Section 210-RICR-30-00-4.4 - DefinitionsA. "Children's Health Insurance Program" or "CHIP" means the program administered by the United States Department of Health and Human Services that provides matching funds to states for health insurance to families with children. The program was designed to cover uninsured children in families with incomes that are modest but too high to qualify for Medicaid.B. "Executive Office of Health and Human Services" or "EOHHS" means the designated "single state agency", authorized under Title XIX of the U.S. Social Security Act (42 U.S.C. § 1396aet seq.), to be legally responsible for the programmatic oversight, fiscal management, and administration of the Medicaid program.C. "Hospital Presumptive Eligibility" or "HPE" means Medicaid eligibility granted on a temporary basis to a person who meets certain criteria during a defined period.D. "Medicaid Affordable Care Coverage Groups" or "MACC Groups" means a classification of persons eligible to receive Medicaid based on similar characteristics who are subject to the MAGI standard for determining income eligibility beginning January 1, 2014.E. "Qualified Hospital" means any licensed Rhode Island hospital participating in the Medicaid program that elects to participate in the HPE Program by executing a Notice of Intent to Participate in the HPE Program and a Memorandum of Understanding with EOHHS to conduct presumptive eligibility determinations, participates in training and certification sponsored by EOHHS, and remains in good standing with EOHHS protocols.F. "Self-Attestation" means the act of a person affirming through an electronic or written signature that the statements the person made when applying for Medicaid eligibility are truthful and correct.210 R.I. Code R. 210-RICR-30-00-4.4
Amended effective 12/25/2024