§ 40-8.13-3. Ombudsman process.
EOHHS shall designate an ombudsperson to advocate for beneficiaries enrolled in a managed long-term-care arrangement. The ombudsperson shall advocate for beneficiaries through complaint and appeal processes and ensure that necessary healthcare services are provided. At the time of enrollment, a managed care organization must inform enrollees of the availability of the ombudsperson, including contact information.
History of Section.P.L. 2014, ch. 145, art. 18, § 6.
Structure Rhode Island General Laws
Chapter 40-8.13 - Long-Term Managed Care Arrangements
Section 40-8.13-1. - Definitions.
Section 40-8.13-2. - Beneficiary choice.
Section 40-8.13-3. - Ombudsman process.
Section 40-8.13-4. - Provider/plan liaison.
Section 40-8.13-5. - Financial principles under managed care.
Section 40-8.13-6. - Payment incentives.
Section 40-8.13-7. - Willing provider.
Section 40-8.13-8. - Level-of-care tool.
Section 40-8.13-9. - Case management/plan of care.
Section 40-8.13-10. - Care transitions.