MCO Contract Update RI EOHHS and Medicaid are in the process of establishing a new managed care contract. If you or a loved one currently have health coverage through RI Medicaid, it’s important to know that you don’t need to take any action at this time. When a new contract is in place, the State will send information about any next steps.
Public Comments for Annual Accountable Entity Roadmap and Requirements Documents Please note that the original draft document is provided for each of the documents shared by EOHHS. A comparison document is included, when applicable, to document EOHHS document modification. Resource documents submitted by EOHHS can be found here. Response to Public Comments: Program Year (PY) 7 Roadmap and Sustainability Plan & Requirement Documents PY7 Roadmap and Sustainability Plan - Response to Public Comments PDF file, less than 1mbmegabytes PY7 Requirement Documents - Response to Public Comments PDF file, less than 1mbmegabytes Public Comment Program Year 7 (PY7) Requirement Documents PY7 Attachment H - AE Certification Standards_Public Comment.pdf PDF file, less than 1mbmegabytes PY7 Attachment J - TCOC Requirements_Public Comment.pdf PDF file, less than 1mbmegabytes PY7 Attachment K - Incentive Program Requirements_Public Comment.pdf PDF file, less than 1mbmegabytes PY7 Attachment M - Attribution Guidance_Public Comment.pdf PDF file, less than 1mbmegabytes PY7_Total Cost of Care Technical Guidance_Public Comment.pdf PDF file, less than 1mbmegabytes Public Comment Program Year 7 AE Roadmap and Sustainability Plan Attachment L_Accountable Entity Roadmap_PY7_Public Comment.pdf PDF file, about 2mbmegabytes PY6 AE Requirements - Response to Public Comments PY6 AE Requirements - Response to Public Comments PDF file, less than 1mbmegabytes PY6 Attachment H AE Certification Standards_Public Comment PY6 Attachment H AE Certification Standards_Public Comment.pdf PDF file, less than 1mbmegabytes PY6 Attachment J TCOC Requirements_Public Comment PY6 Attachment J TCOC Requirements_Public Comment.pdf PDF file, less than 1mbmegabytes PY6 Attachment J TCOC Technical Guidance _Public Comment PY6 - TCOC Technical Guidance _Public Comments.pdf PDF file, less than 1mbmegabytes PY6 Attachment K Incentive Program Requirements_Public Comment PY6 Attachment K Incentive Program Requirements_Public Comment.pdf PDF file, less than 1mbmegabytes PY6 Roadmap and Sustainability Plan - Response to Public Comments PY6 Roadmap and Sustainability Plan - Response to Public Comments.pdf PDF file, about 12mbmegabytes PY6 Attachment L Accountable Entity Roadmap_Public Comments Attachment L_Accountable Entity Roadmap_PY6 Draft_Public Comment PDF file, less than 1mbmegabytes PY6 Attachment M Attribution Guidance_Public Comment PY6 Attachment M Attribution Guidance_Public Comment.pdf PDF file, less than 1mbmegabytes Program Year 5 Accountable Entity Requirements Documents: Public Comment closed 11/08/2021 AE PY5 Requirements-Response to Public Comments PDF file, less than 1mbmegabytes BVCHC PY5 Public Comment PDF file, less than 1mbmegabytes Coastal Medical Public Comments on AE PY5 Posted Documents FINAL 10.1.21 PDF file, less than 1mbmegabytes Integra Comments on Medicaid AE PY5 Requirements 2021-11-08 PDF file, less than 1mbmegabytes PY5 IHP Comments for EOHHS 2021-11-04 RP PDF file, less than 1mbmegabytes 11.8.21 PY5 Requirements NHP Comments v2 PDF file, less than 1mbmegabytes PHSRI-AE Comments on Proposed PY5 Guidance Documents