Recent News for Neighborhood Providers
2023
Announcements
Reminders
Claims
Pharmacy
Quality Improvement
Medical Management
- Neighborhood is Removing Select Prior Authorization Requirements in 2023 (December 1, 2022)
- Neighborhood Crossing Enhancements in 2023 (November 1, 2022)
- Rhode Island Expands Monkeypox Vaccination Efforts (August 4, 2022)
- New and Improved Process for Requesting Interpreter Services (May 31, 2022)
- New Telemedicine/Telephone Services Payment Policy, Effective July 1, 2022 (May 1, 2022)
- Improved Process for Claim Reconsideration Requests – eForm Required June 1, 2022 (April 1, 2022)
- Revised Speech Therapy Services Payment Policy – Effective May 1, 2022 (February 24, 2022)
- Revised Physical and Occupational Rehabilitation Services Payment Policy – Effective April 1, 2022 (February 1, 2022)
- Acupuncture Services Payment Policy for Neighborhood Commercial Members (February 1, 2022)
- Reinstatement of Temporary Telemedicine/Telephone-Only Payment Policies (January 28, 2022)
- Effective March 1, 2022 – Revised Vision Care Services Payment Policy (December 31, 3021)
- Reminder: Updated Timeframes for Claim Submission and Review Processing (December 30, 2021)
- DME Device Voluntary Recall Alert (November 30, 2021)
- Updated Timeframes for Claim Submission and Review Processing (November 9, 2021)
- Delayed Provider Payment for Medicaid (November 4, 2021)
- Improved Process for Requesting Adjustments to Multiple Claims (October 1, 2021)
- Provider Notification – Professional and Facility Industry Standard Coding Requirements Regarding Bundled Billing (September 1, 2021)
- Provider News – Claims Submission Requirement Reminder for Institutional Claims (July 26, 2021)
- Provider News – DME Network Change (June 28, 2021)
- Provider Notification – Annual Provider Training Requirement (June 21, 2021)
- Provider Notification – Notice of Change in Remittance Advice Distribution (June 15, 2021)
- Provider Notification – Neighborhood Clinical Medical Policy Procedure Reminder (June 8, 2021)
- Provider Notification – Updated Neighborhood Health Plan of Rhode Island Payment Policies and New Archive Webpage (June 1, 2021)
- Provider Notification – Revised Payment Policies for Physical and Occupational Rehabilitation Services and Speech Therapy Services (April 30, 2021)
- Provider Notification – Update Your Information and Email Registration (April 2, 2021)
- Potential Delayed Provider Payments for Medicaid (January 8, 2021)
- Effective January 1, 2021 – Updated Payment Policy for Hospital Readmissions (January 7, 2021)
- Effective January 1, 2021 – Updated Payment Policies for Outpatient Physical and Occupational Therapy and Speech Therapy Services (Medicaid Only) (December 11, 2020)
- Effective November 2, 2020 – Updated Payment Policy for Multiple Procedures (November 2, 2020)
- Effective January 1, 2021 – Updated Payment Policy for Outpatient Physical and Occupational Therapy (November 1, 2020)
- Effective January 1, 2021 – Updated Payment Policy for Speech Therapy Services (*November 1, 2020)
- New Payment Policy for Outpatient Physical and Occupational Rehabilitation Services (September 18, 2020)
- New Payment Policy for Multiple Procedures (September 2, 2020)
- Update – Delayed Provider Payment for Commercial and INTEGRITY (August 24, 2020)
- Delayed Payment for Commercial and INTEGRITY (MMP) – Paper & Electronic (August 21, 2020)
- Delayed Provider Payment for Medicaid (May 22, 2020)
- New Payment Policy for Hospital Readmission (January 31, 2020)
- Revised Payment Policy for Provider Preventable Conditions (January 31, 2020)
- Revised Payment Policy for Pharmaceutical Supplies (January 31, 2020)
- Provider Appeals – Name and Process Change (January 31, 2020)
- Typographical Error on Remittance Advice Statements for Medicaid Pay Cycle (January 3, 2020)
- Delayed Provider Payment Cycle for Medicaid (November 1, 2019)
- Delayed Provider Payment Cycle for Medicaid September 6, 2019)
- Delayed Provider Payment Cycle for Medicaid (May 24, 2019)
- Paper Remittance Advice (RA) Documentation (January 29, 2019)
- Pharmacy Benefits Manager Transition to CVS Caremark® FAQ (July 31, 2018)
- Behavioral Health Transition to Optum® FAQ (July 31, 2018)
- Letter to providers (August 10, 2018)
- INTEGRITY Reimbursement Logic (September 25, 2018)
- UNITY Product Transition Update (September 6, 2018)
- Provider Payment Cycle Update (October 19, 2018)
- Conference Call Details for Q&A Sessions (November 16, 2018)
- Provider Payment Cycle Update (November 1, 2018)