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Rhode Island · Through site files published 2025-08-13 · Newer source version available

R.I. Gen. Laws § 40-8.13-2: Beneficiary choice.

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Where this section sits in the code
  1. Title 40 Human Services
  2. Chapter 8.13 Long-Term Managed Care Arrangements

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.

Collected 2026-09-05T19:59:28Z. Source file · JSON

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