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.
Medicaid Provider Manual The Rhode Island Medicaid Program structures benefits available to Medicaid clients in a manner that promotes access to medically necessary and cost-effective care. The General Guidelines manual contains basic information for all providers on enrollment, EDI enrollment, and claims processing. Click below to view the manual: RI Medicaid General Guidelines Manual - for all Providers To view provider information specific to your provider program or service type, select the appropriate manual from the alphabetical listing below. Ambulance BH Link Clinical Laboratory Community Health Workers Services Dental Doula Services Durable Medical Equipment Early Intervention Federally Qualified Health Center (FQHC) HIV AIDS Home and Community Based Services Home Health Home Stabilization Hospice Hospital Interpreter Services Local Education Agency Long Term Care Peer Recovery Support Services Pharmacy Physician Podiatry Recovery Navigation Program Rehabilitative Service Vision