Provider Training And Education

Provider Training 

 
Provider Revalidation 
Medicaid Updates 
Meet the Dental Director 

Healthcare Portal  

The Healthcare Portal is used to access business functions for RI Medicaid. Providers must enroll as a Trading Partner electronically through the Healthcare Portal. Once enrolled, Trading Partners are required to register to use the Healthcare Portal.  

User Guides and Quick Reference Guides are available on the Healthcare Portal page of this website.

Provider E-Learning Center

Welcome to the Provider E-Learning Center.  This section will be updated with new training modules as they become available.  

Self-Paced E-Learning

New Provider/New Staff Training 

Welcome New Provider  
Intended Audience:  New Medicaid providers who need information on RI Medicaid guidelines and processes.

New Office Staff Training 
Intended Audience:  New staff members or staff members assuming new roles in RI Medicaid provider offices and facilities.  It will help staff members understand the basics of conducting business with RI Medicaid.
 

Billing 

RI Medicaid provides resources for providers seeking information on billing Medicaid claims. This presentation includes the basics of billing Medicaid, Understanding Remittance Advice, and Recoupments, Adjustments, and Refunds.

Billing 101 
PES Secondary Billing

Provider Specific Training

Nursing Home Slips and Billing Process Manual (March 2021)

Electronic Referrals for Home Care Agencies (March 2021)  

Nursing Home - Helpful Hints for Billing  

Hospice Providers - Payment Methodology Changes (March 2021)

Adult Day Care Services        

Adult Day Care - Q&A    

Billing Tips for Dental Providers 

Billing Tips for Federally Qualified Health Centers 

Billing Tips for Home Care Providers 
Submitting Claims through the Healthcare Portal - For Home Care Providers 

Nursing Home LTSS Application - Dos and Don'ts 

PERM Provider Education Series

Click here for details 

Program Integrity

Click the links below for helpful resources from CMS.

CMS Toolkits - Continuing Education Podcasts
CMS Medicare Learning Network