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.
Prior Authorization Instructions Complete the Prior Authorization Form (below) and fax or mail it to Gainwell Technologies (see address below). Be sure to include supporting documentation for review. Prior Authorization Form Prior Authorization Instructions There can be multiple line items on a Prior Authorization Form but only one procedural code (PROC) or revenue code (REV) per line. Completed forms can be faxed or mailed to: Fax Number: 401-784-3892 (up to a maximum of 15 pages) Mail to: Gainwell Technologies- Prior Authorization P.O. Box 2010 Warwick, RI 02887-2010 Certain programs have specific guidelines and forms to obtain prior authorization. See the links below for more information on these programs or services: Durable Medical Equipment (DME) Hospital Pharmacy Radiology Prior Authorization