Examples of Rhody Health Options in a sentence
Rhody Health Options (RHO) – The comprehensive Medicaid managed care delivery system implemented under Phase I of the ICI for Medicaid-only Beneficiaries eligible for LTSS and Medicare beneficiaries who are entitled to full Medicaid benefits.
Phase I of the ICI includes the provision of Medicaid-covered benefits to Medicaid-only adults eligible for LTSS, and to all full-benefit Medicare-Medicaid beneficiaries except for those individuals who are specifically excluded from the ICI or choose to Opt-Out, through the Rhody Health Options (RHO) program.
Motion pictures in this category will contain horror, explicit violence, frequent coarse language or scenes that are more sexually suggestive than in the 14A category, or any combination of them.
Rhody Health Options (RHO) members shall be included in AE attribution if the RHO member is receiving Medicaid benefits only (not Medicare).
Attribution to a specialized LTSS AE will be unaffected by changes in Medicaid managed care enrollment (e.g., moved from Medicaid fee-for-service to Rhody Health Options, moved from Rhody Health Options to the Medicare-Medicaid Plan), as long as the AE is contracted with the MCO/payer the beneficiary is enrolled in.
EOHHS implemented the Rhody Health Options Program in the Fall of 2013 to serve the ABD and Medicare and Medicaid Eligible (“MME”) populations.
Enrollees who disenroll will have the choice to enroll in or remain in Rhody Health Options, or any other Medicaid program that may be available to Medicare- Medicaid Beneficiaries for Medicaid services only.
As of November 1, 2013, almost 4,500 individuals were enrolled in either Rhody Health Options program.
These policies and procedures must reflect the requirements set forth in the Rhode Island EOHHS Care Management Protocols for Adults Enrolled in Rhody Health Options (Attachment M).
The Contractor will assist the State with developing the caseload projections by Medicaid program (RIte Care, Rhody Health Partners, Medicaid Expansion, CSHCN, Rhody Health Options, Rite Smiles, Transportation, Behavioral Health, etc.) for current and following fiscal years.