Attention RI Medicaid Members: Update on Prescription Access Due to a cybersecurity issue, a contractor serving pharmacies and Medicaid programs across the US is unable to provide important online services at this time. In Rhode Island, this situation impacted pharmacies’ ability to fill prescriptions for members of the AIDS Drug Assistance Program (ADAP) and the Medicaid Program. In response, RI EOHHS has quickly brought online a new way for pharmacies to process claims. Rhode Island Medicaid has also told pharmacies that they can provide a 30-day supply of any prescriptions you are trying to fill, to help you get through this time. The pharmacy should not charge you for any prescription that is covered by Medicaid. Learn more.
Accountable Entities Overview The RI Executive Office of Health and Human Services (EOHHS), through its contracted Medicaid Managed Care Organizations (MCOs), is in the process of designing and implementing an Accountable Entity (AE) Program for the RI Medicaid Program. The AE Program will provide the framework for transforming the structure of RI Medicaid’s delivery and payment system as envisioned by the Reinventing Medicaid Workgroup that was convened by Governor Raimondo in March 2015. An Accountable Entity (AE) is Medicaid’s version of an Accountable Care Organization (ACO) in which a provider organization is accountable for quality health care, outcomes and the total cost of care of its population. Resource Documents Certified Accountable Entities Comprehensive AEs Specialized AEs Stakeholder Engagement Public Meetings Public Comments Updates for Community Partners Rhode Island Prioritizes Social Determinants of Health with Statewide Rollout (May 2021) For More Information For additional information about the Accountable Entities program, please contact Charles Estabrook at Charles.Estabrook@ohhs.ri.gov.