Neighborhood News
Each article below is hyperlinked to a PDF/printable version of the publication. If you would like to receive our newsletter, please click here to register your email and Neighborhood News will be delivered straight to your inbox. Once you’re signed up, you’ll receive critical news and information on topics such as new initiatives, policy changes, and much more.
Announcements
- Implementation of Transportation Payment Policy
- Improved Process for Home Care Grid
- Introducing Neighborhood’s Women’s Health Page
- Neighborhood to Directly Manage Behavioral Health Services Beginning September 1, 2025
- New Feature in Navinet: Patient List
- Removal of PCP Requirement for Immunizations and Vaccines
- Update to Secondary Claim Submission Timeline
Claims
Payment Policies
Pharmacy
- How to Bill 340B Appropriately
- Important Authorization Steps for High-End Radiology Providers
- Medicaid and Commercial Limited Specialty Pharmacy Network Coverage Update
- Opioid Prescribing and Alternative Therapies for Neighborhood INTEGRITY Members
- Pharmacy Benefit Medicaid Drug Rebate Program Reminder
- Prescription Drug Coverage in Assisted Living and Long-Term Care Facilities
- Reminder: Specialty Medication Prior Authorization Criteria
- Upcoming Medicaid Pharmacy Benefit Changes
Monthly Pharmacy Benefit Changes: On a monthly basis, Neighborhood places a list of formulary changes on its website for each line of business. For more information, please visit the Pharmacy Provider Resources webpage.
Quality Improvement
- Asthma Medication Ratio
- Cervical Cancer Awareness
- Chlamydia Screening in Women
- Human Papillomavirus: Awareness and Vaccination
- Kidney Health Evaluation for Patients with Diabetes
- Metabolic Monitoring for Children and Adolescents on Antipsychotics
Reminders
- Health Risk Assessment Reminder
- Mandatory Provider Training
- Reminder: Process for Requesting Interpreter Services
- Rhode Island Medicaid Provider Screening
- Supporting Your Patients After the RIBridges Data Breach
Risk Adjustment
The News and Updates section of the Neighborhood website is used to share important news and information including notifications on payment policies, operational issues, and more.