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a. Assisting providers with questions concerning member eligibility status and benefits; b. Assisting providers with plan prior authorization, care coordination, network questions, and referral procedures; c. Assisting providers with claims payment procedures; and d. Handling provider complaints. 2.32 Mandatory Participation in Managed Care A. Participation in managed care is mandatory for the members of the MACC, non- MAGI and non-Medicaid funded coverage groups identified in § 2.1 of this Part except as specified in § 2.34 of this Part. Medicaid members in these coverage groups with third (3rd) party medical coverage or insurance may be exempt from this mandate only as indicated in § 2.38 of this Part, at the discretion of the EOHHS. 2.33 Enrollment Procedures, Rights, and Responsibilities A. The enrollment process for MACC groups using the RHP delivery system is set forth in § 2.34 of this Part. 2.34 Enrollment Processes for RIte Care and Rhody Health Partners Managed Care Plans Overview A. With the approval of the State’s Section 1115 waiver in 2009, enrollment in an MCO became mandatory for all individuals covered in the Rhode Island Medicaid program who do not require long term services and supports. The State’s goal in implementing this policy is to assure that all Rhode Islanders enrolled in Medicaid have access to an organized system of high quality services that provides a medical home focusing on primary care and prevention services. 2.35 Scope and Purpose A. The Medicaid eligible Medicaid Affordable Care Coverage (MACC) groups identified in the “Affordable Care Coverage Groups” (Subchapter 00 Part 1 of this Chapter) must enroll for coverage in a RIte Care ( parent/caretaker, children and pregnant women) or Rhody Health Partners (adults nineteen (19) to sixty-four (64) without children) managed care plan, as described above. There are other Medicaid coverage groups enrolled in both service delivery systems. B. This Rule applies to all RIte Care coverage groups identified in § 2.1 of this Part. It does not apply to adults eligible on the basis of age, blindness, or disability subject to the provisions for RIte Care unless the beneficiary qualifies for and