MCO Contract Update RI EOHHS and Medicaid are in the process of establishing a new managed care contract. If you or a loved one currently have health coverage through RI Medicaid, it’s important to know that you don’t need to take any action at this time. When a new contract is in place, the State will send information about any next steps.
Providers Talk to Your Patients About Medicaid Renewals Access to healthcare coverage is important to your patients’ health. You can help ensure that your eligible patients keep their Medicaid coverage by sharing resources for help with the Medicaid renewal process. Ask patients if they know about Medicaid renewals Encourage patients to get ready for their Medicaid renewal by updating their contact information at healthyrhode.ri.gov or by calling their managed care organization. Reach out to your Medicaid patients Consider calling your patients before their appointment to ensure their coverage is still active. Let them know they will receive a yellow Medicaid renewal notice or green notice in the mail (or in their HealthyRhode account if they’ve opted to receive documents electronically). It's important to tell patients to: Follow the specific instructions in their Medicaid renewal notice. Return their signed renewal notice along with any requested documents before the due date in their notice. Share resources with patients who need help Patients who need assistance with their Medicaid renewal can reach out to a Certified Application Counselor or Navigator. Patients can also check their anticipated renewal date in their account at healthyrhode.ri.gov. Help your patients understand next steps Make sure patients know they can continue their existing coverage if their Medicaid eligibility is confirmed. Patients who are no longer eligible for Medicaid will receive instructions on how to get health insurance coverage. Provider Support Line If you have questions or need assistance with verifying a patient’s Medicaid eligibility, contact our Provider Support Line. Contact Gainwell at: (401) 784-8100 1-800-964-6211 (long distance and in-state toll calls) QR Codes For more information on Medicaid renewals and the status of their eligibility, patients can scan a QR code while in the waiting room. Staycovered.ri.gov HealthyRhode App (Apple) HealthyRhode App (Android) HealthyRhoderi.gov Customer Portal