designated under the Medicaid State Plan as the Single State Agency responsible for the administration of the Title XIX Medicaid Program.
"Department of Health" or "DOH" means the state agency that addresses the social and environmental determinants of health, eliminates the disparities of health and promotes health equity. It also ensures access to quality health services for the citizens of Rhode Island.
"Federal data hub" means the database of the United States population built by the U.S. Internal Revenue Service (IRS) and Health and Human Services (HHS) used to facilitate determinations for coverage, including Medicaid, under the Affordable Care Act of 2010 (42 U.S.C. § 18001 et seq.).
"Fraud" means an applicant or recipient who knowingly provides false information or fails to disclose pertinent information affecting eligibility of benefits to the Department of Human Services (DHS) for purposes of procuring payment or services under any assistance program administered by the DHS.
"Fraud unit" means the Fraud Detection and Prevention Unit, Office of Internal Audits, and/or the Department of Administration.
"General Public Assistance Program" or "GPA" means a state program for adults age eighteen (18) and over who have very limited income and resources and have an illness or medical condition that keeps them from working. This program also applies to adults who apply for Supplemental Security Income (SSI) but are not yet determined eligible, and may receive GPA benefits while their disability determination review occurs.
"General Public Assistance - Hardship Program" means a type of cash assistance state program that must be requested by an individual who is pending SSI and GPA Bridge program. This program consists of a bi-monthly payment to the recipient which is reviewed on a monthly basis.
"HealthSource RI" or "HSRI" means the state-based health insurance marketplace (also referred to as a benefit exchange) established in conjunction with implementation of the federal Affordable Care Act (42 U.S.C. § 18001 et seq.).
"Household error" means an error or unintentional omission in the information submitted by the household that may have affected program benefits.
"Integrated Health Care Coverage Group" or "IHCC" means any Medicaid coverage group consisting of adults who are eligible upon receipt of Supplemental Security Income (SSI), SSI protected status, the SSI income methodology and a related characteristic (age or disability), or a result of participation in another federal or state program.
"Intentional program violations" means an individual or household that committed any act that constitutes a violation of the Supplemental Nutrition Assistance Program (SNAP), SNAP regulations, or any State statute for the purpose of using, presenting, transferring, acquiring, receiving, possessing or trafficking of SNAP benefits or EBT cards. This may also consist of having intentionally made a false or misleading statement, or misrepresented, concealed or withheld facts from the Department of Human Services.
"Katie Beckett" or "KB" means a Medicaid program to provide health insurance coverage to children under age 19 who are living at home but have complex health needs that typically require the care provided in a health facility.
"Long Term Social Services" or "LTSS" means program services to individuals that may need long term care. The Department of Human Services provides publicly funded long-term services and supports to meet the needs of individuals with chronic illnesses or disabilities.
"Medical Assistance Program" also known as "Medicaid" or "MA" means a federal and state funded program that pays for medical and health related services for eligible applicants/recipients.
"Medicare Premium Payment Program" or "MPPP" means the program that assists individuals over age 65 and individuals with disabilities pay all or some of the costs of Medicare Part A and Part B premiums, deductibles and co-payments.
"Office of Child Support Services" or "OCSS" means the state agency that provides services such as; establishing paternity of children, establishing court orders for financial and medical support, modifies, changes and enforces support orders.
"Office of Rehabilitation Services" or "ORS" means the state agency that provides a wide variety of services to individuals with disabilities.
"Office of Veterans Affairs" or "VA" means the state agency that provides social services and information of all programs and benefits to veterans and their dependents. It is also responsible for the administration of the Veteran's Home, the Rhode Island Veteran's Cemetery, grave registration program and the Historical Cemeteries Program.
"Overpayment" means the program benefits were received in excess of the eligible benefit amount.
"Provider error" means that an institution unintentionally received increased benefits caused by incorrect actions (including delayed or no action) by the Department of Human Services staff or department processes.
"RI Bridges" means Rhode Island's health and human services eligibility and enrollment system. It is also known as the Unified Health Infrastructure Project (UHIP).
"Rhode Island Works Program" or "RIW" means the agency program offers temporary cash assistance, child care assistance and assistance in finding employment or job training to needy families.
"Social Services" or "SS" means the federal and state program authorized under Title XX of the Social Security Act (42 U.S.C. 1397) to meet the social service needs of individuals and families who are receiving RIW or SSI and other individuals and families whose income is less than the established standard.
"Supplemental Nutrition Assistance Program" or "SNAP" means the state-administered federal program that helps individuals and families buy food.
"Supplemental Security Income" or "SSI" means a Federal income program designed to help aged, blind and disabled individuals who have little or no income and few resources. The program provides cash to meet basic needs for food, clothing and shelter.
"State Supplemental Payment Program" or "SSP" means a state program that augments SSI in the form of cash assistance.
218 R.I. Code R. 218-RICR-10-00-1.2