Skip to main content
Official State of Rhode Island website
Language
Translate this page
Settings
Color scheme:
Change the visual color theme between light or dark modes
Switch
Use system preference
Font size:
Adjust the font size from the system default to a larger size
Original
Larger
Line spacing:
Adjust the space between lines of text from the system default to a larger size
Original
More
Word spacing:
Adjust the space between words from the system default to a larger size
Original
More
The Executive Office of
,
Health and Human Services
,
State of Rhode Island
Submit
Home
Menu
Home
Initiatives
Toggle child menu
Overview
Accountable Entities
Behavioral Health System Review
Certified Community Behavioral Health Clinics (CCBHC)
Children’s Behavioral Health System of Care
Children's Cabinet
Children’s Services Provider Relief Program
Data Ecosystem
Drug Overdose
Early Intervention Provider Relief Program
Equity Council
Home and Community-Based Services (HCBS) Access Program
HCBS Enhancement
HCBS Final Rule
HCBS Workforce Recruitment and Retention
Health Care System Planning
Health Information Technology
Healthcare Innovation
Homelessness Prevention Initiatives Grant
I/DD Provider Support Program
Integrated Care Initiative
LTSS: No Wrong Door
LTSS Resiliency Programs
Medicaid Enterprise System Transformation Project
Medical Respite Care
Nursing Home Isolation Unit Supplemental Funding
Olmstead Planning
Opioid Settlement Advisory Committee
Pay for Success
Pediatric Primary Care
Reinventing Medicaid
Words Matter
Workforce Transformation
Completed Initiatives
Consumer
Toggle child menu
Overview
Adults
Adults With Special Needs
Fact Sheets & Brochures
Families With Children
FPL Guidelines And Eligibility Information
Health Care
Older Adults
Programs & Services
Provider Search
Websites & Telephone Numbers
2021 Medicaid Managed Care Member Survey
Providers & Partners
Toggle child menu
Overview
Billing And Claims
Certification Standards
COVID-19 Emergency Case Management
Dental Professionals
Early Intervention Providers
Electronic Visit Verification (EVV)
Fee Schedules
Forms & Applications
FY25 Medicaid Reimbursement Rate Updates
Healthcare Portal
HIV AIDS Providers
Medicaid Managed Care
Personal Care Attendant Registry
Program Integrity
Provider Directories
Provider Enrollment
Provider Manuals & Guidelines
Provider Training And Education
Provider Updates
RIte Smiles Reference Materials
Supportive Services Resource Map
Reference Center
Toggle child menu
Overview
Civil Monetary Penalties
Declaratory Orders
EOHHS Appeals Office
Forms & Applications
Health Plan Accreditation
Home Care Provider Referral Portal
Legislative Updates
Medicaid State Plan And 1115 Waiver
Medicaid State Plan Scanned PDF Version
Medicaid Subregulatory Policies
Mpox (Monkeypox Virus)
Reports To Government Partners
Research & Analysis
Rules & Procedures
SPA and 1115 Waiver Changes
Waiver Extension
News
Toggle child menu
Overview
Press Releases
Provider News
About EOHHS
Toggle child menu
Overview
Contact
Departments
Secretary of EOHHS
Strategic Plan And Priorities
Home
Providers & Partners
Provider Manuals & Guidelines
Medicaid Provider Manual
Conflict-Free Case Management
Section Menu
Providers & Partners
Billing And Claims
Toggle child menu
Claims Processing
Toggle child menu
EOB Listing
Customer Service
Electronic Data Interchange (EDI)
Toggle child menu
RI Medicaid Program HIPAA 5010
Trading Partner Enrollment
ICD-10 Implementation
Payment And Processing Schedule
Prior Authorization
Provider Electronic Solutions (PES) Software
Recipient Eligibility Verification
Third Party Liability
Certification Standards
COVID-19 Emergency Case Management
Dental Professionals
Early Intervention Providers
Toggle child menu
EI Program Certification Standards
Electronic Visit Verification (EVV)
Fee Schedules
Forms & Applications
FY25 Medicaid Reimbursement Rate Updates
Healthcare Portal
HIV AIDS Providers
Medicaid Managed Care
Toggle child menu
2023 Medicaid Managed Care Procurement Library
Managed Care Organization Request for Proposal: Financial Bidder Packet
Medicaid Managed Care Manual
Non-Emergency Medical Transportation (NEMT) Manual
Public Comments
Medicaid Managed Care Archive
Personal Care Attendant Registry
Program Integrity
Provider Directories
Toggle child menu
Provider Representatives
Provider Enrollment
Toggle child menu
Adding A New Provider To An Existing Group
Medicaid Managed Care Organization Enrollment
RIte Share Providers
Local Education Agency (LEA) Providers
National Provider Identifier
Provider Manuals & Guidelines
Toggle child menu
HIPAA
Medicaid Provider Manual
Toggle child menu
Ambulance
Community Health Worker Services
Conflict-Free Case Management
Dental
Durable Medical Equipment (DME)
Early Intervention Providers
Federally Qualified Health Center (FQHC)
Home And Community Based Services
Home Health
Toggle child menu
Coverage Guidelines
Home Stabilization
Hospice
Hospital
Toggle child menu
Hospital Coverage Guidelines
Inpatient Services
Outpatient Services
Revenue Codes
Interpreter Services
Local Education Agency
Long Term Care
Toggle child menu
Long Term Care Coverage Guidelines
Peer Recovery Services
Pharmacy
Toggle child menu
RI State MAC List
Physician
Toggle child menu
Physician Coverage Guidelines
Prior Approval (PA) Criteria For Surgical Procedures
Service Requiring Adherence To Federal Guidelines
Podiatry Services
Public Health Dental Hygienist
Recovery Navigation Program
Rehabilitative Services
Toggle child menu
Children Services Policy
Clinician's Services
Rehabilitative Services Coverage Guidelines
Rehabilitative Services Policy 1
Rehabilitative Services Policy
Targeted Case Management
Vision Services
Toggle child menu
Bi Focal Optometric Procedure Codes
E & M Optometric Procedure Codes
Frames
Miscellaneous Optometric Procedure Codes
Single Vision Optometric Procedure Codes
Surgical Procedure Codes
Trifocal Optometric Procedure Codes
Vision Coverage Guidelines
Provider Training And Education
Provider Updates
RIte Smiles Reference Materials
Supportive Services Resource Map
Conflict-Free Case Management
Program Manual
Provider Manual