MCO Contract Update RI EOHHS and Medicaid are in the process of establishing a new managed care contract. If you or a loved one currently have health coverage through RI Medicaid, it’s important to know that you don’t need to take any action at this time. When a new contract is in place, the State will send information about any next steps.
Medicaid Provider Manual The Rhode Island Medicaid Program structures benefits available to Medicaid clients in a manner that promotes access to medically necessary and cost-effective care. The General Guidelines manual contains basic information for all providers on enrollment, EDI enrollment, and claims processing. Click below to view the manual: RI Medicaid General Guidelines Manual - for all Providers To view provider information specific to your provider program or service type, select the appropriate manual from the alphabetical listing below. Ambulance BH Link Clinical Laboratory Community Health Workers Services Conflict Free Case Management Dental Doula Services Durable Medical Equipment Early Intervention Federally Qualified Health Center (FQHC) HIV AIDS Home and Community Based Services Home Health Home Stabilization Hospice Hospital Interpreter Services Local Education Agency Long Term Care Peer Recovery Support Services Pharmacy Physician Public Health Dental Hygienist Podiatry Recovery Navigation Program Rehabilitative Service Vision