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Neighborhood Health Plan of Rhode Island
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        • Neighborhood has been helping Rhode Island families stay healthy for almost 30 years by providing access to excellent health care.

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        • Welcome to Neighborhood’s Commercial Member plan section. If you purchased a health plan, or have a plan through your small employer, find information about your benefits here.

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        • Welcome! We are happy to offer a health and drug plan for Rhode Islanders eligible for both Medicare and Medicaid — Neighborhood INTEGRITY (Medicare-Medicaid Plan).

Medicaid Medical Pharmacy Benefit HCPCS Codes Requiring an NDC for Submission

 

Pharmaceutical NDC Billing Requirement Policy

Medical Pharmacy Benefit HCPCS listing

Medical Pharmacy Benefit Authorization Criteria

Medicare Part B Step Therapy Document

 

EOHHS NDC Required HCPCS Code Files

Quarter 4, 2020

Quarter 1, 2021

Quarter 2, 2021

Quarter 3, 2021

Quarter 4, 2021

Quarter 1, 2022

Quarter 2, 2022

Quarter 3, 2022

Quarter 4, 2022

Quarter 1, 2023

Quarter 2, 2023

Last Updated 9/5/2023

 

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We comply with applicable civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. We also provide language assistance. Read our notice here.

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