Wpqa.nhpri.org

NEW Benefits and Services at No Extra Cost to You in 2022!

WEBWe want you to be well, which is why we’re excited to offer four new benefits and services for healthy living at no extra cost to you. With Neighborhood INTEGRITY …

Actived: 5 days ago

URL: https://wpqa.nhpri.org/medicare-medicaid/benefits/new-benefits-at-no-extra-cost-to-you-in-2022/

Neighborhood Health Plan of Rhode Island Appoints Two New …

WEBNeighborhood has been helping Rhode Island families stay healthy for almost 30 years by providing access to excellent health care.

Category: Health Go Health

Neighborhood’s Medical Benefit and Medicaid Pharmacy Benefit …

WEBOctober 2021. Neighborhood is making important changes to our Medical Benefit Formularies across all lines of business (Medicaid, Commercial/Exchange and …

Category: Medical Go Health

COVID-19 Resources for Members – NHPRI.org

WEBNeighborhood is here to help – We want our members to be healthy and have the information they need. Below are common questions and answers about COVID-19, …

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Peter Marino: “Medicaid is US”

WEBOriginally Published in: Providence Business News The Westerly Sun GoLocal Prov Warwick Beacon Baby Jayden’s kidneys started failing the day he was born; by the time …

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Medical Benefit Prior Authorization Submissions – NHPRI.org

WEBApril 2021. Due to the complexity of clinical reviews and the clinical information required, Neighborhood’s Pharmacy Department encourages electronic or email submission of …

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~ACCESS RIte Care Plan

WEBBenefits include: • Over 1,300 primary care • Visits and check-ups • Access to a doctor providers (PCPs) • Translation help 24 hours a day, 7 days • Over 3,700 specialists • a …

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Initiation and Engagement of Alcohol and Other Drug …

WEBWhat is Neighborhood’s Performance. Neighborhood’s Medicaid HEDIS Rate for 2020 is 41.75% for initiation and 16.76% for engagement. Both of these rates are well below the …

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Welcome – NHPRI.org

WEBWelcome. Thank you for your interest in joining the provider network of Neighborhood Health Plan of Rhode Island (Neighborhood). The next step in the process is to …

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Neighborhood Health Plan of Rhode Island

WEBCertificate of Coverage Neighborhood Health Plan of Rhode Island Neighborhood PRINCIPAL Individual Market HealthSource RI Plan For Individuals and Families

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INTEGRITY Provider Appeal Rights – NHPRI.org

WEBTo file an appeal, send a written appeal to Neighborhood Health Plan of Rhode Island Attn: Grievance and Appeals Coordinator 910 Douglas Pike Smithfield, RI 02917. Please …

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Corrected (Replacement) and Voided Claim Submission 12.5.18

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Personal Choice Program

WEBWinter 2017 Neighborhood is committed to helping our members who need Long Term Care services live independently in their own homes, whenever possible. This is done by …

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Claims Corner – NHPRI.org

WEBPlease avoid violating PHI rules by sending only claims for members of Neighborhood Health Plan of Rhode Island to PO Box 28259, Providence, RI 02908-3700. Corrected …

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Living with Be Well, Stay Well

WEB/Rhody Health Partners 1-800-459-6019 (TDD/TTY 711) Mon-Fri 8am-6pm

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Policy Title: Non-Covered Services

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Claims Reconsideration Update – NHPRI.org

WEBFall 2016 . Effective October 1, 2016 Claims Reconsideration will no longer be accepted on the PGP grid. In the interim all Claims Reconsideration should be submitted to …

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