Forms & Applications

You will find many of the forms and applications that our providers and partners need to enter into contractual or other arrangements and to report to the EOHHS agencies below. They are organized by program and/or department where available.

Forms and Applications A-Z
All documents are in pdf format PDF

Medicaid

Provider Enrollment Application and Related Forms

Business Process Forms

Prior Authorization Forms

 

A comprehensive listing of BHDDH departmental rules and regulations can be found at the Rhode Island Office of the Secretary of State's website.

Proposed BHDDH regulations can also be found on this website at:

RI Works

RI Works Red Book
The RI Works Red Book is a resource that was developed to assist RI Works parents find appropriate work preparation activities as part of their Employment Plans.  The Red Book is arranged in three (3) sections:

  1. Contracted Providers
  2. Pre-Certified Vendors/Vocational Education
  3. DHS In-House Service Providers

For a description of each, see Introduction to the Red Book.

Contracted Providers

Pre-Certified Vendors/Vocational Education

DHS In-House Providers

Child Care Assistance Program

For information on becoming a CCAP Approved Provider, please call the Office of Child Care at (401) 462-6877.

New information coming soon!

Rhode Island Medicaid is implementing an electronic process for enrolling and updating Trading Partners.  Due to this transition, we will be unable to accept Trading Partner enrollment applications or add/change forms after Tuesday, September 9, 2014. Forms received after this date will be returned.

Beginning Wednesday, September 17, applicants may access the electronic enrollment process by visiting http://www.eohhs.ri.gov/ProvidersPartners/HealthcarePortal.aspx.

All existing Trading Partners are required to register in the Healthcare Portal.  Please refer to the current issue of the Provider Update.  Additional resources are found on the Healthcare Portal page. 

PDF All PDFs require the free Adobe Reader.
Power Point Presentation Excel All PPTs and Excel sheets require the Office free Online File Converters and Viewers
RI.giv

57 Howard Avenue | Cranston, RI 02920 | Contact Us | Directions
© RI.gov, Executive Office of Health & Human Services.
Sitemap | Privacy Policy

W3C