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Healthcare Executive Office Of Health And Human Services

Medicaid Eohhs.ri.gov

  • The Executive Office of Health and Human Services (EOHHS) administers the publicly-funded Medicaid program
  • Medicaid is an important source of coverage for low-income families with children, pregnant women, elders and persons with disabilities and special needs who otherwise might not be able to pay for or get access to affordable health care.

Health Insurance
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Healthcare Programs Executive Office Of Health And Human

Medicaid Eohhs.ri.gov

Healthcare Programs Medicaid - Families with children may be eligible for healthcare coverage through Rhode Island Medicaid or a health insurance plan through HealthSource RI.See Medicaid program eligibility for RIte Care and RIte Share below. RIte Care is Rhode Island’s Medicaid managed care program for families with children, pregnant women, and children under age 19.

Health Insurance
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Healthcare Portal Executive Office Of Health And Human

Healthcare Eohhs.ri.gov

Healthcare Portal Providers must use the Healthcare Portal for access to information, including eligibility verification, remittance advice, prior authorization, claim status. Providers must enroll as a Trading Partner and then register to use the Healthcare Portal.

Health Insurance
7 days ago / 60 People Used See more...

Healthcare For Elders Executive Office Of Health And

Healthcare Eohhs.ri.gov

Healthcare For Elders. Medicaid for elders – people 65 and older – offered by EOHHS takes many forms including: Comprehensive health coverage for services like doctors visits, prescriptions, and hospital stays

Health Insurance
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Healthcare Executive Office Of Health And Human Services

Medicaid Eohhs.ri.gov

  • The following are health and human services programs for adults who have disabilities and/or special needs

Health Insurance
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Medicaid Affordable Care Coverage And Eligibility Renewals

Medicaid Eohhs.ri.gov

Medicaid Affordable Care Coverage and Eligibility Renewals The federal Affordable Care Act (ACA) – also known as “health care reform” and “Obamacare” – changed the way Medicaid eligibility is determined for people in what are known as the Medicaid Affordable Care Coverage (MACC) groups – families and children, parents/caretakers, pregnant women and newly eligible adults who are


9 days ago / 115 People Used See more...

Healthcare Workforce Transformation Projects Executive

Graduate Eohhs.ri.gov

  • Teach Healthcare Management Core Concepts of Health System and Practice Transformation
  • Lead: Dr.Kathryn Jervis, Professor, Accounting
  • Description: This project will modify four existing graduate courses and develop three additional graduate courses to teach the application of business skills in health care environments

Health Insurance
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Provider Search Executive Office Of Health And Human

Health Eohhs.ri.gov

  • This Provider Search can be used to find doctors or other health care professionals who are Medicaid Providers
  • However, this list does not guarantee that the Medicaid provider is currently accepting new patients
  • If you are enrolled in a health plan, please contact your health plan's Member Services department for participating providers.

Health Insurance
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Coverage Guidelines Executive Office Of Health And Human

Health Eohhs.ri.gov

RN services include assessment of the individual’s health status, identification of health care needs, determination of health care goals and the development of the plan of care. Skilled nursing care includes teaching and counseling and is directed toward the promotion, maintenance and restoration of health.

Health Insurance
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Medicaid Health Plans Executive Office Of Health And

Medicaid Eohhs.ri.gov

  • Neighborhood Health Plan of Rhode Island 1-800-459-6019 Tuft Health Plan 1-866-738-4116/ TTY: 711 UnitedHealthcare Community Plan 1-800-587-5187
  • UnitedHealthcare Dental/RIte Smiles 1-866-375-3257 Medicaid Dental Services (Older Children & Adults)

Health Insurance
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Healthcare Innovation Initiative Executive Office Of

Healthcare Eohhs.ri.gov

  • 12/1/15: Raimondo’s Healthcare Innovation Group Recommends Creation of Dedicated Health Policy Office
  • 8/19/2015: Raimondo's Healthcare Innovation Group Targets Crisis of Health Spending
  • 7/20/2015: Raimondo, Joined by Whitehouse, Launches Statewide Effort to Strengthen Healthcare System for All Rhode Islanders

Health Insurance
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Medicaid Provider Manual Executive Office Of Health And

Medicaid Eohhs.ri.gov

Medicaid Provider Manual. The Rhode Island Medicaid Program structures benefits available to Medicaid clients in a manner that promotes access to …

Health Insurance
2 days ago / 104 People Used See more...

