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Rhode Island tests managed Medicare-Medicaid program for dual eligibles

Will provide integrated benefits to approximately 30,000 eligible enrollees.
By Susan Morse , Executive Editor

The Centers for Medicare and Medicaid Services and the State of Rhode Island are contracting with a Medicare-Medicaid plan to provide integrated benefits to approximately 30,000 eligible enrollees.

The Rhode Island demonstration builds on an existing Integrated Care Initiative in the state, according to CMS.

Phase I established the Rhody Health Options Medicaid managed care program, in which people eligible for both Medicaid and Medicare enrolled in a health plan that coordinates their Medicaid services, including long-term services and supports.

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Under the new initiative announced July 30, a qualifying RHO plan will cover integrated Medicare and Medicaid benefits for enrollees. The plan is designed to provide a more person-centered care experience that improves access and coordinates delivery of Medicare and Medicaid services.

Enrollees will have a dedicated service coordination team to address their medical, behavioral health, and long-term services and supports needs. 

Twitter: @SusanMorseHFN

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