FINAL 11.8.21 PDF file, less than 1mbmegabytes Thundermist Health Center AE PY 5 Comments PDF file, less than 1mbmegabytes UnitedHealthcare PY5 AE Response 11_2021 PDF file, less than 1mbmegabytes LTSS APM LTSS APM_Response to Public Comments_20211215 PDF file, less than 1mbmegabytes NHPRI_LTSS_APM_WrittenComments_11_24_21_vf1 PDF file, less than 1mbmegabytes Medicaid LTSS APM Proposal Comments Nov 2021 PDF file, less than 1mbmegabytes LTSS APM 11_23_21 PDF file, less than 1mbmegabytes Program Year 5 AE Roadmap and Sustainability Plan HSTP PY5 Roadmap Response to Public Comments-.pdf PDF file, less than 1mbmegabytes Comments on Attachment L Accountable Entity Roadmap Final-2021-10-04.pdf PDF file, less than 1mbmegabytes Roadmap Response From Neighborhood - 10-4-2021.pdf PDF file, less than 1mbmegabytes PHSRI AE Comments-on-PY5-AE Roadmap and Sustainability Plan-10.4.21-final.pdf PDF file, less than 1mbmegabytes Preceptionsevenhills.org_20211004_154244.pdf PDF file, less than 1mbmegabytes RI AE Roadmap PY5 UHC Response-10.1.21.pdf PDF file, less than 1mbmegabytes Program Year 4 AE Requirements AE PY4 Requirements Response to Public Comments PDF file, less than 1mbmegabytes bvchc-memo-to-eohhs-re-py4-roadmap.pdf PDF file, less than 1mbmegabytes coastal-medical-public-comments-on-py4-posted-documents_11.11.2020.pdf PDF file, less than 1mbmegabytes integra-comments-on-medicaid-accountable-entities-program-year-4-requirements-final-2020-11-12.pdf PDF file, less than 1mbmegabytes ihp-response-to-py4-ae-recertification-standards-comments-rp-11-10-20.pdf PDF file, less than 1mbmegabytes 11.17.2020-py4-requirements-comments-from-neighborhood-final.pdf PDF file, less than 1mbmegabytes phsri-ae-comments-on-proposed-py4-guidance-documents-11.13.20.pdf PDF file, less than 1mbmegabytes unitedhealthcare-ae-py4-comments_final_111020.pdf PDF file, less than 1mbmegabytes upstream-public-comment-letter-for-eohhs-11-12-20.pdf PDF file, less than 1mbmegabytes AE PY4 Requirements Response to Public Comments PDF file, less than 1mbmegabytes Program Year 4 AE Roadmap and Sustainability Plan response-to-comments-hstp-roadmap-2020-10-30.pdf PDF file, less than 1mbmegabytes bvchc.pdf PDF file, less than 1mbmegabytes ctc-ri.pdf PDF file, less than 1mbmegabytes integra-public-comment-on-eohhs-sdoh-strategy-final.pdf PDF file, less than 1mbmegabytes pchc.pdf PDF file, less than 1mbmegabytes phsri-ae-comments-on-sdoh-strategy-9.16.20-final.pdf PDF file, less than 1mbmegabytes tufts.pdf PDF file, less than 1mbmegabytes Neighborhood Health Plan PDF file, less than 1mbmegabytes unitedhealthcare.pdf PDF file, less than 1mbmegabytes HSTP SDOH Strategy response-to-comments-sdoh-strategy.pdf PDF file, less than 1mbmegabytes ae-sdoh-thpp-comments-09162020.pdf PDF file, less than 1mbmegabytes bvchc-memo-to-eohhs-re-hstp-sdoh-strategy.pdf PDF file, less than 1mbmegabytes coastal-medical-public-comments-on-hstp-sdoh-investment-strategy-9.15.20.pdf PDF file, less than 1mbmegabytes 9.16.20-ripin-comments-hstp-sdoh-investment-strategy.pdf PDF file, less than 1mbmegabytes ctc-ri-eohhs-hstp-sdoc-public-response.pdf PDF file, less than 1mbmegabytes integra-public-comment-on-eohhs-sdoh-strategy-final.pdf PDF file, less than 1mbmegabytes phsri-ae-comments-on-sdoh-strategy-9.16.20-final.pdf PDF file, less than 1mbmegabytes thundermist-rieohhs-public-comment-09162020.pdf PDF file, less than 1mbmegabytes unitedhealthcare_ri-rfi-hstp-sdoh_final_091520.pdf PDF file, less