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.
Ombudsman process
R.I. Gen. Laws § 40-8.13-3., under Chapter 40-8.13 Long-Term Managed Care Arrangements.
R.I. Gen. Laws § 40-8.13-3.