Rhode Island General Laws 27-19-43. Restricted annual rate payments prohibited
(a) No corporation organized under this chapter shall compensate any provider of outpatient service by using the restricted annual rate method of payment.
Terms Used In Rhode Island General Laws 27-19-43
- Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
- person: may be construed to extend to and include co-partnerships and bodies corporate and politic. See Rhode Island General Laws 43-3-6
- provider: means a healthcare professional or a healthcare facility. See Rhode Island General Laws 27-19-1
(b) The “restricted annual rate method of payment” is defined as any method of payment that sets, as all or part of its payment scheme, a total payment limit for mental health and/or substance abuse treatment services for each person seeking treatment based on a per person per unit of time criterion that disregards the extent of treatment and/or degree of services rendered.
(c) This prohibition shall not be construed to prohibit or limit capitation or other risk-sharing agreements between providers and insurers otherwise permissible by law.
History of Section.
P.L. 1998, ch. 352, § 2.