Authorizations
How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
Which Medicaid managed care plans do home care agencies contract with in Rhode Island?
Last verified October 17, 2026 · All Rhode Island resources
Rhode Island delivers some long-term services and supports through 1 managed care plan in Fully Integrated Dual Eligible Special Needs Plan (FIDE SNP) for dual eligibles, voluntary, and pays for the rest fee-for-service. Rhode Island pays for most Medicaid home care for older adults and adults with disabilities fee-for-service, so agencies enroll directly with Rhode Island Medicaid. Since January 1, 2026, dual eligibles can choose Neighborhood Health Plan of Rhode Island's fully integrated D-SNP, which covers long-term services and supports for its members, so agencies serving those members need a contract with that plan.
Which plans are there?
For the programs that pay for home care, see Rhode Island Medicaid waivers.
What should you confirm with the state?
Ask new dual eligible clients whether they are enrolled in Neighborhood's FIDE SNP.
Sources
More for Rhode Island
Medicaid managed care by state: other states
Related guides
Authorizations
How Do You Keep Caregiver Hours Inside a Medicaid Authorization?
Track units remaining, the end date and the service code for every client, and check them before each schedule change. Hours over the cap are unbillable.
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