PES Secondary Billing Provider Revalidation Welcome New Provider Medicaid Updates Using the Healthcare Portal Meet the Dental Director
Healthcare Portal
The Healthcare Portal is used to access business functions for RI Medicaid. Providers must enroll as a Trading Partner electronically through the Healthcare Portal. Once enrolled, Trading Partners are required to register to use the Healthcare Portal.
User Guides and Quick Reference Guides are available on the Healthcare Portal page of this website.
Provider E-Learning Center
Welcome to the Provider E-Learning Center. This section will be updated with new training modules as they become available.
New Office Staff Training Intended Audience: New staff members or staff members assuming new roles in RI Medicaid provider offices and facilities. It will help staff members understand the basics of conducting business with RI Medicaid.
Billing 101
RI Medicaid provides resources for providers seeking information on billing Medicaid claims. This presentation includes the basics of billing Medicaid, Understanding Remittance Advice, and Recoupments, Adjustments, and Refunds.
Provider Specific Training
Nursing Home - Helpful Hints for Billing
Hospice Providers - Payment Methodology Changes
Adult Day Care Services Adult Day Care - Q&A
Billing Tips for Dental Providers
Billing Tips for Federally Qualified Health Centers
Billing Tips for Home Care Providers Submitting Claims through the Healthcare Portal - For Home Care Providers
Nursing Home LTSS Application - Dos and Don'ts
Click here for details
Click the links below for helpful resources from CMS.
CMS Toolkits - Continuing Education Podcasts CMS Medicare Learning Network