Title 40
Human Services

Chapter 8.9
Medical Assistance — Long-Term Care Service and Finance Reform

R.I. Gen. Laws § 40-8.9-6

§ 40-8.9-6. Recognizing long-term reform performance — Reporting.

(a) Annual performance reports showing progress in long-term-care system reform and rebalancing shall be submitted by April 1 of each year by the executive office of health and human services to the finance committees of both the senate and the house of representatives and the long-term care coordinating council and shall include:

(1) The number of Medicaid-eligible persons aged sixty-five (65) years and over and adults with disabilities served in nursing facilities;

(2) The number of Medicaid-eligible persons aged sixty-five (65) years and over and adults with disabilities transitioned from nursing homes to Medicaid-supported home- and community-based care;

(3) The number of persons aged sixty-five (65) years and over and adults with disabilities served in Medicaid and office of healthy aging home and community care, to include home care, adult day services, assisted living, the personal choice program, the program of all-inclusive care of the elderly (PACE) and shared living;

(4) The dollar amounts and percent of expenditures spent on nursing facility care and home- and community-based care for those aged sixty-five (65) years and over and adults with disabilities and the average cost of care for nursing facility care and home- and community-based care;

(5) The amount of savings attributed to the value of the reduction in nursing home days, including hospice nursing home days paid for by Medicaid in accordance with § 40-8.9-4, and how the savings, if any, are allocated in the current fiscal year and in the proposed budget for the ensuing fiscal year to promote and strengthen community-based alternatives; and

(6) Estimates of the continued investments necessary to provide stability to the existing system and establish the infrastructure and programs required to achieve systemwide reform and the targeted goal of spending fifty percent (50%) of Medicaid long-term-care dollars on nursing facility care and fifty percent (50%) on home- and community-based services.

(b) Beginning in 2019, to measure and show progress in achieving the state’s goals for long-term services and supports reform, the executive office of health and human services shall develop and make public on its website a long-term services and supports performance scorecard based on the measures detailed in subsections (a)(1) through (a)(5) of this section showing data for the most recent four-year (4) period.

History of Section.
P.L. 2006, ch. 263, § 1; P.L. 2006, ch. 286, § 1; P.L. 2009, ch. 223, § 1; P.L. 2010, ch. 239, § 5; P.L. 2016, ch. 142, art. 7, § 5; P.L. 2018, ch. 148, § 1; P.L. 2018, ch. 255, § 1.