THIS RHODE ISLAND MEDICAID PROGRAM REGULATORY REQUIREMENTSRhode Island Medicaid Program Regulatory Requirements Appendix • January 17th, 2017
This Appendix applies with respect to the provision of heath care services that Provider provides directly to Covered Persons through Health Plan’s (as defined herein) products or benefit plans under the State of Rhode Island’s Medicaid managed care programs (collectively the “State Program”) as governed by the State’s designated regulatory agencies. Provider has agreed to provide Covered Services to Covered Persons who receive their coverage pursuant to a contract between Health Plan and the State (the “State Contract,” as defined herein). In the event of a conflict between this Appendix and other appendices or any provision of the Agreement, the provisions of this Appendix shall control except with regard to benefit plans outside the scope of this Appendix or unless otherwise required by law. In the event Subcontractor is required to amend or supplement this Appendix as required or requested by the State to comply with federal or State regulations, Subcontractor will unilaterally ini
DOWNSTREAM PROVIDERRhode Island Medicaid Program Regulatory Requirements Appendix • April 11th, 2024
The requirements of this Appendix apply to Rhode Island Medicaid benefit plans sponsored, issued or administered by UnitedHealthcare of New England, Inc. (referred to in this Appendix as “United”) under the State’s Medicaid managed care programs (collectively the “State Program”) as governed by the State’s designated regulatory agencies. In the event of a conflict between this Appendix and other appendices or any provision of the Agreement, the provisions of this Appendix shall control except with regard to benefit plans outside the scope of this Appendix or unless otherwise required by law. In the event United is required to amend or supplement this Appendix as required or requested by the State to comply with federal or State regulations, United will unilaterally initiate such additions, deletions or modifications.
