Medicaid Managed Care Contracts & Policy/Guidance Documents Tufts Health Public Plan- RI Together Contract THPP 2017-06 Amendment 6 (Full Contract) United Healthcare Community Plan of Rhode Island Contract UHC 2017-06 Amendment 6 (Full Contract) Neighborhood Health Plan of Rhode Island- Medicaid Managed Care Plan Contract NHPRI 2017-06 Amendment 6 (Full Contract) United Healthcare-RIte Smiles Contract UHC RIte Smiles Amendment 2 (Full Contract) RIte Smiles Liquidated Damages Memo (06/2021) Neighborhood Health Plan of Rhode Island Medicare/Medicaid Contract RI Providers Three Way Contract (03/02/2020) Medical Transportation Management Contract MTM Contract 2018 RI Transportation Brokerage Contract (9/24/2018) MTM Contract Amendments 2018 RI Transportation Brokerage Contract Sept 2018 Amendment 1 (12/17/2018) 2018 RI Transportation Brokerage Contract Sept 2018 Amendment 2 (2/28/2019) 2018 RI Transportation Brokerage Contract Sept 2018 Amendment 3 (4/29/2019) 2018 RI Transportation Brokerage Contract Sept 2018 Amendment 4 (8/9/2019) 2018 RI Transportation Brokerage Contract Sept 2018 Amendment 5 (6/30/2020) 2018 RI Transportation Brokerage Contract Sept 2018 Amendment 5-Part 1 2018 RI Transportation Brokerage Contract Sept 2018 Amendment 5-Part 2 2018 RI Transportation Brokerage Contract Sept 2018 Amendment 5-Part 3 2018 RI Transportation Brokerage Contract Sept 2018 Amendment 5-Part 4 2018 RI Transportation Brokerage Contract Sept 2018 Amendment 6 (9/3/2021) 2018 RI Transportation Brokerage Contract Sept 2018 Standalone Amendment 7 (4/12/2022) 2018 RI Transportation Brokerage Contract Sept 2018 Full Contract Amendment 7 (4/12/2022) Medicaid Managed Care Policy and Guidance Documents 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 Reporting and Intermediate Sanctions 2020 Policy (10/2021) EOHHS MCO Core Contract Requirements for Value Add Services (09/2021) Value-Added Services (VAS) Request Form (09/2021) RI EOHHS Guidelines for Marketing and Member Communications for Medicaid Managed Care Program (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) RI Managed Medicaid Model Member Handbook Appeal and Grievance Rights Template EOHHS MCO Core Contract Requirements for Reporting Demographic Changes 2020 Policy RIte Smiles Reference Materials RIte Smiles Reference Materials Dual Special Needs (D-SNP) State Medicaid Agency Contracts Blue Cross Blue Shield of Rhode Island 2022 State Medicaid Agency DSNP Agreement RI - Blue Cross Blue Shield of Rhode Island (06/2021) Commonwealth Care Alliance 2022 State Medicaid Agency DSNP Agreement RI - Commonwealth Care Alliance (06/2021) WellCare Health Plans of Rhode Island, Inc. 2022 State Medicaid Agency DSNP Agreement RI - WellCare Health Plans of Rhode Island, Inc (06/2021) United Healthcare (Oxford Health Plans, Inc.) 2022 State Medicaid Agency DSNP Agreement RI - United Healthcare (Oxford Health Plans, Inc.) (06/2021)