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Bill > S2363


RI S2363

RI S2363
Establishes the Medicaid fee-for-service reimbursement rates set by the general assembly as the rate floor for Medicaid managed care by home care, home nursing care and hospice providers.


summary

Introduced
01/30/2026
In Committee
01/30/2026
Crossed Over
Passed
Dead

Introduced Session

2026 Regular Session

Bill Summary

This act would establish Medicaid fee-for-service reimbursement rates set by the general assembly as the rate floor for Medicaid managed care by home care, home nursing care and hospice providers licensed by the department of health, establish rate modifiers to incentivize direct care workers to provide care during evenings, nights, Sundays and holidays as well as hard-to-serve Medicaid beneficiaries that reside in department of health defined low density population communities, comply with federal department of labor rules on time and travel for direct care workers, and adopt the rate review recommendations from the office of the health insurance commissioner for home care, home nursing care and hospice providers. This act reduces administrative burden on Medicaid-contracted home care providers and the Executive Office of Health and Human Services by eliminating a statutory reporting requirement that is no longer relevant to current and future Medicaid home care reimbursement rates. This act would also permit the Rhode Island Partnership for Home Care, with oversight by the Executive Office of Health and Human Services, to coordinate behavioral health training to licensed nurse assistants and homemakers delivering paraprofessional care services to Medicaid home care beneficiaries This act would take effect upon passage.

AI Summary

This bill establishes that the Medicaid fee-for-service reimbursement rates, as determined by the general assembly, will serve as the minimum payment rate, or "rate floor," for home care, home nursing care, and hospice providers operating under Medicaid managed care plans. It also introduces rate modifiers to encourage direct care workers to provide services during evenings, nights, Sundays, and holidays, and for beneficiaries in rural or less populated areas. The bill ensures compliance with federal rules regarding time and travel compensation for direct care workers and adopts recommendations from the office of the health insurance commissioner for rate reviews. Additionally, it removes an outdated reporting requirement to reduce administrative burdens and allows the Rhode Island Partnership for Home Care, with oversight from the Executive Office of Health and Human Services, to coordinate behavioral health training for licensed nurse assistants and homemakers.

Committee Categories

Budget and Finance

Sponsors (5)

Last Action

Introduced, referred to Senate Finance (on 01/30/2026)

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