Neighborhood News 

Announcements and Reminders

• Guidance for Scheduling Pediatric Preventive Care
• HealthSourceRI offering Special Enrollment Period
• Payment Policy Update
• Hospital Readmission Payment Policy
• Provider Satisfaction Survey Results
• Sign-up for Email from Neighborhood 
• Neighborhood Quick Reference Guide

Operational Efficiencies

• Searchable Prior Authorization Guide
• New Process for Updating Provider Information
• Member Site Change Requests – Updated Form
• NaviNet Enhancement – Claim Denial Details

Quality Improvement

• Metabolic Monitoring for Children and Adolescents on Antipsychotics
• HEDIS: Initiation and Engagement of Alcohol and Other Drug Abuse or Dependence Treatment (IET)
• Access to Care Standards

Behavioral Health

• Behavioral Health News Articles and Resources
• Optum Claim Submission Requirements

Claims

• Claims Corner: Submission reminders, forms, and more .
• Provider Appeal Process and Timeline

Pharmacy

• Medicaid Formulary Changes
• How to Bill 340B Appropriately
• Specialty Medication Prior Authorization Criteria – Reminder
• Electronic Prior Authorization (ePA) for the Pharmacy Benefit
• Medical Benefit Prior Authorization Submissions
• Searchable Formulary for Pharmacy Benefit and Medical Pharmacy Medications

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.