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
- BHDDH Developmental Disability Organizations (DDO's)
- Certified Community Behavioral Health Clinics (CCBHC)
- Chiropractor
- Clinical Laboratory
- Community Health Workers Services
- Conflict Free Case Management
- 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
- Occupational Therapy
- Peer Recovery Support Services
- Pharmacy
- Physician
- Public Health Dental Hygienist
- Podiatry
- Recovery Navigation Program
- Rehabilitative Service
- Speech Therapy
- Vision
The RI EOHHS website uses CPT and ADA procedure codes and descriptions, which are copyrighted by the American Medical Association and American Dental Association.