Neighborhood Fact Sheet

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Fact Sheet

History

Neighborhood Health Plan of Rhode Island was founded in December 1993 by 13-community health centers in response to the initiation of RIte Care, the Rhode Island Medicaid managed care program. Neighborhood Health Plan of Rhode Island is a 501c3 organization with a 15-member board.

Model / Products offered
Network model. Serve five Medicaid populations: 1) Low and moderate income famililes; 2) children with special health care needs (CSN); 3) all children in the Rhode Island foster care system; 4) Dually eligible adults (Medicaid/Medicare); and 5) Medicaid-only adults.

Enrollment

More than 76,000. Neighborhood insures:

• 60% of RIte Care participants

• 50% of Rhody Health Partners participants

• 36% of all children in Providence

• 35% of all children in the core cities

• 19% of all children in Rhode Island

Provider Network

• Nearly 700 Primary Care Practitioners – 42% of Neighborhood’s members receive their primary care at one of the 21 Community Health Centers in the state

• More than 1700 Specialists

• All hospitals in the state

Markets Served

Rhode Island

Staff
220

Accreditation
In 2001, Neighborhood became the first community health center based health plan in the country to be rated “Excellent” by the National Committee for Quality Assurance (NCQA). It has retained this “Excellent” designation since that time.

Awards and Honors

Neighborhood has been ranked as one of the top ten Medicaid health plans in America according to U.S. News & World Report and the National Committee for Quality Assurance (NCQA) since the inception of the rankings in 2004.

2009

• Community Partner Award – March of Dimes

2008

• Community Service Award - PARI Independent Living Center

• Kwame NKRUMAH Leadership Award - The African Alliance of Rhode Island

2007

• Business Partner of the Year, Rhode Island Latino Political Action Committee

2006

• Award of Excellence – Rhode Island Foster Parent Association

• Innovation of the Year Award Winner: Video Conference Medical Interpreting – Providence Business News

2005

• Community Award - Hispanic United Development Organization

• Meritorious Award Winner – Rhode Island Public Health Association

2004

• Partner of the Year – The Providence Center

• Community Partner Award Winner - Adoption RI

2003

• Community Partner Award - Southeast Asian Women’s Leadership Group

• Community Service Award – Diabetes Foundation of Rhode Island

1999

• Founding member of the Association of Community Affiliated Plans – group of independent, non profit community based plans dedicated to improving the viability of Medicaid Managed Care

Grants

• Hablamos Juntos grant (One of two health plans selected by The Robert Wood Johnson Foundation to address racial and ethnic health disparities through medical interpreter reimbursements, standards and training)

• Center for Health Care Strategies grants (Funding to assess how to incorporate adults with developmental disabilities into Medicaid managed care, to improve access to preventive care services for adolescents, and to help reduce health disparities among pregnant Hispanic women)

• Centers for Disease Control grant (Beating Asthma - community based asthma education program)

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