CHA-RI ADVISORY FAQs
Advisory FAQs offer guidance about the program to payers and providers. Final FAQs will be published at the end of the implementation process and be updated, as needed, from time to time thereafter. These FAQ’s guide the administration of CHA-RI. At all times, however, they are subordinate to any Rhode Island Statute or Regulation.
The advisory FAQs are divided into four broad categories:
1. “A” means questions related to Assessments.
2. “C” means questions related to Contribution Enrollees.
3. “G” means questions related to Government Programs.
4. “P” means questions related to Payers.
A1. What does “assessed entity” mean?
“Assessed entity” means any healthcare insurer or other entity that contracts or offers to provide, deliver, arrange, pay for, or reimburse any of the costs of health services.
This includes: policies of accident and sickness insurance; nonprofit hospital and medical service plans; any person whose primary function is to provide diagnostic, therapeutic, or preventive services to a defined population on the basis of a periodic premium; all domestic, foreign, or alien insurance companies, mutual associations and organizations; health maintenance organizations, as defined by chapter 41 of title 27; all persons providing health benefits coverage on a self-insurance basis; all third-party administrators described in chapter 20.7 of title 27; and all persons providing health benefit coverage under Title XIX of the Social Security Act (Medicaid) as a Medicaid managed care organization offering managed Medicaid.
A2. Will publicly-funded healthcare benefit plans be required to participate in the program?
Publicly-funded healthcare benefit plans (Medicare, and the military’s TRICARE) are not included in the bill’s definition of “healthcare insurer.” As stated in §23-1-46: Annual assessments shall…not include any Medicare Supplement Policy (as defined in §27-18.2-1(g)), Medicaid or Medicare premiums.”
A3. Who is not considered an assessed entity, i.e. insurer for purposes of the CHA-RI assessment?
Any nonprofit dental service corporation as defined in § 27-20.1-2, nor any insurer offering only those coverages described in § 42-7.4-14.
A4. How are an entity’s assessments determined?
CHA-RI will set an assessment rate for each child contribution enrollee. For more information on what is a “contribution enrollee,” click here.
Any over-payments in a one-year period will be applied to the next year’s assessment calculation
A5. What will the CHA-RI 2016/2017 assessment rate be?
A6. Will the children’s health population be combined with the childhood and adult vaccine-eligible populations be to form a single assessment cost per payer?
A7. When are assessment payments due?
A8. Where do I go to complete the online assessment?
C1. What are “contribution enrollees”?
C2. Who is not a “contribution enrollee”?
C3. Must an entity file reports even if it does not provide medical benefits and therefore has zero contribution enrollees?
C4. If an entity files a Permanent Zero Contribution Enrollees Report, but it later has contribution enrollees, what should it do?
C5. If my company has filed an Annual Zero Contribution Enrollees Report, when should we file our next report?
C6. If my company filed a Permanent Zero Contribution Enrollees Report for RIVAP, should we file the same report for CHA-RI?
G1. What are the benefits of the Children’s Health Account?
G2. Does CHA-RI replace RIVAP?
G3. Is the Children’s Health Account a new assessment?
G4. How does CHA-RI impact my taxes?
G5. Why did the Rhode Island Legislature form the Children’s Health Account (CHA-RI)?
G6. Who will oversee the new program?
P1. What should I do if my company has created a password for the assessment system, but I no longer have it?
P2. Are there any tutorials on the use of this system?
P3. What if I need to make changes to my information after registering in the assessment system?
P4. If I make a mistake in my report, how can I correct it?
P5. I accidentally overpaid. Can I be reimbursed?
P6. How do I submit my payment?
P7. What if I submit a late report or payment?