Rhode Island HIT Strategic Roadmap 7.24

Goals Eohhs.ri.gov

  • the health and healthcare goals for the state
  • The background to this roadmap includes EOHHS’ Strategic Priorities along with the recent community efforts to establish goals for Health in Rhode Island
  • These overarching set of goals and priorities have provided a framework for Rhode Island’s statewide HIT Roadmap.


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Dental Services For Children And Young Adults Executive

Medicaid Eohhs.ri.gov

  • For more information, please reference the RI Medicaid Early Periodic Screening, Diagnosis, and Treatment (EPSDT) Pediatric Oral Health Schedule
  • RIte Smiles is a dental plan for children who are eligible for RI Medicaid who were born after May 1, 2000.

Dental Healthcare
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Legislative Highlights

HEALTH Eohhs.ri.gov

  • 2013 Legislative Highlights - Healthcare
  • 6283 / Senate Bill 540 SUB A (Affects EOHHS, DOH, OHIC) Chapter 341 ENTITLED, AN ACT RELATING TO HEALTH AND SAFETY - THE RHODE ISLAND HEALTH CARE REFORM ACT OF 2013 (makes a number of substantive and definitional changes to various statutes governing the health-care system.) The legislation was developed partly …


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Consumer Information Executive Office Of Health And

Health Eohhs.ri.gov

  • Apply for health and human services programs online
  • You can also update your account information
  • See the list of health and human services programs that you can apply for online
  • For health & human services programs, call DHS at 1-855-697-4347, hours: 8:30 am -3:30 pm Monday - …

Health Insurance
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Adults With Special Needs Executive Office Of Health And

Disability Eohhs.ri.gov

Adults With Special Needs. Links to programs and services: Eligibility for services depends on a number of factors: age, type of disability, a person’s needs and whether the disability will last a short time or be permanent.

Health Insurance
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Medicaid LOC And Core And Preventive Services Executive

Medicaid Eohhs.ri.gov

Medicaid LOC And Core And Preventive Services. The care needs of people determine what types of Medicaid funded services they qualify to receive and in what setting.


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Third Party Liability Executive Office Of Health And

Insurance Eohhs.ri.gov

  • Federal regulations require Medicaid to be the "payer of last resort"
  • This means that all third party insurance carriers, inculding Medicare and private health insurance carriers, must be billed before Medicaid processes the claim.

Health Insurance
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National Provider Identifier Executive Office Of Health

Health Eohhs.ri.gov

The Health Insurance Portability and Accountability Act (HIPAA) mandated the adoption of a unique health identifier, or National Provider Identifier (NPI), for health care providers, health plans, and healthcare clearinghouses.

Health Insurance
8 days ago / 108 People Used See more...

Home And Community Based Services Executive Office Of

Care Eohhs.ri.gov

  • PACE contracts with specific doctors, home health, and other agencies to provide your care
  • For Medicaid beneficiaries who have the highest level of need, PACE offers skilled nursing care
  • For more information, contact: PACE at (401) 490-6566 or 1-877-781-7223.

Home Healthcare
3 days ago / 144 People Used See more...

Education And Training Programs Executive Office Of

Education Eohhs.ri.gov

Education and Training Programs. Below is a directory of healthcare education and training providers in Rhode Island and nearby Massachusetts, alphabetized by occupation.

Beauty Training
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Forms & Applications Executive Office Of Health And

Portal Eohhs.ri.gov

  • Applicants who wish to enroll as a RI Medicaid Trading Partner must complete the electronic application process
  • The application is accessed through the Healthcare Portal
  • All existing Trading Partners are required to register in the Healthcare Portal
  • Electronic Funds Transfer; Provider Change of Information Form

Cats Health
8 days ago / 81 People Used See more...

