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

Sections 1-2: Designation and Authority, Coverage, and Eligibility

Section 1-Designation and Authority

Section 2-Coverage and Eligibility

Section 3: Services

Section 3-Services

Attach 3.1-A and Supplements

Attach. 3.1-B to Pg. 1 to Attach. 3.1-F Pg. 2

Attach. 3.1-F Pg. 3 to Pg. 20

Attach. 3.1-L Alternative Benefit Plan

Attach. 3.2-A

Supplemental Drug Rebate Agreement

Section 4: General Program Administration (including Payment Methodologies)

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-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

Sections 5-7: Personnel and Financial Administration, and General Provisions

Section 5-Personnel Administration

Section 6-Financial Administration

Section 7-General Provisions

ACA Preprints

ACA Preprints A1 to S89

ACA Preprint S94

ACA Preprints for CHIP C23 to CS24