{"data":{"id":"us-ri/r.i.-gen.-laws-27-34.2-18","jurisdiction":"us-ri","citation":"R.I. Gen. Laws § 27-34.2-18","heading":"Pre-certification for Medicaid protection of resources.","body":"The department of business regulation shall pre-certify long-term care insurance policies that meet all other applicable requirements imposed by this chapter and that:\n(1) Offer the option of home and community based services in addition to nursing home care;\n(2) In all home care plans, include case management services which services shall include, but need not be limited to, the development of a comprehensive individualized assessment and care plan and, as needed, the coordination of appropriate services and the monitoring of the delivery of those services;\n(3) Provide inflation protection;\n(4) Provide for the keeping of records and an explanation of benefit reports on insurance payments that count toward Medicaid resource exclusion; and\n(5) Provide the management information and reports necessary to document the extent of Medicaid resources protection offered and to evaluate the Rhode Island partnership for long-term care. No policy shall be precertified if it requires prior hospitalization or a prior stay in a nursing home as a condition of providing benefits. The department of business regulation may adopt regulations to carry out the precertification provisions of this section.","path":["Title 27 Insurance","Chapter 34.2 Long-Term Care Insurance"],"source_url":"https://webserver.rilegislature.gov/Statutes/TITLE27/27-34.2/27-34.2-18.htm","current_through":"site files published 2025-08-13","vintage":"","retrieved_at":"2026-09-05T19:57:38Z","sha256":"f00df847bc4c726315311bb94a5f311fcda0fbea83c956824c777ca035dff840","source_id":"us-ri","stale":true,"prev":"us-ri/r.i.-gen.-laws-27-34.2-17","next":"us-ri/r.i.-gen.-laws-27-34.2-19"},"notice":"GroundRules: Original legal text. Not legal advice."}