Neighborhood Health Plan of Rhode Island NHPRI

Organization Name: Neighborhood Health Plan of RI
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Address: 910 Douglas Pike
Smithfield, RI 02917
Toll Free Phone: 800-459-6019
Eligibility: A RIte Care plan for families, children, pregnant women and children with special health care needs.
Services Provided: NHPRI follows the Network model and serves the following Medicaid populations in Rhode Island:

Families with low to moderate income
Children with special health care needs
All children in the RI foster care system
Medicaid-only adults with disabilities
Medicaid expansion population, and
Dually eligible (Medicare/Medicaid) beneficiaries
We also serve individuals and small businesses through HealthSource RI (Rhode Island’s health benefits exchange).

ACCESS is Neighborhood’s plan through the RIte Care program for children, families and pregnant women.

A number of Care Coordination programs are available through Neighborhood including:
Neonatal Case Management Program can help you coordinate and manage the many needs of your baby after being discharged from the Neonatal Intensive Care Unit (NICU).
The Children with Special Health Care Needs (CSN) Care Management Program can help to improve a child's health and wellness if they are at risk due to complex medical and/or social issues.
The Substitute Care Program can help improve the health and wellness of children in foster care.
Provider Profiles: Neighborhood Health Plan of Rhode Island (Neighborhood) is a non-profit HMO that was founded in 1994 to make sure everyone in the state has access to high-quality, low-cost health care. Neighborhood has been ranked as one of the top Medicaid health plans in America for the past twelve years and currently serves more than 190,000 members. Neighborhood also recently extended its great service, benefits and value to individuals and businesses through HealthSource RI – the state’s health insurance exchange
Source: Rhode Island Dept of Health, Office of Special Needs
Last Updated: 12/31/2019