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210-RICR-40-10-1 TITLE 210 – EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES CHAPTER 40 – MEDICAID FOR ELDERS AND ADULTS WITH DISABILITIES SUBCHAPTER 10 – MANAGED CARE Part 1 – Managed Care Service Delivery Arrangements 1.1 Overview of this Rule A. The purpose of this Rule is describe the managed care service delivery options for Elders and Adults with Disabilities and long-term care beneficiaries. The purpose is also to set forth in clear language the respective roles and responsibilities of the Executive Office of Health and Human Services (EOHHS), beneficiaries, health plans, and other contractual entities related to managed care enrollment and service delivery for Elders and Adults with Disabilities and long-term care beneficiaries. Program Rhody Health Partners Medicare-Medicaid Plan PACE Population Elders and Adults with Disabilities who do not have Medicare or other third-party coverage; Persons without Medicare who are receiving LTSS in the home or community- based service setting, are enrolled in RHP for essential primary care services only. Elderly and non-elderly adults who have full Medicare (Parts A, B, and D) coverage and Medicaid Health Coverage Medicaid beneficiaries age 55 and older who qualify for a nursing home level of care Mandatory/ Voluntary Enrollment Mandatory Voluntary Voluntary Covered Services Medicaid Medicaid and Medicare Parts A, B, and D Medicaid and Medicare Parts A, B, and D (if eligible)