Medicaid Managed Care Contracts & Policy/Guidance Documents
THPP 2017-18 Amendment 18 (Full Contract)
THPP 2017-18 Standalone Amendment 18 (06/23/2025)
Previous Amendments:
THPP 2017-01 Amendment 1 (11/08/2018)
Base Contract, Addendums, Attachments
THPP 2017-02 Amendment 2 (01/08/2019)
Base Contract, Addendums, Attachments
THPP 2017-03 Amendment 3 (09/23/2019)
Base Contract, Addendums, Attachments
THPP 2017-04 Amendment 4 (Full Contract)
THPP 2017-04 Standalone Amendment 4 (04/08/2021)
THPP 2017-05 Amendment 5 (Full Contract)
THPP 2017-05 Standalone Amendment 5 (10/20/2021)
THPP 2017-06 Amendment 6 (Full Contract)
THPP 2017-06 Standalone Amendment 6 (03/20/2022)
THPP 2017-07 Amendment 7 (Full Contract)
THPP 2017-07 Standalone Amendment 7 (07/13/2022)
THPP 2017-08 Amendment 8 (Full Contract)
THPP 2017-08 Standalone Amendment 8 (07/26/2022)
THPP 2017-09 Amendment 9 (Full Contract)
THPP 2017-09 Standalone Amendment 9 (09/28/2022)
THPP 2017-09B Amendment 9B (Full Contract)
THPP 2017-09B Standalone Amendment 9B (10/24/2023)
THPP 2017-10 Amendment 10 (Full Contract)
THPP 2017-10 Standalone Amendment 10 (06/15/2023)
THPP 2017-11 Amendment 11 (Full Contract)
THPP 2017-11 Standalone Amendment 11 (08/15/2023)
THPP 2017-12 Amendment 12 (Full Contract)
THPP 2017-12 Standalone Amendment 12 (10/24/2023)
THPP 2017-12B Amendment 12B (Full Contract)
THPP 2017-12B Standalone Amendment 12B (06/03/2024)
THPP 2017-13 Amendment 13 (Full Contract)
THPP 2017-13 Standalone Amendment 13 (10/24/2023)
THPP 2017-14 Amendment 14 (Full Contract)
THPP 2017-14 Standalone Amendment 14 (08/09/2024)
THPP 2017-15 Amendment 15 (Full Contract)
THPP 2017-15 Standalone Amendment 15 (11/14/2024)
THPP 2017-15B Amendment 15B (Full Contract)
THPP 2017-15B Standalone Amendment 15B (04/07/2025)
THPP 2017-16 Amendment 16 (Full Contract)
THPP 2017-16 Standalone Amendment 16 (12/16/2024)
THPP 2017-16B Amendment 16B (Full Contract)
THPP 2017-16B Standalone Amendment 16B (04/07/2025)
UHC 2017-18 Amendment 18 (Full Contract)
UHC 2017-18 Standalone Amendment 18 (06/23/2025)
Previous Amendments:
UHC 2017-01 Amendment 1 (10/03/2018
Base Contract, Addendums, Attachments
UHC 2017-02 Amendment 2 (02/15/2019)
Base Contract, Addendums, Attachments
UHC 2017-03 Amendment 3 (10/10/2019)
Base Contract, Addendums, Attachments
UHC 2017-04 Amendment 4 (Full Contract)
UHC 2017-04 Standalone Amendment 4 (04/08/2021)
UHC 2017-05 Amendment 5 (Full Contract)
UHC 2017-05 Standalone Amendment 5 (10/06/2021)
UHC 2017-06 Amendment 6 (Full Contract)
UHC 2017-06 Standalone Amendment 6 (03/29/2022)
UHC 2017-07 Amendment 7 (Full Contract)
UHC 2017-07 Standalone Amendment 7 (08/10/2022)
UHC 2017-08 Amendment 8 (Full Contract)
UHC 2017-08 Standalone Amendment 8 (08/10/2022)
UHC 2017-09 Amendment 9 (Full Contract)
UHC 2017-09 Standalone Amendment 9 (09/28/2022)
UHC 2017-09B Amendment 9B (Full Contract)
UHC 2017-09B Standalone Amendment 9B (10/24/2023)
