Rhode Island Healthcare Services Government Contracts

Rhode Island invests $3.2 billion in Medicaid spending annually through agencies like the Rhode Island Department of Health and Rhode Island Executive Office of Health and Human Services. Rhode Island operates a managed care Medicaid model. RIte Care and Rhody Health Partners provide managed care. Small state with accessible contracting environment. Major healthcare programs include RIte Care, Rhody Health Partners, Connect Care Choice. Professional licensing is managed by the Rhode Island Board of Medical Licensure and Discipline.

• Valid Rhode Island professional license from Rhode Island Board of Medical Licensure and Discipline
• Enrollment with Rhode Island Executive Office of Health and Human Services
• Medicare provider enrollment (if applicable)
• Professional liability (malpractice) insurance
• HIPAA compliance program and staff training
• Background checks for all patient-facing staff
• Required: Rhode Island professional license, Medicaid provider enrollment

• 1
  Register with Rhode Island Executive Office of Health and Human Services at https://eohhs.ri.gov/medicaid
• 2
  Obtain licenses through Rhode Island Board of Medical Licensure and Discipline
• 3
  Pursue certifications: Managed care experience, Community health experience
• 4
  Target key agencies: RI EOHHS, Neighborhood Health Plan
• 5
  Develop telehealth capabilities for expanded reach
• 6
  Build relationships with state health department program managers
• 7
  Consider subcontracting with established healthcare systems
• 8
  Focus on RIte Care opportunities

• Department of Veterans Affairs (VA)
• Defense Health Agency (DHA)
• Indian Health Service (IHS)
• State Health Departments
• State Medicaid Agencies

These NAICS codes are commonly used for healthcare services government contracts: