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.
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.