Bill > S0896

This bill modifies Rhode Island's medical reimbursement rules for community health centers by expanding the existing payment methodology to explicitly include behavioral and dental health services. Specifically, the bill requires that the maximum reimbursement rate for medical, dental, and behavioral health services provided by a community health center will equal the lesser of either the actual cost (as determined by a Medicaid cost report) or 125% of the median rate for all community health centers in Rhode Island. The bill aims to support community health centers by ensuring they receive fair compensation for their services while maintaining cost controls. The legislation amends an existing law that already established an alternative payment methodology (APM) for Medicaid reimbursements, and it introduces more precise language about cost calculation and service types. Community health centers, which include federally qualified health centers and rural health centers, will be required to cooperate with reporting requirements and the new reimbursement framework. The bill will take effect immediately upon its passage.

Budget and Finance

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