Fall 2016
Neighborhood UNITY members who are eligible for Long Term Services and Supports (LTSS) may be responsible for contributing to their patient share that is determined by Rhode Island Medicaid. If you have a patient who has a patient share amount for LTSS benefits, Neighborhood will pay your claim per the contracted rate, net the patient share amount. Providers are permitted to bill UNITY members for the patient share amount determined by Rhode Island Medicaid.
For more information or questions regarding prohibition of balance billing, contact your Neighborhood Provider Representative or Member Services team at 1-855-996-4774.