UHC 2017-10 Amendment 10 (Full Contract)
UHC 2017-10 Standalone Amendment 10 (06/15/2023)
UHC 2017-11 Amendment 11 (Full Contract)
UHC 2017-11 Standalone Amendment 11 (08/09/2023)
UHC 2017-12 Amendment 12 (Full Contract)
UHC 2017-12 Standalone Amendment 12 (10/24/2023)
UHC 2017-12B Amendment 12B (Full Contract)
UHC 2017-12B Standalone Amendment 12B (06/03/2024)
UHC 2017-13 Amendment 13 (Full Contract)
UHC 2017-13 Standalone Amendment 13 (10/24/2023)
UHC 2017-14 Amendment 14 (Full Contract)
UHC 2017-14 Standalone Amendment 14 (08/09/2024)
UHC 2017-15 Amendment 15 (Full Contract)
UHC 2017-15 Standalone Amendment 15 (11/14/2024)
UHC 2017-15B Amendment 15B (Full Contract)
UHC 2017-15B Standalone Amendment 15B (04/07/2025)
UHC 2017-16 Amendment 16 (Full Contract)
UHC 2017-16 Standalone Amendment 16 (12/16/2024)
UHC 2017-16B Amendment 16B (Full Contract)
UHC 2017-16B Standalone Amendment 16B (04/07/2025)
NHPRI 2017-18 Amendment 18 (Full Contract)
NHPRI 2017-18 Standalone Amendment 18 (06/23/2025)
Previous Amendments:
NHPRI 2017-01 Amendment 1 (10/03/2018)
Base Contract, Addendums, Attachments
NHPRI 2017-02 Amendment 2 (02/15/2019)
Base Contract, Addendums, Attachments
NHPRI 2017-03 Amendment 3 (09/23/2019)
Base Contract, Addendums, Attachments
NHPRI 2017-04 Amendment 4 (Full Contract)
NHPRI 2017-04 Standalone Amendment 4 (04/20/2021)
NHPRI 2017-05 Amendment 5 (Full Contract)
NHPRI 2017-05 Standalone Amendment 5 (10/20/2021)
NHPRI 2017-06 Amendment 6 (Full Contract)
NHPRI 2017-06 Standalone Amendment 6 (03/30/2022)
NHPRI 2017-07 Amendment 7 (Full Contract)
NHPRI 2017-07 Standalone Amendment 7 (08/10/2022)
NHPRI 2017-08 Amendment 8 (Full Contract)
NHPRI 2017-08 Standalone Amendment 8 (08/10/2022)
NHPRI 2017-09 Amendment 9 (Full Contract)
NHPRI 2017-09 Standalone Amendment 9 (10/03/2022)
NHPRI 2017-09B Amendment 9B (Full Contract)
NHPRI 2017-09B Standalone Amendment 9B (10/24/2023)
NHPRI 2017-10 Amendment 10 (Full Contract)
NHPRI 2017-10 Standalone Amendment 10 (06/13/2023)
NHPRI 2017-11 Amendment 11 (Full Contract)
NHPRI 2017-11 Standalone Amendment 11 (08/09/2023)
NHPRI 2017-12 Amendment 12 (Full Contract)
NHPRI 2017-12 Standalone Amendment 12 (10/24/2023)
NHPRI 2017-12B Amendment 12B (Full Contract)
NHPRI 2017-12B Standalone Amendment 12B (06/03/2024)
NHPRI 2017-13 Amendment 13 (Full Contract)
NHPRI 2017-13 Standalone Amendment 13 (11/14/2023)
NHPRI 2017-14 Amendment 14 (Full Contract)
NHPRI 2017-14 Standalone Amendment 14 (08/09/2024)
NHPRI 2017-15 Amendment 15 (Full Contract)
NHPRI 2017-15 Standalone Amendment 15 (11/14/2024)
NHPRI 2017-15B Amendment 15B (Full Contract)
NHPRI 2017-15B Standalone Amendment 15B (04/07/2025)
NHPRI 2017-16 Amendment 16 (Full Contract)
NHPRI 2017-16 Standalone Amendment 16 (12/16/2024)
NHPRI 2017-16B Amendment 16B (Full Contract)
NHPRI 2017-16B Standalone Amendment 16B (04/07/2025)
UHC RIte Smiles Amendment 9 (Full Contract)
