Resources
Dual Eligible Strategy Documents
Model Options for Dual Eligibles - Key Learnings, 2019 Stakeholder Discussions
Consumer Notices- ICI Phase 2
List of Notices and why they are sent
Notice 32, Application FAQ : Opt-In Enrollment Letter, Application
Notice 32 Spanish FAQ, Notice 32 Portuguese FAQ- Opt-In Enrollment Letter
Notice 31 and FAQ: Passive Enrollment Letter #1
Notice 31 Spanish, Notice 31 Portuguese -Passive Enrollment Letter #1
Notice 5: Passive Enrollment Letter #2
Notice 5 Spanish, Notice 5 Portuguese- Passive Enrollment Letter #2
Notice 4: Receipt of Completed Enrollment Request and Confirm Enrollment
Notice 6: Notice for Requesting Information
Notice 8: Member Has Employer or Union Retiree Drug Subsidy
Notice 9: Denial of Enrollment
Notice 11: Acknowledgement of Request to Cancel Enrollment
Notice 16: Notice to Confirm Voluntary Disenrollment
Notice 17: Denial of Disenrollment
Notice 19: Disenrollment Due to Out of Area Status
Notice 21: Disenrollment Due to Loss of Medicaid Status
Notice 23: Disenrollment Due to Death
Notice 24: Disenrollment Due to Part A or B Ending
Notice 25: Disenrollment Due to Incarceration
Notice 27: Acknowledgement of Reinstatement
Notice 28: Acknowledgement of Request to Opt-Out of MMP
Translation insert (included with all notices)
Appeals Instructions and Form (Eng)
Appeals Instructions and Form (Span)
Appeals Instructions and Form (Port)
FAQs
Cancelling vs. Disenrollment Fact Sheet, 2/4/2020
PACE
PACE-RI is a health plan for adults 55 and older who have chronic health needs and want to live at home. PACE provides health care, insurance, and support services including primary care, access to specialists, prescription drugs, durable medical equipment, dental care, 24-hour emergency services, home care, transportation to all medical appointments, day center services, meals, and physical, speech, occupational and respiratory therapies. PACE-RI serves the entire state (except Block Island and Prudence Island). For more information, call 401-654-4176, 877-781-7223 (toll-free) or visit Website: www.pace-ri.org
PACE Brochure
Background Documents
- Guidance and Call Center Information for Medicare Prescription Drug Plans in Rhode Island
June 2016 - Rhode Island's Financial Alignment Demonstration- includes CMS fact sheet, Memorandum of Understanding (MOU) between the State and CMS, and the 3-way contract between CMS, the State and NHPRI.
- Integrated Care for Medicare and Medicaid Beneficiaries, Proposal to CMS, 5/31/12
- Integrated Care and Financing for Medicare and Medicaid Beneficiaries, Report to RI General Assembly, 4/26/13
- Glossary of Terms