than 1mbmegabytes 9.16.20-neighborhood_public-comment-ae-hstp-social-determinants-of-health-investment-strategy.pdf PDF file, less than 1mbmegabytes ihp-response-to-hstp-sdph-investment-strategy-rp-9-15-20.pdf PDF file, less than 1mbmegabytes Housing Works PDF file, less than 1mbmegabytes one-neighborhood-builders.pdf PDF file, less than 1mbmegabytes Michael Lichtenstein PDF file, less than 1mbmegabytes Program Year 3 Guidance Documents 2019_12_04_py3_response._final-12-10-2019.pdf PDF file, less than 1mbmegabytes bhddh_py3_comments_2019_10_29.pdf PDF file, less than 1mbmegabytes thpp_py3_comments_2019_11_08.pdf PDF file, less than 1mbmegabytes uhc_py3_comments_2019_11_08.pdf PDF file, less than 1mbmegabytes ihp_py3_comments_19_11_08.pdf PDF file, less than 1mbmegabytes nhp_py3_comments_19_11_8.pdf PDF file, less than 1mbmegabytes pchc_py3_comment_2019_11_08.pdf PDF file, less than 1mbmegabytes integra_py3_comments_2019_11_08.pdf PDF file, about 1mbmegabytes phsri_py3_comments_2019_11_08.pdf PDF file, less than 1mbmegabytes lifespan_py3_comments_19_11_8.pdf PDF file, less than 1mbmegabytes ripin_py3comments_19_11_05.pdf PDF file, less than 1mbmegabytes tcoc-tech-guidance-_responsetocomments_for-final-review_2.3.2020_final.pdf PDF file, less than 1mbmegabytes AE Roadmap aeroadmapresponsetocomments_final_10.30.19.pdf PDF file, less than 1mbmegabytes ae_roadmap_2019.pdf PDF file, less than 1mbmegabytes ae_roadmap_lewis_tufts_2019_09_30.pdf PDF file, less than 1mbmegabytes ae_roadmap_cooper_uhc_2019_10_01.pdf PDF file, less than 1mbmegabytes ae_roadmap_evans_ihp_2019_09_30.pdf PDF file, less than 1mbmegabytes ae_roadmap_marootian_nhp_2019_09_30.pdf PDF file, less than 1mbmegabytes ae_roadmap_thompson_coastal_2019_09_30.pdf PDF file, less than 1mbmegabytes ae_roadmap_parris_pchc_2019_09_30.pdf PDF file, less than 1mbmegabytes ae_roadmap_harvey_integra_2019_09_30.pdf PDF file, less than 1mbmegabytes ae_roadmap_bliss_phsri_2019_10_02.pdf PDF file, less than 1mbmegabytes DRAFT CMS AE Requirements Documents Technical Correction responses-to-public-comments-re-tech-corrections.pdf PDF file, less than 1mbmegabytes bvchc-memo-to-eohhs-re-py2.pdf PDF file, less than 1mbmegabytes eohhs-ae-tcoc-and-incentive-comments-5-31-19.pdf PDF file, less than 1mbmegabytes ihp-feedbackl1-and-l2-v1.0.pdf PDF file, less than 1mbmegabytes neighborhood_public-comment-ae-py2-requirements-may_31_2019-final.pdf PDF file, less than 1mbmegabytes phsri-ae-comments-on-py2-program-requirements-final-5.30.19.pdf PDF file, less than 1mbmegabytes uhccp-ri_ae-technical-corrections-comments-05-31-19_final.pdf PDF file, less than 1mbmegabytes integra-feedback-to-eohhs-on-py2-amended-requirements-documents.pdf PDF file, less than 1mbmegabytes pchc-response-to-eohhs-20190531.pdf PDF file, less than 1mbmegabytes RI Medicaid Managed Care Organization Policies ri-medicaid-mco-and-ae-risk-adjustment-policy-statement-4-19-19-final-002.pdf PDF file, less than 1mbmegabytes ri-medicaid-mco-delegation-to-aes-policy-statement-4-19-19-final-002.pdf PDF file, less than 1mbmegabytes ri-medicaid-mco-member-assignment-related-to-aes-policy-statement-4-19-19-final-002.pdf PDF file, less than 1mbmegabytes bailit_medicaid-managed-care-policy-statements-public-comment-2019-3-22.pdf PDF file, less than 1mbmegabytes bvchc-memo-to-eohhs-re-2019-policy-draft-2.pdf PDF file, less than 1mbmegabytes coastal_public.comment.to_.eohhs_march.2019-2-1.pdf PDF file, less than 1mbmegabytes