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.
Behavioral Health System Review In 2019, the Rhode Island Executive Office of Health and Human Services (EOHHS) received a planning grant from the Centers for Medicare & Medicaid Services (CMS) to Increase Substance Use Disorder Provider Capacity. EOHHS then began our Provider Capacity Building Project, and as a part of the effort, contracted with consultants Faulkner Consulting Group and Health Management Associates to carry out a review of the behavioral health system in the state. The resulting Rhode Island Behavioral Health System Review included both quantitative and qualitative components, to determine gaps in services and access in the state - as well as policy proposals that can address the gaps. Throughout the review process, EOHHS and our consultants sought public comment from a variety of stakeholders and included feedback in the final report. The findings of the review led EOHHS to identify two interventions to address the existing gaps in Rhode Island's Substance Use Disorder services and access, for which we are creating implementation plans: First, a plan for a statewide RI Certified Community Behavioral Health Clinic (CCBHC) program. This Rhode Island-specific program model would be designed to provide comprehensive mental health and substance use disorder services to vulnerable individuals throughout the life cycle. Second, a plan to develop a Single Statewide Mobile Mental Health Crisis System as a central part of our CCBHC model. Click here to view the full report on the final findings of the Behavioral Health System Review. We will continue to seek stakeholder feedback throughout the implementation planning process. For updates on RI’s CCBHC program, please click here.