As a reminder, federal regulations require that providers who render services for Medicaid members are screened by and enrolled with the appropriate state Medicaid agency. This requirement applies to providers who participate in Tufts Health RITogether, Tufts Health Together – MassHealth MCO Plan and Accountable Care Partnership Plans (ACPPs), and Tufts Health Unify. Tufts Health Plan has been mailing reminder letters to providers who have yet to complete this enrollment/screening process throughout the year.
Tufts Health RITogether providers may complete this process via the Rhode Island Executive Office of Health and Human Services (EOHHS) provider portal. For additional information, please refer to this FAQ and the EOHHS website. Please keep in mind that claim payments may be impacted for Rhode Island Medicaid providers who have not been appropriately screened by Oct. 31, 2023. These providers should ensure that they have been screened and enrolled before this date to avoid denials on claims submitted for dates of service beginning Nov. 1, 2023.
The Credentialing and Contracting Overview page on our provider website also includes information on this requirement.
Director, Provider Relations & Communications
Senior Manager, Provider Communications
Joseph O’Riordan, Susan Panos, Stephen Wong,