Rehabilitative Services

Medical Coverage Guidelines

Please note that coverage guidelines and procedures are subject to change. Refer the monthly Provider Update for more information.

• Rehabilitative Services
  • Adult/Children's Mental Health Services
  • Adult Mental Health
  • Children's Mental Health and Education - DCYF
  • Claims Billing Guidelines
  • Crisis Intervention
  • Community Psychiatric Supported Treatment
  • Department of Children, Youth and Families (DCYF) Prior Authorized Services
  • Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program Services
  • Early Start/Therapeutic Remedial Treatment Program
  • Intensive Supervision Day Treatment Program
  • Lead Investigations Program
  • Medicare/Medicaid Crossover
  • Provider Participation Guidelines
  • Provider Recertification
  • Provider Reimbursement
  • Psychiatric Rehabilitation Day Program
  • RIACT-I Team
  • Residential Treatment Program - Adults
  • Residential Treatment Program - Children
  • Sexual Abuse Evaluation and Treatment Program
  • Substance Abuse Treatment Services
• Clinician's Services
  • Introduction
  • Covered Services
  • Targeted Case Management
  • Rehabilitative Services: Physician
  • Registered Nurse
  • Certified Ph.D. Psychologist
  • MSW Social Worker; Principal Occupational Therapist;
  • Principal Rehabilitation Counselor
  • Marriage And Family Therapist
  • Mental Health Counselor
  • Principal Counselor
  • Counselor
  • Child Mental Health Physician
  • Child Mental Health Psychologist
  • Child Mental Health Social Worker / Child Mental Health Psychiatric Nurse
  • Limitations
  • Patient Liability
  • Provider Participation  
• Targeted Case Management
  • Case Management Defined
  • Adolescent Pregnancy Program
  • Lead Program
  • Services For The Blind and Visually Impaired Program
  • HIV/AIDS Program

Claim Preparation Instructions

• Waiver Form Filing Instructions 
• Rehabilitative Services - Waiver/Rehab Claim Form 
• CMS 1500 Form Filing Instructions   
• Rehabilitative Services - CMS 1500 Claim Form 

Error Status Codes

• ESCCode 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.