Forms & Applications

You will find Medicaid Provider forms and applications below. There is also a reference for all the forms and applications in alphabetical order as well.

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

 

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.   

 

 

 

 

 

PDF All PDFs require the free Adobe Reader.

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