Current through November 7, 2024
Section 230-RICR-20-30-9.5 - Delegate RequirementsA. A health care entity must provide evidence to the Office of current state certification under the Act for each of its delegates, if any, to which the health care entity has delegated activity as defined in R.I. Gen. Laws Chapters 27-18.9 and/or 27-18.8.B. A health care entity must maintain regular and meaningful oversight of each of its delegates to ensure every such delegate is in compliance with the Act's network plan requirements, including but not limited to the following: 1. For any portion of the health care entity's network plan activity that is delegated, in part or whole, the health care entity shall be responsible for oversight and be held accountable for all activity delegated and for any non-compliance of its delegate with the Act and these regulations.2. Should the Commissioner determine that any delegated activity is non-compliant with the rules herein or other state and/or federal laws, the health care entity may be required by the Commissioner to re-assume or reassign the performance of the activity delegated.3. The health care entity shall ensure through its delegation agreement or contract that it and the Office will have direct access to all the information held by the delegate that in its or the Office's determination could contribute to determining compliance with the Act and these regulations.230 R.I. Code R. 230-RICR-20-30-9.5
Adopted effective 12/16/2018