This document is a billing policy manual, which contains information on the department's fee schedule, billing requirements, etc.
This document serves as the official Billing Policy Manual for the Division of Developmental Disabilities (DD) within the Rhode Island Department of Behavioral Healthcare, Developmental Disabilities and Hospitals (BHDDH). It outlines the operational guidelines for billing practices and requirements related to Home and Community-Based Services (HCBS) for licensed Developmental Disability Organizations (DDOs) and other agencies. The manual covers the legal authority derived from the Medicaid 1115 Waiver extension, which allows for innovations in health care access and outcomes for eligible adults with intellectual and developmental disabilities.
The services are authorized by the Medicaid 1115 waiver extension, which was reauthorized on January 1, 2019.
Individuals must first meet clinical eligibility under Rhode Island state law 40.1-1-8.1 and then be determined Medicaid long-term care eligible by the Department of Human Services.
The fiscal intermediary works with the individual to complete background verification of potential employees, assists with new hire paperwork, and ensures payment for services rendered in accordance with federal and state rules.