ctc-ri-letter-on-eohhs-policies-3-27-19.pdf PDF file, less than 1mbmegabytes ihp-policy-statements.pdf PDF file, less than 1mbmegabytes integra_feedback-to-eohhs-on-march-2019-policy-statements-final-2.pdf PDF file, less than 1mbmegabytes lifespan_draft-policy-statments.pdf PDF file, less than 1mbmegabytes linda-katz_comments-on-ae-policy-statements.pdf PDF file, less than 1mbmegabytes manatt_rhode-island-proposals.pdf PDF file, less than 1mbmegabytes nhp_eohhs_policy_statements_2019-03-27-v2.pdf PDF file, less than 1mbmegabytes pchc_eohhs-payment-policy-public-comment-20190327-v4.pdf PDF file, less than 1mbmegabytes phsri_eohhs-medicaid-policy-statement-comments-3-26-19-final-signed.pdf PDF file, less than 1mbmegabytes ri-kids-count_accountable-entity-policies-comments-3.27.19-2.pdf PDF file, less than 1mbmegabytes ripin_comment-letter-ae-policy-proposals-march-2019.pdf PDF file, less than 1mbmegabytes tufts_ae-policy-statements-comments-final.pdf PDF file, less than 1mbmegabytes united_comments_rhode-island-ae-policies-03-27-19.pdf PDF file, about 2mbmegabytes Program Year 2 Public Comments ihp_tcoc_py2_redlined_doc2018-11-08.pdf PDF file, about 2mbmegabytes ihp_attribution_py2_redlined2018-11-08.pdf PDF file, less than 1mbmegabytes ihp_incentive_py2_redlined_doc-2018-11-08.pdf PDF file, about 1mbmegabytes neighborhood_publiccommentaepy2requirements2018-11-08.pdf PDF file, less than 1mbmegabytes phsriaecommentsaeyear2programrequirements10-19-18.pdf PDF file, less than 1mbmegabytes thppcommentsyear2requirementsmedicaidmcoscertifiedaes2018-11-08.pdf PDF file, about 2mbmegabytes bhddh_attribution_feedback_ae_py22018-11-08.pdf PDF file, less than 1mbmegabytes bhddh_comments_incentives_py22018-11-08.pdf PDF file, less than 1mbmegabytes epi_comments_py2_comments2018-11-08.pdf PDF file, less than 1mbmegabytes bvchc_comments_py2-2018-11-08.pdf PDF file, less than 1mbmegabytes uhc-responses-2018-11-08.pdf PDF file, less than 1mbmegabytes Total Cost of Care Guidance tcoc-guidance-draft_08182017.pdf PDF file, less than 1mbmegabytes Blackstone_Valley_TCOCcomments_8-16-17 PDF file, less than 1mbmegabytes coastal_medical_comments_ae_tcoc_models.pdf PDF file, less than 1mbmegabytes attachment-l-1tcoc-requirements_comparison.pdf PDF file, about 1mbmegabytes NHPRI AE TCOC Guidance Comments 8.11.17 NHPRI 17-NHPRI file, less than 1mbmegabytes Neighborhood_Comments_LTSS AE_TCOCFINAL PDF file, less than 1mbmegabytes PHSRI_Comment_for_the_Draft_OHHS_TCOC_Guidance 8-14-17 PDF file, less than 1mbmegabytes PHSRICommentfortheDraftOHHSSpecializedAETCOCGuidance9-18-17 PDF file, less than 1mbmegabytes questicaretostate_9-25-17.pdf PDF file, less than 1mbmegabytes Letter_TCOC_Comments_Aug_2017 PDF file, less than 1mbmegabytes ripin_ae_comments_ltss_tcoc_91817.pdf PDF file, less than 1mbmegabytes uhc-_mco_ae_and_vbp_comments.pdf PDF file, less than 1mbmegabytes uhc_tcocguidanceresponse9.12.17docx-003.pdf PDF file, less than 1mbmegabytes Quality Framework qualityframeworkmethodology-comprehensivespecialized08282017-draft.pdf PDF file, less than 1mbmegabytes blackstone_valley-quality-comments.pdf PDF file, less than 1mbmegabytes chc_aco_quality_framework_comments.pdf PDF file, about 2mbmegabytes nhpri-_ae_quality_guidance_final.pdf PDF file, less than 1mbmegabytes neighborhoods_response_to_specialized_ae_quality_guidance.pdf PDF file, less than 1mbmegabytes senior_agenda_coalition_ltss_specialized_ae_comments.pdf PDF file, less than 1mbmegabytes