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.
RIte Share Providers Completing this form is not necessary if the provider currently has a Rhode Island Medicaid number. Individual providers, new groups and new providers joining an established group should submit documentation according to the requirements outlined in each link below: RIte Share - Individual Provider Enrollment Form RIte Share - New Group Provider Enrollment Form RIte Share - New Provider Joining an Established Group In addition to the application form above, please submit: A copy of the NPI letter you received from CMS that contains your NPI and Taxonomy numbers A valid copy of your license to practice Provider Agreement (Name must match page 1 of application and W-9; original signature is required) Addendum I- the Glossary (Original signature is required) RI Medicaid Disclosure Additional Federally Required Disclosures (If Necessary) Exclusion Letter (Original Signature Required) W-9 and instructions (Name must match page 1 of the application) Additional Forms Authorization for Direct Deposit (Mandatory)