Neighborhood News
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Action Required
Announcements
- Delegation of Joint/Spine Surgery and Interventional Cardiology Services to Evolent
- Important Update for Members Enrolled in Medicare and Medicaid
- Neighborhood Health Plan of Rhode Island Receives NCQA Recognition
- Update to Authorization Requirements for Home Health Nursing Assessments
- Updated Prior Authorization Requirements for Medicaid and Commercial Lines of Business
Behavioral Health
- Behavioral Health Frequently Asked Questions
- Behavioral Health Services Now Managed In-House at Neighborhood
- Credentialing Reminder for Nurse Practitioners in Behavioral Health
- Help Build Adoption Competence Across Systems
- Temporary Eligibility Support Inbox Available
Claims
Payment Policies
Pharmacy
- How to Bill 340B Appropriately
- Medicaid Long Acting Injectable Antipsychotic Coding Update
- Opioid Prescribing and Alternative Therapies for Neighborhood INTEGRITY Members
- Pharmacy Benefit Medicaid Drug Rebate Program
- Prescription Drug Coverage in Assisted Living and Long-Term Care Facilities
- Specialty Medication Prior Authorization Criteria
- Upcoming Medicare Pharmacy Benefit Change
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
- Appropriate Antibiotic Use
- Eye Exams for Patients with Diabetes – Coding Best Practices
- Flu Shot Talking Points
- Healthcare Effectiveness Data and Information Set (HEDIS®)
- Human Papillomavirus (HPV)
- National Lead Poisoning Prevention Week – You Can Help!
- Statin Therapy for Patients with Diabetes
- Well Child Visits
Reminders
- Annual Provider Satisfaction Survey
- Proper Use of Member Identification Numbers When Submitting Claims
- Register for NaviNet Access
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.