August 01, 2022

Rhode Island: Important changes for providers serving Medicaid members

Beginning Sep. 1, 2022, the following changes - designed to support you and your patients who have Medicaid in the state of Rhode Island - will go into effect:

  • Changes to our claims processing platform
  • The provider Call Center phone number will change
  • The Member ID card and member number will change

Reimbursement policy updates
Review the Reimbursement Policy News available to providers to view the changes.
Review all the Rhode Island Reimbursement Policies available to providers.

Provider call center
Beginning Aug. 1, please use 1-855-766-0344 when you need to contact the provider Call Center to request assistance.

The new number is dedicated to specifically support health care professionals who offer services to Rhode Island Medicaid members. This number is designed to reduce call wait times and connect you to representatives who can address your questions in a timely manner.

Member ID Card changes
Beginning mid-August, your patients will receive new Member ID cards. The new cards will be effective for dates of service on or after Sep. 1, 2022. These cards have a new 9-digit member ID number. Please be sure you update this information in your records.

  • Check the member’s eligibility each time they visit your office.
  • Include the member’s new ID number on claim submissions or when requesting services that require authorization.
  • Use the provider website listed on the back of the member’s health plan ID card for secure transactions such as submitting prior authorization and checking claims status
  • Search your patient’s ID number through Access the Eligibility and Benefits site of your provider portal by using your patient’s name and date of birth.

Beginning Aug. 1, call 1-855-766-0344 for help with your questions about these changes.

You may also review Frequently Asked Questions for more information.