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.
Vision Services Medical Coverage Guidelines Medicaid Vision Manual Please note that coverage guidelines and procedures are subject to change. Refer to the monthly Provider Update for recent changes. Vision Coverage Guidelines Provider Participation Guidelines Recertification Reimbursement Guidelines Medicare/Medicaid Crossover Patient Liability Covered/Non Covered Services Replacement items EPSDT Contact Lenses Trifocals Oversized Lenses/Deluxe Frames Polycarbonate Lenses Tints Initial refraction exams Special Requirements Unlisted Procedures Claims Billing Guidelines Crossover Eyeglass Claims Requiring EOMB Modifiers Optometric Procedure Codes (see pages 9-31 in the manual here) Surgical Procedures Evaluation and Management Codes (92002-92284) Evaluation and Management Codes (92285-99215) Frames Single Vision Bifocals Trifocals Prosthetic Eye Other Lens Tints Miscellaneous Codes Claim Preparation Instructions CMS 1500 Form Filing Instructions Vision Services - CMS 1500 Claim Form Error Status Codes ESC Code List (English) Explanation of Benefits (EOB) Codes EOB Codes and Messages List (English) EOB Codes and Messages List (Spanish) Appendix - Third Party Liability Carrier and Coverage Codes Third Party Liability Carrier and Coverage Codes For specific questions you may contact the Customer Service Help Desk at (401) 784-8100 for In-state and long distance callers, or 1-800-964-6211 for In-state toll callers and border communities.