Attention Providers: Change Healthcare Update Change Healthcare (CHC) can resume submitting claims to RI Medicaid. This means if you are doing business with CHC, they can submit your claims to RI Medicaid and CHC can now resume downloading your 835/277unsolicited transactions.Please reach out to your clearing house representative with any questions you may have regarding the submissions. You can also reach out to riediservices@gainwelltechnologies.com.
Radiology Prior Authorization Program Summary Prior Authorization will be required for all outpatient MR, CT and PET imaging studies for all Rhode Island Medical Assistance plan participants starting January 01, 2008. Evicore will administer prior authorizations. Please note that prior authorization is not required for Nuclear Cardiology. Contact Evicore toll-free, 8am-9pm ET at 888-693-3211 if you have any questions.