§ 40-8-29 - Selective contracting. - Rhode Island Statutes

SECTION 40-8-29

   § 40-8-29  Selective contracting. –(a) Notwithstanding any other provision of state law, the department of humanservices is authorized to utilize selective contracting with prior generalassembly approval for the purpose of purchasing for Medicaid recipients sharedliving provider services, durable medical equipment and supplies, and any otherMedicaid services, when appropriate, in order to assure that all serviceexpenditures under this chapter have the maximum benefit of competition, andafford Rhode Islanders the overall best value, optimal quality, and the mostcost-effective care possible. Beneficiaries will be limited to using theservices/products of only those providers determined in a competitive biddingprocess to meet the standards for best quality, performance and price set bythe department in accordance with applicable federal and state laws.

   (b) For purposes of this section "selective contracting"shall mean the process for choosing providers to serve Medicaid beneficiariesbased on their ability to deliver the best quality products or services, at thebest value or price.

   (c) To ensure all services allowable for Medicarereimbursement for beneficiaries who are dually eligible, selective contractorsmust be willing and able to accept Medicare.