Neighborhood Health Plan of Rhode Island is the main Medicaid plan. It is not a Massachusetts plan. The Executive Office of Health and Human Services oversees Rhode Island Medicaid. Neighborhood Health Plan of Rhode Island is the managed-care plan for most members. Fee-for-service Medicaid is a separate submission. MassHealth will not pay a Rhode Island member.
Neighborhood Health Plan of Rhode Island is the main Medicaid plan. It is not a Massachusetts plan.
The Executive Office of Health and Human Services oversees Rhode Island Medicaid. Neighborhood Health Plan of Rhode Island is the managed-care plan for most members. Fee-for-service Medicaid is a separate submission. MassHealth will not pay a Rhode Island member.
Medicare Part A and Part B for a Rhode Island practice go to National Government Services, Jurisdiction K, with Massachusetts and Connecticut. The Medicare contractor matches. The Medicaid program does not.
Rhode Island is not a no-fault state. A work injury is billed to the employer's carrier under the Department of Labor and Training. It is not a Neighborhood Health Plan claim.
Rhode Island is small enough that one Medicaid plan covers most members. That plan is still not MassHealth and not HUSKY. Medicare leaves the state on the same National Government Services contract as Boston and Hartford.
Neighborhood Health Plan of Rhode Island. Fee-for-service Medicaid is a separate submission.
National Government Services, Jurisdiction K, the same contractor as Massachusetts and Connecticut.
The fee is a percentage of net collections. The written rate follows volume, specialty, and how much of the cycle you hand over. There is no setup fee, and the agreement is month to month. The state is not a surcharge. How pricing is set.
