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 Workforce Supporting and building the HCBS workforce is a cornerstone of Rhode Island’s Covid-19 pandemic recovery strategy as well as a fundamental approach in the State’s LTSS rebalancing initiative. The support that direct care workers and licensed health professionals provide to Medicaid enrollees who have physical or behavioral support needs helps to promote individual wellness and self-determination, allowing enrollees the choice to remain in their homes and communities and avoid unnecessary acute care or facility-based care. The pandemic has exacerbated challenges in meeting consumer demand for HCBS services due to workforce shortages. As a key component of its pandemic response and LTSS planning efforts, Rhode Island EOHHS will invest an estimated $30 million in recruitment and retention for LTSS providers who did not otherwise receive a direct increase in the SFY 22 budget, including home health, adult day health, and habilitation group homes. These provider agencies will receive these funds through the mechanisms of significant temporary rate increases (fee for service for home health, adult day health, and habilitation group homes) for qualifying services from November 1, 2021 through March 31, 2022 to improve HCBS workforce recruitment and retention, and will have between November 1, 2021 and September 30, 2023 to expend the funds. Resource Documents Jan. 2023 Addendum to Provider Guidance Re: Spending Deadline Extension PDF file, less than 1mbmegabytes LTSS Provider Guidance [REVISED 20220826].pdf PDF file, less than 1mbmegabytes LTSS - HCBS Stabilization Program Stakeholder Deck PDF file, less than 1mbmegabytes LTSS - FAQ List PDF file, less than 1mbmegabytes
Jan. 2023 Addendum to Provider Guidance Re: Spending Deadline Extension PDF file, less than 1mbmegabytes