Ombudsman Training – Appeals for Duals

The RIPIN Healthcare Advocate is the officially designated ombudsman program to assist dual-eligibles in Rhode Island experiencing issues accessing healthcare or coverage, including those who need assistance with NHP INTEGRITY coverage.

This post includes a recording of a training session provided to ombudsman staff about appeals, together with some related documents.

• Slides from training – Appeals for Duals

• Recording of training – Appeals for Duals

• Model Denial Notices from NHP
  • NHP Model Notice – Medical Denial
  • NHP Model Notice – Prescription Initial Denial
  • NHP Model Notice – Prescription Denial of Appeal

• Form to Appoint Representative for NHP Appeal (SSA 1696)

Updated:  October 2016
Posted by:  Sam