Section 210-RICR-50-00-8.3 - Exclusions and ExemptionsA. There are certain beneficiaries receiving Medicaid LTSS coverage that are either excluded from the PETI or are exempt in certain circumstances, as indicated below: 1. Children and Youth Up to Age Nineteen (19) - Children receiving Medicaid LTSS, irrespective of eligibility pathway, are not subject to PETI. Although there are some differences in the way beneficiary liability is determined by setting, the same general Rules in this section apply irrespective of eligibility pathway or whether LTSS is provided in a health institution or at home or in the community.2. SSI Beneficiaries - 1619(b) status - Irrespective of LTSS living arrangement, Medicaid beneficiaries who are working and have SSI 1619(b) status are exempt from the PETI process. Earned income is treated as invisible in the allocation process.210 R.I. Code R. 210-RICR-50-00-8.3
Amended effective 6/3/2021
Amended effective 9/2/2021
Amended Effective 11/3/2021
Amended effective 7/29/2023(EMERGENCY)
Amended effective 11/22/2023