Medicaid Renewals Medicaid renewals are back. For more information about renewing your coverage, please visit staycovered.ri.gov.
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 BillingOrder, Prescribe, and Refer (OPR) FAQ Provider Specific Training Community Health Worker Enrollment Guidance (July 2023) Doula Service - Provider Enrollment Guidance (June 2022) Nursing Home Stays, 30 days or less (October 2021) Nursing Home Slips and Billing Process Manual (March 2021) Electronic Referrals for Home Care Agencies (January 2023) Nursing Home - Helpful Hints for Billing (May 2022) Hospice Providers - Payment Methodology Changes (February 2023) Adult Day Care Services Adult Day Care - Q&A Billing Tips for Dental Providers Billing Tips for Federally Qualified Health Centers Program Information for Home Care Providers (January 2023)Submitting Claims through the Healthcare Portal - For Home Care Providers Nursing Home LTSS Application - Dos and Don'ts Assisted Living Services PERM Provider Education Series Click here for details Program Integrity Click the links below for helpful resources from CMS. CMS Toolkits - Continuing Education PodcastsCMS Medicare Learning Network