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Essential Health Benefits

Agendas | Minutes | Presentations | Resources

Public Comment Period
Please note the public comment period is now closed.

The Affordable Care Act ensures health plans offered in the individual and small group markets, both inside and outside of the Affordable Insurance Exchanges (Exchanges), offer a comprehensive package of items and services, known as essential health benefits. Essential health benefits must include items and services within at least the following 10 categories: ambulatory patient services; emergency services; hospitalization; maternity and newborn care; mental health and substance use disorder services, including behavioral health treatment; prescription drugs; rehabilitative and habilitative services and devices; laboratory services; preventive and wellness services and chronic disease management; and pediatric services, including oral and vision care. Insurance policies must cover these benefits in order to be certified and to offer their products on the Exchange. All Medicaid state plans must also cover these services by 2014.

Below you will find the most recent agendas, minutes, presentations, and resources from past meetings. For a complete list of meeting agendas and minutes, please click on "More" at the end of each list.

Agendas

07/16/2012 03:00 EDT
Brown University - Continuing Education, 200 Dyer Street, Providence, RI 02903 Filed on: July 13, 2012 at 10:39 AM
06/25/2012 03:00 EDT
DOT Highway & Bridge Maintenance Building, 360 Lincoln Avenue, Warwick, RI 02888 Filed on: June 20, 2012 at 04:03 PM
06/04/2012 03:00 EDT
RI-CIE, One Davol Square, Suite 200, Providence, RI 02908 Filed on: May 31, 2012 at 12:04 PM
05/11/2012 03:00 EDT
RI-CIE One Davol Square, Suite 200, Providence, RI 02903 Filed on: May 07, 2012 at 10:42 AM
04/16/2012 03:30 EDT
RI-CIE One Davol Square, Suite 200, Providence, RI 02903 Filed on: April 11, 2012 at 02:47 PM

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Minutes

For a complete list of meeting minutes, please click on "More" at the end of the list.

Draft - Previous Minutes Submitted in Error (Wrong Date) Minutes filed on September 07, 2012 at 01:14 PM
DRAFT Minutes filed on September 07, 2012 at 01:12 PM
Draft Minutes filed on September 07, 2012 at 12:34 PM
DRAFT Minutes filed on August 06, 2012 at 02:56 PM
Untitled Minutes filed on July 31, 2012 at 03:25 PM

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Presentations

Date Files
September 6, 2012 09.06.12 Presentation to Exchange Board: Recommending A Benchmark List of Convered Services for RI
August 30, 2012 08.30.12 Review of Public Comments & Premium Impact of Benchmark Options
August 6, 2012 08.06.12 Habilitative Services & Review of Stakeholder Process
July 16, 2012 07.16.12 Supplementation for Pediatric Dental Benefits
June 25, 2012 06.25.12 Comparison of RI's Two Largest Small Group Plans
June 4, 2012 06.04.12 Comparing Benchmark Plan Options
May 11, 2012 05.11.12 Selecting a Benchmark Plan
05.12 Essential Health Benefits Report
April 16, 2012 04.16.12 Under the Affordable Care Act

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Resources

The following resources provide useful background information and guidance on the Essential Health Benefits provisions of the Affordable Care Act as provided by the Center for Consumer Information and Insurance Oversight and the Centers for Medicare & Medicaid:

  • Essential Health Benefits Bulletin, CCIO - [12.16.11]
  • Frequently Asked Questions, CMS - [02.17.12]
  • Essential Health Benefits Report, OHIC - [05.11.12]
  • Public Comments Received on Essential Health Benefits - [09.28.12]
  • Executive Committee Recommendation on Essential Health Benefits - [09.28.12]
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