Statutes, codes, and regulations
Rhode Island Administrative Code
Title 218 - Department of Human ServicesChapter 40 - Division of Elderly AffairsSubchapter 00 - N/A
Part 2 - Rules, Regulations, and Standards Governing the Pharmaceutical Assistance to the Elderly Program (218-RICR-40-00-2)
Section 218-RICR-40-00-2.2 - Definitions

218 R.I. Code R. 218-RICR-40-00-2.2

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Current through December 3, 2024
Section 218-RICR-40-00-2.2 - Definitions
2.2.1Definitions
A. For the purpose of these rules and regulations, the following terms shall be construed as follows:
1. "The Act" means R.I. Gen. Laws Chapter 42-66.2, as amended.
2. "Additional drugs" means those drugs as defined in R.I. Gen. Laws § 42-66.2-3, as amended.
3. "Approved documentation" means and includes a current explanation of benefits (EOB) statement from a Medicare prescription drug plan (Part D) and a statement of current year- to-date pharmacy medication expenses from a participating pharmacy.
4. "Consumer" means any full-time resident of the State of Rhode Island who fulfills the eligibility requirements set forth in the R.I. Gen. Laws §44-66.2-3 and §2.3.3 of this Part herein.
5. "Contractor" means a third party or private vendor as defined in R.I. Gen. Laws § 42-66.2-3, as amended.
6. "Coverage gap" means the out-of-pocket expenses for medications between the point where an eligible person exceeds the Medicare Part D coverage limit under §1860D-2(b)(3) (42 U.S.C. § 1395w-114a) of the Patient Protection and Affordable Care Act and below the catastrophic amount specified in §1860D2(b)(4)(B) of the Patient Protection and Affordable Care Act for the year.
7. "Delegate agency" means any local community-based agency with which the Division negotiates a contract for assistance with the implementation of the RIPAE Program.
8. "Department" means the Department of Human Services.
9. "Director" means the Director of the Division of Elderly Affairs
10. "Division" means the Department of Human Services, Division of Elderly Affairs.
11. "Eligible drugs" is defined in R.I. Gen. Laws § 42-66.2-3, as amended.
12. "Full-time resident" shall be determined consistent with the residency requirements set forth in R.I. Gen. Laws § 17-1-3.1, as amended, entitled, "Residence for Voting Purposes".
13. "Income" means the sum of federal adjusted gross income as defined in the R.I. Gen. Laws § 42-66.2-3, as amended.
14. "Participating pharmacy" means any licensed pharmacy which has a written agreement with the contractor agreeing to the conditions and requirements of participation in the RIPAE Program.
15. "Pharmaceutical manufacturer" means any entity as defined in R.I. Gen. Laws § 42-66.2-3, as amended.

218 R.I. Code R. 218-RICR-40-00-2.2