UHC RIte Smiles Standalone Amendment 9 (05/29/2025)
Previous Amendments:
UHC-RIte Smiles Standalone Amendment 1 (10/15/2020)
UHC RIte Smiles Amendment 2 (Full Contract)
UHC-RIte Smiles Standalone Amendment 2 (10/06/2021)
UHC RIte Smiles Amendment 3 (Full Contract)
UHC-RIte Smiles Standalone Amendment 3 (08/10/2022)
UHC RIte Smiles Amendment 4 (Full Contract)
UHC-RIte Smiles Standalone Amendment 4 (06/14/2023)
UHC RIte Smiles Amendment 5 (Full Contract)
UHC-RIte Smiles Standalone Amendment 5 (07/18/2023)
UHC RIte Smiles Amendment 6 (Full Contract)
UHC-RIte Smiles Standalone Amendment 6 (01/29/2024)
UHC RIte Smiles Amendment 7 (Full Contract)
UHC-RIte Smiles Standalone Amendment 7 (07/01/2024)
UHC RIte Smiles Amendment 8 (Full Contract)
UHC-RIte Smiles Standalone Amendment 8 (05/25/2025)
MTM 2023-03 Amendment 3 (Full Contract)
MTM 2023-03 Standalone Amendment 3 (06/23/2025)
Previous Amendments:
MTM 2023-01 Amendment 1 (Full Contract)
MTM 2023-01 Standalone Amendment 1 (10/10/2023)
MTM 2023-01 Amendment 2 (Full Contract)
MTM 2023-02 Standalone Amendment 2 (07/31/2024)
MTM CAP Closure - Timely Notification of Critical Incidents (08/28/2024)
MTM CAP - Timely Notification of Critical Incidents (12/04/2023)
NEMT Dashboards
NEMT Dashboard - February 2025
2024
NEMT Dashboard - September 2024
NEMT Dashboard - November 2024
NEMT Dashboard - December 2024
NEMT Quarterly Dashboard - SFY23 Quarter 3 Update (04/09/2024)
EOHHS MCO Core Contract Requirements for Reporting and Intermediate Sanctions 2020 Policy (6/2024)
Addendum A - Telemedicine Mandatory Minimum Codes V4 (02/01/2024)
Katie Beckett Care Management FAQs (10/05/2023)
Provider Screening Project FAQs (10/04/2023)
MAPCO 2023 Information (06/23/2023)
Continued Coverage of COVID-19 Testing Services & Treatments (05/11/2023)
Terminated Member Outreach Policy (05/02/2023)
Claim Paid Date Reporting on Financial Data Reporting (11/21/2022)
Coverage of Over-the-Counter COVID-19 Tests (OTC COVID-19 Tests) – Pharmacy Benefit (01/25/2022)
Prior Authorization Suspension-Medicaid (02/04/2022)
Prior Authorization Suspension-Medicaid (01/13/2022)
Prior Authorization Suspension-Medicaid (01/06/2022)
COVID-19 Pediatric Codes (12/13/2021)
EOHHS MCO Core Contract Requirements for Value Add Services (09/2021)
Value-Added Services (VAS) Request Form (09/2021)
EOHHS MCO Core Contract Requirements for Reporting Demographic Changes 2020 Policy (09/2021)
EOHHS MCO Core Contract Requirements for Requesting In Lieu of Services (08/2021)
RI Medicaid Managed Care In Lieu of Services Request Form (08/2021)
Notify Medicaid Members of Impending Prior Authorization Lift (08/06/2021)
RI Medicaid Managed Care COVID-19 Model Language for the Reinstatement of PA for Members (08/2021)
Prior Authorization Requirements to be Reinstated for COVID-19 (06/2021)
RIte Smiles Reference Materials
RI Medicaid Managed Care Quality Strategy
Accountable Entities Implementation Manual