Neighborhood News
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Action Required
Announcements
- Chiropractic Services Benefit Update – Medicaid
- Custodial Care Authorization Update for INTEGRITY for Duals Members
- LTSS Application Assistance Referral Form Available
- Non-Emergent Ambulance Transportation Prior Authorization Requirement – INTEGRITY for Duals and Dual CONNECT
- Preadmission Screening and Annual Resident Review (PASRR) Requirement for Skilled Nursing Facility Requests
- Prior Authorization Submission Clarification for Chiropractic Services
- Reduced Turnaround Time for Standard Prior Authorization Requests – Medicare and Medicaid
- Year-Round Special Enrollment Period Begins for Neighborhood INTEGRITY for Duals
Behavioral Health
- New Data Show Families in Adoption and Foster Care Lack Adoption-Competent Mental Health Care
- Rhode Island CCBHC Provider & Partner Guide
- Study Expanding Access to Anxiety Treatment in Community Health Settings Across Rhode Island
- Understanding HEDIS® and the ADD-E Measure
Benefits
Payment Policies
- Payment Policy Update: Prolonged Clinical Staff Monitoring
- Summary of New and Updated Neighborhood Payment Policies
Pharmacy
- Delegation of Joint & Spine Surgery and Interventional Cardiology Services to Evolent
- How to Bill 340B Appropriately
- Medicaid and Commercial Limited Specialty Pharmacy Network Coverage Update
- Medicare Pharmacy Benefit Change
- Medical Pharmacy Benefit Updates
- Opioid Prescribing and Alternative Therapies for Neighborhood INTEGRITY and CONNECT Members
- Prescription Drug Coverage in Assisted Living and Long-Term Care Facilities
- Specialty Medication Prior Authorization Criteria
- Upcoming Medicaid Pharmacy Benefit Updates
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
Reminders
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.