Section 210-RICR-30-05-2.47 - Grievances, Appeals, and HearingsA. The State provides a grievance and appeals process that MCO providers and Medicaid enrollees must use when seeking redress against health plans. This is the same process that the MCOs must use when seeking to disenroll members who are habitually non-compliant or who pose a threat to plan employees or other members. See Part 10-05-2 of this Title, Appeals Process and Procedures for EOHHS Agencies and Programs, for additional information.210 R.I. Code R. 210-RICR-30-05-2.47
Amended effective 10/5/2021
Amended effective 12/12/2023
Amended effective 3/17/2024