218 R.I. Code R. 218-RICR-30-00-1.6

Current through December 3, 2024

Section 218-RICR-30-00-1.6 - Medicaid Case Processing

1.6.1Medicaid Agency Responsibilities

A. The Medicaid agency is responsible for forwarding all cases where the custodial parent is receiving Rite Care, Medicaid or RIte Share to the OCSS for case processing. The OCSS is not responsible for any cases until an appropriate and complete referral is provided.

B. The Medicaid agency must notify the OCSS when the following occurs:

1. A non-custodial parent changes insurance;

2. A non-custodial parent drops insurance; and/or

3. A custodial parent stops receiving Medicaid.

1.6.2Assignment and Referral

A. Each applicant for or recipient of Medicaid or any individual receiving Medicaid for and on behalf of any other person for whom (s)he may be legally responsible will assign his/her rights to any medical support or any other medical care without the necessity of signing any document.

B. This assignment includes any and all rights and interests that (s)he may have to payment for any medical support and to payment for any medical care from any third (3^rd) party.

C. The custodial parent is not assigning any rights to child support. That is a separate assignment, which arises when the custodial parent receives RIW benefits.

1.6.3Custodial Parent Responsibilities

A. As a condition of eligibility for Medicaid, a recipient is required to cooperate (unless good cause for refusing to cooperate is determined) with the State in:

1. Identifying and locating the non-custodial parent,

2. Establishing parentage for children born out of wedlock,

3. Establishing medical support obligations, and

4. Enforcing such orders.

218 R.I. Code R. 218-RICR-30-00-1.6

Amended effective 3/29/2019
Amended effective 1/1/2021