The bill amends Section 40-8.9-9 of the General Laws in Chapter 40-8.9, focusing on reforming Medicaid long-term care funding in Rhode Island. It establishes a goal for allocating a minimum of 50% of Medicaid long-term care funding for individuals aged 65 and over and adults with disabilities to home- and community-based care. The executive office of health and human services is authorized to apply for necessary waivers and state-plan amendments to facilitate this allocation. Additionally, the bill mandates annual reporting on funding distribution between institutional and home- and community-based care, while prioritizing investments in the latter. The reformed system is designed to be person-centered, emphasizing individual choice and family involvement, and includes provisions for a tiered eligibility criteria for services.

Moreover, the bill introduces significant changes to payment methodologies, including a one-time increase in base payment rates for home-care service providers to address workforce challenges. It establishes a statewide conflict-free case management network and mandates the development of new Medicaid certification standards focused on service quality. The bill also includes provisions for higher resource eligibility limits for individuals with long-term care needs, ensuring they can maintain housing while receiving support. Notably, it stipulates that all Medicaid programs must not reimburse home care providers below fee-for-service rates, while deleting certain existing reimbursement provisions. The act is set to take effect upon passage.