2024 Medicaid Managed Care Procurement Library

Draft - CY22 MCO Core Contract Reporting Calendar

RI Medicaid Expenditure Report SFY2019

RI Medicaid Monthly Managed Care Report (10/2021)

EOHHS Auto Assignment Report (10/2021)

SFY 2022 Medicaid Managed Care Risk Adjustment

MCO Procurement Policy Side Deck (07/25/2021)

Managed Care Organization Request for Qualification Financial Bidder's Packet

RI EOHHS Guidelines for Marketing Materials and Member Communications Medicaid Managed Care Program RIte Smiles NEMT MMP (adhoc)

Attachment A - Non-discrimination Notice

Attachment B - Marketing & Member Communications Request for Approval 

Attachment C - Notice of RI EOHHS Approval, Conditional Approval, or Rejection of Marketing & Member Communications Request for Approval

Medicaid 1115 Demonstration Waiver STCs

Medicaid Provider Manual

Attribution Guidance - 12/14/2020

Incentive Program Requirements - 12/14/2020

AE Certification Standards - 12/14/2020

Quality and Outcome Implementation Manual - 05/21/2021

Total Cost of Care Requirements - 12/14/2020

Total Cost of Care Technical Guidance - 12/14/2020

Attachment L-Accountable Entities Roadmap- Final - 11/16/2020

MCO Appeals Grievance Template (09/2021)

Appeals Template (10/2019)

Grievances and Complaints Template (10/2020)

MCO Program Integrity Template (10/2020)

Rhode Island Medicaid Managed Care Encounter Data Quality Measurement, Thresholds and Penalties for Non-Compliance

EOHHS 837 Companion Guide (1 of 2)

EOHHS 837 Companion Guide (2 of 2)

RI Medicaid Fee Schedules

RI Medicaid Managed Care Quality Strategy - 2019

RFI Request for Information Stakeholder Summary

Treatment of Hepatitis C - Prior Authorization Guidelines 8/1/2021

The Telemedicine Coverage Act - signed 7/6/2021

Doula Services

Community Health Worker Services

2021 Rhode Island Medicaid Managed Care Member Survey

Health Equity Zones (HEZ) Initiative

HSTP Social Determinants of Health Investing Strategy Final - 11/20/2020

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