Provider Screening Requirement for Compliance with 21st Century Cures Act

January 2022

The 21st Century Cures Act (Cures Act) 114 P.L. 255 requires all States to screen and enroll all Medicaid providers, both those in Medicaid fee-for-service (FFS) and managed care organizations (MCOs). Medicaid managed care network providers, regardless of specialty, are required to be screened by and enrolled with the State of Rhode Island (RI) Medicaid program. Providers who do not comply with this requirement risk being removed from the Rhode Island Medicaid program, FFS and MCOs.

Neighborhood is currently working with the RI Executive Office of Health and Human Services (EOHHS) to strategize the implementation of the screening and enrollment requirements. In late February, Neighborhood and the other Rhode Island Medicaid MCOs will formally notify the first group of providers. If you receive communication to enroll with RI Medicaid from multiple managed care plans, you only need to submit one application.