Children With Special Needs Executive Office Of Health

Medicaid Eohhs.ri.gov

Children With Special Needs. Medicaid Early, Periodic, Screening, Diagnosis, and Treatment (EPSDT).If medically necessary, all children enrolled in Medicaid from birth to age 21 may qualify for additional health services and supports through the EPSDT benefit.Under the EPSDT Medicaid benefit, children with Medicaid coverage are eligible for preventive and routine health care …

Health Insurance
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Prior Authorization Executive Office Of Health And Human

Prior Eohhs.ri.gov

  • Complete the Prior Authorization Form (below) and fax or mail it to Gainwell Technologies (see address below)

Health Insurance
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Medicaid Managed Care Materials Executive Office Of

Amendment Eohhs.ri.gov

Neighborhood Health Plan of Rhode Island- Medicaid Managed Care Plan NHPRI 2017-03 Amendment 3 (Base Contract) PDF file, about 13 mb megabytes NHPRI 2017-03 Amendment 3 (Addendums) PDF file, about 3 mb megabytes


1 days ago / 87 People Used See more...

The Office Of Program Integrity Executive Office Of

Human Eohhs.ri.gov

  • EOHHS Office of Program Integrity for assistance on any publicly funded health and human services program at (401) 462-6503
  • The Office of Program Integrity is committed to identifying fraud, waste and abuse in Medicaid and in all health and human service programs.


7 days ago / 84 People Used See more...

Health Information Technology Executive Office Of Health

Health Eohhs.ri.gov

The Executive Office of Health and Human Services (EOHHS) is pleased to share this Rhode Island Statewide Health Information Technology (HIT) Strategic Roadmap and Implementation Plan. The Roadmap, researched and written with the help of EOHHS' Briljent consulting team lays out the vision for statewide HIT efforts over the next three years.

Health Insurance
2 days ago / 90 People Used See more...

Medicare Medicaid Plan Executive Office Of Health And

Medicare-Medicaid Eohhs.ri.gov

  • EOHHS contracts with Neighborhood Health Plan of Rhode Island to administer Rhode Island's Medicare-Medicaid Plan (MMP)
  • The MMP is designed to coordinate both Medicare and Medicaid benefits into one, integrated delivery system for eligible members.

Medicare Health
2 days ago / 111 People Used See more...

RIte Share Providers Executive Office Of Health And

Number Eohhs.ri.gov

  • Completing this form is not necessary if the provider currently has a Rhode Island Medicaid number
  • Individual providers, new groups and new providers joining an established group should submit documentation according …

Health Insurance
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Children’s Behavioral Health System Of Care Executive

Department Eohhs.ri.gov

The Executive Office of Health and Human Services has been working with other state agencies – the Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals, the Department of Children, Youth, and Families, the Office of the Health Insurance Commissioner, the Rhode Island Department of Education, and the Rhode Island

Oral Healthcare
2 days ago / 103 People Used See more...

Accountable Entities Executive Office Of Health And

Accountable Eohhs.ri.gov

Accountable Entities Overview. The RI Executive Office of Health and Human Services (EOHHS), through its contracted Medicaid Managed Care Organizations (MCOs), is in the process of designing and implementing an Accountable Entity (AE) Program for the RI Medicaid Program.

Health Insurance
3 days ago / 85 People Used See more...

CEDARR Services Executive Office Of Health And Human

& Eohhs.ri.gov

Healthcare; Info Lines; Families With Children; Adults; Elders; Adults With Special Needs; Programs & Services; Provider Search; Health & Dental Plans; Websites; Fact Sheets & Brochures; FPL Guidelines And Eligibility Information; Providers & Partners Toggle child menu . Overview; Billing And Claims; Certification Standards; Early Intervention

Health Insurance
7 days ago / 130 People Used See more...

Provider Electronic Solutions (PES) Software Executive

Current Eohhs.ri.gov

  • Provider Electronic Solutions (PES) Software
  • Providers should be using the most current version of the PES software
  • New users must do a full installation of the most current version.


1 days ago / 135 People Used See more...