Incentive Guidance eohhsincentiveprogramguidance08.18.2017-draft.pdf PDF file, less than 1mbmegabytes attachment_l2_incentive_program_requirements_comparison.pdf PDF file, about 1mbmegabytes bvchcincentive-ae_incentive_framework_comments_9-18-17.pdf PDF file, less than 1mbmegabytes CHCACO_EOHHSIncentiveProgramGuidance08.18.2017_CHC_AC0_Response_v1.1 1 file, about 1mbmegabytes integra_incentivepaymentguidancememosept2017_9.19.17.pdf PDF file, less than 1mbmegabytes PHSRICommentfortheDraftEOHHSInentiveProgramGuidance_ PDF file, less than 1mbmegabytes UHC_EOHHS_Incentive_Program_guidance_response_9.18.17_UHC 17_UHC file, less than 1mbmegabytes Attribution comprehensiveandspecializedaes08142017-draft.pdf PDF file, less than 1mbmegabytes attachment_m_attribution_requirements_final_092917_comparison.pdf PDF file, less than 1mbmegabytes bvchc_ae_attribution_framework_comments_9-14-17.pdf PDF file, less than 1mbmegabytes care_link_ae-comments_9_14.pdf PDF file, less than 1mbmegabytes CHC_ACO_ATTRIBUTIONComprehensiveandSpecializedAEs08142017v1.0 0 file, less than 1mbmegabytes integraattributionguidancememo9.13.17.pdf PDF file, less than 1mbmegabytes neighborhood_comments_on_attribution_guidancefinal.pdf PDF file, less than 1mbmegabytes uhc_response_-eohhs-attributionguidance-8.30.17.pdf PDF file, less than 1mbmegabytes katie-beckett-new-applicant-cover-letter-01-2014.pdf PDF file, less than 1mbmegabytes katie-beckett-new-applicant-cover-letter-05-2013.pdf PDF file, less than 1mbmegabytes
PY7 Attachment K - Incentive Program Requirements_Public Comment.pdf PDF file, less than 1mbmegabytes
Coastal Medical Public Comments on AE PY5 Posted Documents FINAL 10.1.21 PDF file, less than 1mbmegabytes
Comments on Attachment L Accountable Entity Roadmap Final-2021-10-04.pdf PDF file, less than 1mbmegabytes
PHSRI AE Comments-on-PY5-AE Roadmap and Sustainability Plan-10.4.21-final.pdf PDF file, less than 1mbmegabytes
coastal-medical-public-comments-on-py4-posted-documents_11.11.2020.pdf PDF file, less than 1mbmegabytes
integra-comments-on-medicaid-accountable-entities-program-year-4-requirements-final-2020-11-12.pdf PDF file, less than 1mbmegabytes
ihp-response-to-py4-ae-recertification-standards-comments-rp-11-10-20.pdf PDF file, less than 1mbmegabytes
coastal-medical-public-comments-on-hstp-sdoh-investment-strategy-9.15.20.pdf PDF file, less than 1mbmegabytes
9.16.20-neighborhood_public-comment-ae-hstp-social-determinants-of-health-investment-strategy.pdf PDF file, less than 1mbmegabytes
tcoc-tech-guidance-_responsetocomments_for-final-review_2.3.2020_final.pdf PDF file, less than 1mbmegabytes
neighborhood_public-comment-ae-py2-requirements-may_31_2019-final.pdf PDF file, less than 1mbmegabytes
ri-medicaid-mco-and-ae-risk-adjustment-policy-statement-4-19-19-final-002.pdf PDF file, less than 1mbmegabytes
ri-medicaid-mco-delegation-to-aes-policy-statement-4-19-19-final-002.pdf PDF file, less than 1mbmegabytes
ri-medicaid-mco-member-assignment-related-to-aes-policy-statement-4-19-19-final-002.pdf PDF file, less than 1mbmegabytes
bailit_medicaid-managed-care-policy-statements-public-comment-2019-3-22.pdf PDF file, less than 1mbmegabytes
integra_feedback-to-eohhs-on-march-2019-policy-statements-final-2.pdf PDF file, less than 1mbmegabytes
phsri_eohhs-medicaid-policy-statement-comments-3-26-19-final-signed.pdf PDF file, less than 1mbmegabytes
qualityframeworkmethodology-comprehensivespecialized08282017-draft.pdf PDF file, less than 1mbmegabytes