§ 42-14.5-2.1. Definitions.
As used in this chapter:
(1) "Accountability standards� means measures including service processes, client and
population outcomes, practice standard compliance, and fiscal integrity of social
and human service providers on the individual contractual level and service type for
all state contracts of the state or any subdivision or agency to include, but not
limited to, the department of children, youth and families (DCYF), the department
of behavioral healthcare, developmental disabilities and hospitals (BHDDH), the department
of human services (DHS), the department of health (DOH), and Medicaid. This may include
mandatory reporting, consolidated, standardized reporting, audits regardless of organizational
tax status, and accountability dashboards of aforementioned state departments or subdivisions
that are regularly shared with the public.
(2) "Executive Office of Health and Human Services (EOHHS)� means the department that
serves as "principal agency of the executive branch of state governmentâ€� (§ 42-7.2-2) responsible for managing the departments and offices of: health (RIDOH), human services
(DHS), healthy aging (OHA), veterans services (VETS), children, youth and families
(DCYF), and behavioral healthcare, developmental disabilities and hospitals (BHDDH).
EOHHS is also designated as the single state agency with authority to administer the
Medicaid program in Rhode Island.
(3) "Primary care servicesâ€� means, for the purposes of reporting required under § 42-14.5-3(t), professional services rendered by primary care providers at a primary care site
of care, including care management services performed in the context of team-based
primary care.
(4) "Rate review� means the process of reviewing and reporting of specific trending factors
that influence the cost of service that informs rate setting.
(5) "Rate setting� means the process of establishing rates for social and human service
programs that are based on a thorough rate review process.
(6) "Social and human service program� means a social, mental health, developmental disability,
child welfare, juvenile justice, prevention services, habilitative, rehabilitative,
substance use disorder treatment, residential care, adult or adolescent day services,
vocational, employment and training, or aging service program or accommodations purchased
by the state.
(7) "Social and human service provider� means a provider of social and human service programs
pursuant to a contract with the state or any subdivision or agency to include, but
not be limited to, the department of children, youth and families (DCYF), the department
of behavioral healthcare, developmental disabilities and hospitals (BHDDH), the department
of human services (DHS), the department of health (DOH), and Medicaid.
(8) "State government and the provider network� refers to the contractual relationship
between a state agency or subdivision of a state agency and private companies the
state contracts with to provide the network of mandated and discretionary social and
human services.