| Executive Office of Health and Human Services

LTSS APM

… on home and community-based services needed to prevent the Medicaid-eligible population from needing institutional … on home and community-based services needed to prevent...

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Prior Authorization

… on a Prior Authorization Form but only one procedural code (PROC) or revenue code (REV) per line. Completed forms can be faxed or mailed … on a Prior Au...

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Hospitals

… Facility Provider Representative Care New England and Out of State Facilities: Karen Murphy Tel. (571) 348-5933 … claim with APC action codes N, Q1, Q2, P, S, V, and l...

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Workforce Data

… for various health and human services occupations. EOHHS Health Workforce Data Dashboard The Rhode Island Health Workforce Data Dashboard was created by the EOHH...

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Prior Approval (PA) Criteria For Surgical Procedures

… individual beneficiaries. Coverage Guidelines Non Covered Services include but are not limited to: Gender reassignment … of the abdominal muscles. Coverage and Payment Pol...

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Accountable Entities

… Health and Human Services (EOHHS), through its contracted Medicaid Managed Care Organizations (MCOs), is in the process … provide the framework for transforming the struct...

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ICI Implementation Council

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EOHHS, Opioid Settlement Advisory Committee Allocate $20 Million to Support Those Impacted by the Overdose Epidemic

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Federal Upper Limits For Multiple Source Drugs

… Limits For Multiple Source Drugs In 1976, the Department of Health and Human Services (HHS) implemented drug … current editions (or updates) of published ...

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