Research & Analysis Executive Office Of Health And

Health Eohhs.ri.gov

  • Health Care Access for Children with Special Health Care Needs 2009 2008
  • Changes in Access and Quality for Children with Special Health Care needs 2008; Health Care Needs of RI Children with Disabilities on Medicaid 2008; 2006
  • CEDARR Family Centers, 5-year Program Review 2006

Health Insurance
5 days ago / 90 People Used See more...

Provider Manuals & Guidelines Executive Office Of

& Eohhs.ri.gov

Healthcare; Info Lines; Families With Children; Adults; Elders; Adults With Special Needs; Programs & Services; Provider Search; Health & Dental Plans; Websites; Fact Sheets & Brochures; FPL Guidelines And Eligibility Information; Providers & Partners Toggle child menu . Overview; Billing And Claims; Certification Standards; Early Intervention


7 days ago / 103 People Used See more...

Dept. Of Elderly Affairs (DEA) Executive Office Of

Dept Eohhs.ri.gov

  • Of Elderly Affairs (DEA) Provider Representative: Marlene Lamoureux Tel
  • (401) 784-3805 email: [email protected] Reference Guide

Elderly Health
5 days ago / 122 People Used See more...

Targeted Case Management Executive Office Of Health And

Management Eohhs.ri.gov

The overall case management program at each provider agency must be directed by a registered nurse or equivalent health care professional with at least two years experience in the delivery of case management services. All services shall be delivered in accordance with the requirements specified by contract with the Department of Health.

Mens Health
7 days ago / 175 People Used See more...

How To File An Appeal Executive Office Of Health And

HealthSourceRI Eohhs.ri.gov

How To File An Appeal. You have the right to appeal decisions made by HealthSourceRI and the Department of Human Services and to request a fair hearing.

Health Insurance
1 days ago / 100 People Used See more...

Calculating Health Care Waste In Washington State

Health Eohhs.ri.gov

Overuse in health care – also called overtreatment, low-value health care or waste – refers to medical tests and procedures that have been shown to provide little benefit in particular clinical scenarios and in many cases have the potential to cause harm. Overuse occurs when health care is provided with a higher volume than is appropriate.

Health Insurance
7 days ago / 117 People Used See more...

Medicaid Annual Plan Change Opportunity Executive Office

Their Eohhs.ri.gov

If they would like to switch, they should contact the new plan to see if their doctors and other health care providers are in the health plan's network. They should also check the drug formulary to be sure that any medications they (or their family members) take are covered by the new plan.


1 days ago / 82 People Used See more...

Resources Executive Office Of Health And Human Services

Care Eohhs.ri.gov

PACE provides health care, insurance, and support services including primary care, access to specialists, prescription drugs, durable medical equipment, dental care, 24-hour emergency services, home care, transportation to all medical appointments, day center services, meals, and physical, speech, occupational and respiratory therapies.

Health Insurance
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FAQ eohhs.ri.gov health

What is healthy really means?

Healthy eating means eating a variety of foods that give you the nutrients you need to maintain your health, feel good, and have energy. These nutrients include protein, carbohydrates, fat, water, vitamins, and minerals. Nutrition is important for everyone. When combined with being physically active...

How do you stay healthy?

In order to stay healthy, you need to live an active and aware lifestyle. This means getting at least 30 minutes of exercise daily, eating a well balanced diet, and try and reduce stress in your lifestyle. Becoming more active will help with stress levels and eating a well balanced diet will help keep you healthy.

Is your healthy food really healthy?

Is Your Healthy Food Really Healthy? Give your salad a second look. While salads are a great way to get in your daily vegetables, it's surprisingly simple to... Avoid artificial sweeteners. While reducing the amount of sugar in your diet is always a positive move, artificial... Be picky about popcorn. Popcorn can be a great low-calorie snack when you make it at home. More ...

Is being too healthy unhealthy?

Yep, being too healthy can actually be unhealthy . Orthorexia is an obsession with eating a "pure" diet, which can mean avoiding foods with unhealthy fats, added sugar or salt, genetic modifications, artificial colors, or flavors and preservatives.

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