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.
National Provider Identifier The Health Insurance Portability and Accountability Act (HIPAA) mandated the adoption of a unique health identifier, or National Provider Identifier (NPI), for health care providers, health plans, and healthcare clearinghouses. Effective May 23, 2007, the NPI will be the only healthcare provider identifier that will be accepted/used for identification purposes for standard transactions by health care providers, health plans, or healthcare clearinghouses. See CMS website/Information on NPI. How do I get an NPI? The National Plan and Provider Enumeration System (NPPES) is the contractor hired by CMS to assign and process the NPIs. To learn more about NPI and how to apply, go to the NPPES website To apply for a NPI using a paper application, check the NPPES website and click on National Provider Identifier (NPI) highlighted in blue. The NPI application is 3-pages with instructions. Additional Information NPI Final Ruling Federal Register, January 23, 2004 Taxonomy List