Rhode Island § 27-19-43 § 27-19-43. Restricted annual rate payments prohibited.

Rhode Island Statutes

§ 27-19-43 — § 27-19-43. Restricted annual rate payments prohibited.

Rhode Island § 27-19-43

Title 27Insurance

Ch. 27-19Nonprofit Hospital Service Corporations

This text of Rhode Island § 27-19-43 (§ 27-19-43. Restricted annual rate payments prohibited.) is published on Counsel Stack Legal Research, covering Rhode Island primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

R.I. Gen. Laws § 27-19-43 (2026).

Text

§ 27-19-43. Restricted annual rate payments prohibited.
(a) No corporation organized under this chapter shall compensate any provider of outpatient
            service by using the restricted annual rate method of payment.
         
(b) The "restricted annual rate method of paymentâ€� is defined as any method of payment
            that sets, as all or part of its payment scheme, a total payment limit for mental
            health and/or substance abuse treatment services for each person seeking treatment
            based on a per person per unit of time criterion that disregards the extent of treatment
            and/or degree of services rendered.
         
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§ 27-19-43. Restricted annual rate payments prohibited.

(a) No corporation organized under this chapter shall compensate any provider of outpatient service by using the restricted annual rate method of payment.

(b) The "restricted annual rate method of paymentâ€� is defined as any method of payment that sets, as all or part of its payment scheme, a total payment limit for mental health and/or substance abuse treatment services for each person seeking treatment based on a per person per unit of time criterion that disregards the extent of treatment and/or degree of services rendered.

(c) This prohibition shall not be construed to prohibit or limit capitation or other risk-sharing agreements between providers and insurers otherwise permissible by law.