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.
Customer Service Welcome to Medicaid Customer Service. We’re always here to to assist and provide information related to your questions. Healthcare Portal On-line assistance is available via access to the RI Healthcare Portal. A Trading Partner ID will allow your office to access client eligibility and information related to claim submissions. To obtain your TP ID, you must enroll in the Healthcare Portal. Once your TP ID is obtained, registering that number in the Healthcare Portal will give access to the following services in the Healthcare Portal. Eligibility Verification - including Third Party Insurance information Claim Status - Paid and Denied Benefit Limits - For Dental and Vision providers Prior Authorization - Approvals/Denials/Pending Debit Authorization - Approvals/Denials/Cancelled Remittance Advice Confirm payment history for the previous 12 months View Remittance Advice for the previous 4 financial cycles in a PDF format National Drug Code Search - Search if an NDC is reimbursable by RI Medicaid Customer Service Help Desk In addition to our on-line assistance, Representatives from the RI Medicaid Customer Service Help Desk (CSHD) are dedicated to answering your inquiries on the above topics or other various questions. To expedite your calls on eligibility and claim status, please have your information readily available: National Provider Identifier (NPI) Client Medicaid ID Date of Service for your inquiry The Medicaid Customer Service Help Desk is available Monday-Friday from 8:00 AM to 5:00 PM. The local and long-distance number is (401) 784-8100 and the in-state toll call and border community number is 1-800-964-6211. For more complex questions and research, a Provider Representative can be contacted to arrange an on-site visit. Provider Representatives support the following: Customized training to support your programs Educational workshops on billing Information and guidelines on new programs Training and support of the Healthcare Portal Installation and training for electronic billing using Provider Electronic Solutions software Links Provider Training and Education Provider Type Prior Authorization