§ 40-8.14-1. Definitions.
For purposes of this chapter:
(1)
"Director� means the director of the Rhode Island department of administration.
(2) "Executive office of health and human services (EOHHS)� means the agency in the executive
branch of state government that is designated as the Medicaid single state agency
and which, in this capacity, oversees the administration of the Medicaid LTSS program.
(3) "Fiscal intermediary� means a third-party organization operating in accordance with
applicable federal and state requirements under contract with the state that is responsible
for performing payroll and other employment-related functions on behalf of the participant
as set forth in the implementing regulations for the personal choice program promulgated
by the secretary of EOHHS.
(4) "Individual provider� means an individual selected by and working under the direction
of a Medicaid LTSS participant or the participant's duly authorized representative
to provide self-directed personal care services to the participant in accordance with
a person-centered plan and the implementing regulations promulgated for the program
by the secretary of EOHHS. Individual provider does not mean or include an employee
of a provider agency, subject to the agency's direction and control commensurate with
agency employee status.
(5) "Medicaid LTSS participant� means a person who has been determined by the state to
be eligible for Medicaid-funded long-term services and supports under the Medicaid
state plan and/or the RI section 1115 waiver demonstration and/or Medicaid authorities
created in the future.
(6) "Participant's representative� means a participant's legal guardian or a person who
has been designated by the participant or otherwise has the authority and responsibility
to act on behalf of a participant with respect to the provision of self-directed services,
including the self-directed personal care services subject to this act.
(7) "Provider representative� means a provider organization that is certified as the exclusive
negotiating representative of individual providers as provided in § 40-8.15-7.
(8) "Secretary� means the secretary of the Rhode Island executive office of health and
human services (EOHHS).
(9) "Self-directed personal care services� means home and community-based personal care
services a Medicaid LTSS participant is authorized to self-direct to meet their daily
living needs, function adequately at home, safely access the community, or other nonprofessional
services under the personal choice program, independent provider program, or any similar
program that may provide similar services in the future under the Medicaid state plan,
section 1115 demonstration waiver, or future Medicaid authorities promulgated by the
secretary.