Provider Training and Education
Provider Training Days
Provider Training Days were held on May 18 and 19, 2017. Over 200 providers attended the training sessions. For those who were unable to attend, the presentation slides are posted below.
PES Secondary Billing
Welcome New Provider
Using the Healthcare Portal
Meet the Dental Director
In addition, Billing 101 is being offered as a webinar on Friday, June 9th from 12:30-2:00 PM for those who were unable to attend the session. Click here to register.
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 Provider/New Staff Training
Welcome New Provider
Intended Audience: New Medicaid providers who need information on RI Medicaid guidelines and processes.
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.
This training will be offered in webinar format on the following dates, from 9:00-9:30 AM:
November 17, 2016
February 17, 2017
August 17, 2017
To register, click on the preferred date.
RI Medicaid provides resources for providers seeking information on billing Medicaid claims.
Part 1 -The Basics
To view presentation slides, click here: Billing 101 Part 1
Part 2 - Understanding Remittance Advice
To view presentation slides, click here: Billing 101 Part 2
Part 3 - Adjustments, Recoupments and Refunds
To view presentation slides, click here: Billing 101 Part 3
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
Integrated Eligibility System
Webinar sessions were held in September to introduce providers to the new RIBridges system and MID conversion.
Click here to view presentation slides
PERM Provider Education Series
Click here for details
Click the links below for helpful resources from CMS.
CMS Toolkits - Continuing Education Podcasts
CMS Medicare Learning Network