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.
Long Term Care Coverage Guidelines Please note that coverage guidelines and procedures are subject to change. Refer to the monthly Provider Update for more information. Long Term Care Coverage Guidelines Claim Billing Guidelines Covered Services Limitations/Special Requirements Non-Covered Services Out of State Providers Program Information Prospective Reimbursement System Provider Participation Guidelines Recertification Reimbursement Guidelines Claim Preparation Instructions UB-04 Form Filing Instructions Long Term Care - UB-04 Claim Form Error Status Codes ESC Code List (English) Explanation of Benefits (EOB) Codes EOB Codes and Messages List (English) EOB Codes and Messages List (Spanish) Appendix - Third Party Liability Carrier and Coverage Codes Third Party Liability Carrier and Coverage Codes For specific questions you may contact the Customer Service Help Desk at (401) 784-8100 for In-state and long distance callers, or 1-800-964-6211 for In-state toll callers and border communities.