This resolution addresses the critical needs of approximately 40,000 dual-eligible enrollees in Rhode Island who rely on both Medicare and Medicaid for their healthcare. These individuals are among the most medically fragile in the state, and the resolution highlights the complexities and challenges they face due to poorly coordinated programs and the impending sunset of existing Medicare-Medicaid Plans by December 31, 2025. The Rhode Island Parent Information Network (RIPIN) has been providing essential support through its Dual Ombudsman Program, which assists duals in navigating the complicated enrollment processes and accessing necessary medical services. The program has demonstrated significant success, saving clients substantial healthcare costs and achieving a high satisfaction rate.

The resolution proposes an appropriation of $118,422 in general revenue to ensure the continued operation of the RIPIN Dual Ombudsman through the fiscal year 2025-2026. This funding is crucial as the program is set to lose its financial support with the termination of the current funding model, coinciding with a major transition in the state's managed care duals delivery system. The resolution emphasizes the importance of maintaining this dedicated resource to assist dual-eligible enrollees during a time of significant change, aligning with the mission of the Executive Office of Health and Human Services to provide equitable and comprehensive health services in Rhode Island.