Medicaid State Plan Scanned PDF Version
The Rhode Island Medicaid State Plan outlines how the State administers its Medicaid program in partnership with the federal government. Below you will find scanned PDF copies of the current State Plan and approved amendments, available for reference by providers, partners, and the public.
Medicaid State Plan 2015 Introduction
Please Note: Some parts of Section 2, Attachments to Section 2 and Supplements to Attachments in Section 2 have been revised and updated in the CMS MMDL and MACPro systems. Pages where updated language lives elsewhere contain notes that direct the reader to the relevant documents. All documents can be found on the EOHHS Medicaid State Plan webpage.
Section 4 – General Program Administration
Attachments 4.11-A through 4.18-F - Standards for Institutions; Utilization Control; Cooperative Arrangements; Liens, Adjustments or Recoveries; Premiums and Cost Sharing
Attachment 4.19-A – Inpatient Hospital Payments
Attachment 4.19-B – Payments for Services (excluding Hospital and Nursing Facilities)
- Attachment 4.19-B pages 1-11 - Other Types of Care
- Attachment 4.19-B pgs. 13.A-C Diagnostic, Preventive
- Attachment 4.19-B pg. 13.D Rehab Benefits
- Attachment 4.19-B Payments 15-17
- Supplements 1 and 2 to Attachment 4.19-B
Attachment 4.19-D Nursing Facility Principals of Reimbursement
Attachments 4.19-E through 4.42-A - Claim Definitions; Third-Party Liability; RIte Share; Income Verification System Procedures; Issuance
MACPro Eligibility
- MACPro Eligibility and Enrollment Processes – CE for Preg. People and Ext. Postprtm Cov.
- MACPro Eligibility Groups - Options for Coverage
- MACPro Eligibility Groups – Mandatory Coverage
- MACPro Income and Resource Methodologies
- MACPro Income and Resource Standards
- MACPro Non-Financial Eligibility – Citizen and Non-Citizen
MACPro Health Homes