Rhode Island Global Consumer Choice Demonstration

Rhode Island will operate its entire Medicaid program under a single Section 1115 Demonstration. All Medicaid funded services on the continuum of care including preventative care in the home and community, care in high-intensity hospital settings, long-term, and end-of life-care will be organized, financed, and delivered through the Demonstration. The State's currently operating waivers and demonstrations will be terminated and the services will instead be furnished through this Global Consumer Choice section 1115 demonstration (including Rhode Island's section 1115 RIte Care and RIte Share programs for children and families, the 1915(b) Dental Waiver, and all of its Section 1915(c) home and community based Services waivers). The Global Consumer Choice Demonstration provides for administrative flexibility combined with a potential to rebalance the long-term care system, which will allow individuals to remain in the community to receive their care. o Rhode Island will have the flexibility to change program elements expeditiously using a new administrative process. However, certain modifications will need CMS approval before implementation. o Under the Demonstration, the State will use a revised level of care criteria and expects to allow more individuals to remain in community settings.