RI S3061

Requires health insurers to cover post-acute care services for a minimum of 7 days without prior authorization for patients discharged from acute care hospitals, effective January 1, 2027

Defines post-acute care services as specialized behavioral, medical, rehabilitative, or homecare services provided to improve functional independence and manage ongoing health conditions

Discharging hospitals must notify the insurer prior to discharge and admission to post-acute care, though utilization review procedures may begin on day 7

Medical necessity determinations rest with the treating healthcare provider and must be documented in the patient's medical record and discharge plan

Applies to individual and group health insurance policies, nonprofit hospital and medical service corporations, and health maintenance organizations