Attention RI Medicaid Members: Update on Prescription Access Due to a cybersecurity issue, a contractor serving pharmacies and Medicaid programs across the US is unable to provide important online services at this time. In Rhode Island, this situation impacted pharmacies’ ability to fill prescriptions for members of the AIDS Drug Assistance Program (ADAP) and the Medicaid Program. In response, RI EOHHS has quickly brought online a new way for pharmacies to process claims. Rhode Island Medicaid has also told pharmacies that they can provide a 30-day supply of any prescriptions you are trying to fill, to help you get through this time. The pharmacy should not charge you for any prescription that is covered by Medicaid. Learn more.
EOHHS Appeals Office The EOHHS Appeals Office conducts administrative appeals hearings in accordance with the requirements of State law. COVID 19 UPDATE Medicaid Appeals and Fair Hearings EOHHS has sought federal approval to temporarily delay scheduling non-emergency fair hearing appeals and issuance of fair hearing decisions for 60 days or until the termination of the COVID 19 declaration of emergency, whichever is longer. All emergency expedited hearings will be scheduled and heard telephonically. If needed, recipients impacted by COVID-19 may be given more time to submit an appeal through their health plan or request a fair hearing. Below are the administrative decisions issued by the Office redacted to protect the confidentiality and privacy of the people involved. You will need Google Chrome browser to view documents. New- Searchable Appeals Decisions Appeal Form and Instructions (English) -- Appeal Form and Instructions (Spanish) -- Appeal Form and Instructions (Portuguese) --