Attention Providers: Change Healthcare Update Change Healthcare (CHC) can resume submitting claims to RI Medicaid. This means if you are doing business with CHC, they can submit your claims to RI Medicaid and CHC can now resume downloading your 835/277unsolicited transactions.Please reach out to your clearing house representative with any questions you may have regarding the submissions. You can also reach out to riediservices@gainwelltechnologies.com.
Prior Authorization Instructions Complete the Prior Authorization Form (below) and fax or mail it to Gainwell Technologies (see address below). Be sure to include supporting documentation for review. Prior Authorization Form Prior Authorization Instructions There can be multiple line items on a Prior Authorization Form but only one procedural code (PROC) or revenue code (REV) per line. Completed forms can be faxed or mailed to: Fax Number: 401-784-3892 (up to a maximum of 15 pages) Mail to: Gainwell Technologies- Prior Authorization P.O. Box 2010 Warwick, RI 02887-2010 Certain programs have specific guidelines and forms to obtain prior authorization. See the links below for more information on these programs or services: Durable Medical Equipment (DME) Hospital Pharmacy Radiology Prior Authorization