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Rhode Island General Laws 40-8.13-2. Beneficiary choice

     

Any managed long-term-care arrangement shall offer beneficiaries the option to decline participation and remain in traditional Medicaid and, if a duals demonstration project, traditional Medicare. Beneficiaries must be provided with sufficient information to make an informed choice regarding enrollment, including:

(1)  Any changes in the beneficiary‘s payment or other financial obligations with respect to long-term-care services and supports as a result of enrollment;

(2)  Any changes in the nature of the long-term-care services and supports available to the beneficiary as a result of enrollment, including specific descriptions of new services that will be available or existing services that will be curtailed or terminated;

(3)  A contact person who can assist the beneficiary in making decisions about enrollment;

(4)  Individualized information regarding whether the managed care organization’s network includes the healthcare providers with whom beneficiaries have established provider relationships. Directing beneficiaries to a website identifying the plan’s provider network shall not be sufficient to satisfy this requirement; and

(5)  The deadline by which the beneficiary must make a choice regarding enrollment, and the length of time a beneficiary must remain enrolled in a managed care organization before being permitted to change plans or opt out of the arrangement.

History of Section.
P.L. 2014, ch. 145, art. 18, § 6.

Terms Used In Rhode Island General Laws 40-8.13-2

  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • person: may be construed to extend to and include co-partnerships and bodies corporate and politic. See Rhode Island General Laws 43-3-6

Rhode Island General Laws 40-8-13.2

     

History of Section.
P.L. 2002, ch. 65, art. 33, § 1; P.L. 2007, ch. 73, art. 13, § 2; P.L. 2009, ch. 68, art. 23, § 6; Repealed by its own terms and pursuant to § 40-8-13.4(g), effective March 30, 2010.