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.
LTSS APM It has been EOHHS’ long-standing objective to encourage and enable LTSS eligible and aging populations to live successfully in their communities. The HSTP program provides EOHHS with an opportunity to implement an APM model focused specifically on home and community-based services needed to prevent the Medicaid-eligible population from needing institutional LTSS. This requires a “Specialized” approach that acknowledges the unique challenges to implementing APMs for LTSS providers. LTSS APM Program Requirements LTSS APM Program Requirements_Final_121521 PDF file, less than 1mbmegabytes LTSS APM Implementation Manual LTSS APM Implementation Manual_v1.3.pdf PDF file, less than 1mbmegabytes Initial Stakeholder Process - 2017: There were a series of stakeholder meetings held in the Spring and Summer of 2017 that informed the current approach to the LTSS APM. Workgroup Discussion Questions and Descriptions PDF file, less than 1mbmegabytes Specialized AE Certification Standards, 5/27/17 DRAFT PDF file, less than 1mbmegabytes For More Information Please contact Debbie Morales at Deborah.Morales@ohhs.ri.gov