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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.

Assessments
Hide details for A1. What does “assessed entity” mean?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.
Hide details for A2. Will publicly-funded healthcare benefit plans be required to participate in the program?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.”
Hide details for A3. Who is not considered an assessed entity, i.e. insurer for purposes of the CHA-RI assessment? 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.
Hide details for A4. How are an entity’s assessments determined?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
Show details for A5. What will the CHA-RI 2016/2017 assessment rate be?A5. What will the CHA-RI 2016/2017 assessment rate be?
Show details for A6. Will the children’s health population be combined with the childhood and adult vaccine-eligible populatioA6. 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?
Show details for A7. When are assessment payments due?A7. When are assessment payments due?
Show details for A8. Where do I go to complete the online assessment?A8. Where do I go to complete the online assessment?


Contribution Enrollees
Show details for C1. What are “contribution enrollees”?C1. What are “contribution enrollees”?
Show details for C2. Who is not a “contribution enrollee”?C2. Who is not a “contribution enrollee”?
Show details for C3. Must an entity file reports even if it does not provide medical benefits and therefore has zero contributiC3. Must an entity file reports even if it does not provide medical benefits and therefore has zero contribution enrollees?
Show details for C4. If an entity files a Permanent Zero Contribution Enrollees Report, but it later has contribution enrolleesC4. If an entity files a Permanent Zero Contribution Enrollees Report, but it later has contribution enrollees, what should it do?
Show details for C5. If my company has filed an Annual Zero Contribution Enrollees Report, when should we file our next report?C5. If my company has filed an Annual Zero Contribution Enrollees Report, when should we file our next report?
Show details for C6. If my company filed a Permanent Zero Contribution Enrollees Report for RIVAP, should we file the same repoC6. If my company filed a Permanent Zero Contribution Enrollees Report for RIVAP, should we file the same report for CHA-RI?

Government Programs
Show details for G1. What are the benefits of the Children’s Health Account?G1. What are the benefits of the Children’s Health Account?
Show details for G2. Does CHA-RI replace RIVAP?G2. Does CHA-RI replace RIVAP?
Show details for G3. Is the Children’s Health Account a new assessment?G3. Is the Children’s Health Account a new assessment?
Show details for G4. How does CHA-RI impact my taxes?G4. How does CHA-RI impact my taxes?
Show details for G5. Why did the Rhode Island Legislature form the Children’s Health Account (CHA-RI)?G5. Why did the Rhode Island Legislature form the Children’s Health Account (CHA-RI)?
Show details for G6. Who will oversee the new program?G6. Who will oversee the new program?
Payers
Show details for P1. What should I do if my company has created a password for the assessment system, but I no longer have it?P1. What should I do if my company has created a password for the assessment system, but I no longer have it?
Show details for P2. Are there any tutorials on the use of this system?P2. Are there any tutorials on the use of this system?
Show details for P3. What if I need to make changes to my information after registering in the assessment system? P3. What if I need to make changes to my information after registering in the assessment system?
Show details for P4. If I make a mistake in my report, how can I correct it?P4. If I make a mistake in my report, how can I correct it?
Show details for P5. I accidentally overpaid. Can I be reimbursed?P5. I accidentally overpaid. Can I be reimbursed?
Show details for P6. How do I submit my payment?P6. How do I submit my payment?
Show details for P7. What if I submit a late report or payment?P7. What if I submit a late report or payment?








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