Rule: Section 5.0 Designation of Metabolic Disease Testing and Newborn Screening for Hearing Impairments as a Covered Benefit.
5.1 Metabolic Disease Testing and Newborn Screening for Hearing Impairments shall be a covered benefit reimbursable by all health insurers, as defined in section 27-38-6 of the general laws, except for supplemental policies which only provide coverage for specific diseases, hospital indemnity, Medicare supplement, or other supplemental policies.
5.2 The Rhode Island Department of Human Services shall pay for testing/screening when the patient is eligible for medical assistance under the provisions of chapter 40-8.
5.3 The Department of Health shall pay for such testing when the patient is eligible for the Rite Start Program pursuant to the provisions of section 23-13-18.
5.4 In the absence of a third party payor the costs for such testing, including the Coordination fee, shall be paid by the hospital or other health care facility where the birth occurred. Nothing herein shall preclude the hospital or health care facility from billing the patient directly. Said fee shall be deposited into a restricted receipt account within the Division of Laboratories in the Department of Health.
Source: (R23-13-MET/HRG)
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