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.
Enhanced Outpatient Services Workforce Supporting and building the HCBS workforce is a cornerstone of Rhode Island’s COVID-19 pandemic recovery strategy. 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. At the same time, the pandemic has caused workforce shortages that continue to exacerbate challenges in meeting consumer demand for HCBS services. Rhode Island EOHHS will invest in recruitment and retention for enhanced outpatient services through the following mechanism: 1. State directed payment for service codes H0036, paid as a temporary rate enhancement flowing through managed care organizations (MCOs) to EOS Provider Agencies. 2. EOS Provider Agencies will have through September 30, 2023 to expend the funds. Resource Documents Jan. 2023 Addendum to Provider Guidance Re: Spending Deadline Extension PDF file, less than 1mbmegabytes EOS Provider Guidance [REVISED 20220826].pdf PDF file, less than 1mbmegabytes
Jan. 2023 Addendum to Provider Guidance Re: Spending Deadline Extension PDF file, less than 1mbmegabytes