Neighborhood Health Plan of Rhode Island: Secure Provider Portal Access for Healthcare Professionals

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Neighborhood Health Plan of Rhode Island (NHPRI) offers a dedicated Provider Portal designed to streamline communication and access for healthcare professionals across various service lines. This secure digital platform enables providers to efficiently manage patient information, claims, and critical healthcare resources.

Official Links

What Providers Can Do

The Provider Portal serves as a comprehensive digital resource for healthcare professionals, offering:

  • Access to claims and eligibility information
  • Behavioral health service management
  • Network updates and communications
  • Provider training resources
  • Policy and guideline references

Who Can Use the Portal

The portal is specifically designed for:

  • Individual healthcare providers
  • Medical group practices
  • Institutional healthcare providers affiliated with Neighborhood Health Plan of Rhode Island

Access and Registration

Registration Process

Providers must complete an official application that constitutes an agreement between the provider and Neighborhood Health Plan of Rhode Island. The registration process involves:

  1. Completing the online application
  2. Maintaining current Rhode Island Medicaid screening
  3. Ensuring NPI (National Provider Identifier) screening status remains current

Key Features and Services

Provider Training Requirement

  • Annual training is mandatory for network providers
  • Training provides an overview of Neighborhood’s plans, policies, and procedures
  • Providers can complete training directly through the portal

Behavioral Health Management

  • Effective September 1, 2025, NHPRI will directly manage behavioral health services
  • Providers will have direct access to updated behavioral health service information

Privacy and Security

Compliance Commitments

  • Adheres to civil rights laws
  • Non-discriminatory access
  • Provides language assistance
  • Follows strict privacy and security protocols

Important Reminders for Providers

  • Complete and maintain Rhode Island Medicaid screening
  • Ensure NPI screening status does not expire
  • Participate in annual provider training
  • Stay updated through quarterly provider newsletters

Provider Support Resources

Communication Channels

  • Provider Newsletter
  • Email update registration
  • Member Services Call Center

Upcoming Changes and Notifications

Key Updates

  • Closure of Anchor Medical Associates (June 30, 2025)
  • Behavioral health services management transition (September 1, 2025)

Unprovided Information

Some specific details were not available in the source documents, such as:

  • Exact login procedures
  • Detailed step-by-step portal navigation
  • Specific technical requirements for portal access

The Neighborhood Health Plan of Rhode Island Provider Portal represents a critical digital tool for healthcare professionals, offering secure, efficient access to essential resources and streamlining provider-insurer communication.

Note to Providers: Always refer to the official NHPRI website for the most current information and portal access guidelines.

FAQ

What kind of insurance is a neighborhood health plan?A neighborhood health plan typically offers a few kinds of coverage. You can find commercial plans, which are for individuals who buy their own insurance or for people who get coverage through a small employer. They also often have specific Medicaid plans for those who meet certain eligibility rules.

Is the neighborhood health plan of RI Medicaid?

AI Overview
    • Neighborhood Health Plan of Rhode Island
      https://www.nhpri.org
      Our Medicaid Plans – NHPRI.org

    • HealthSource RI
      https://healthsourceri.com
      Medicaid – HealthSource RI

    • Executive Office of Health and Human Services
      https://eohhs.ri.gov
      Medicare-Medicaid Plan (MMP)
      Nov 26, 2024 — EOHHS contracts with Neighborhood Health Plan of Rhode Island to administer Rhode Island’s Medicare-Medicaid Plan (MMP). The MMP is designed to coor…

What is the neighborhood health plan in Massachusetts?

AI Overview
    • LeadIQ
      https://leadiq.com
      Neighborhood Health Plan Company Overview, Contact … – LeadIQ
      Neighborhood Health Plan (NHP), that will be known as AllWays Health Partners beginning January 1, 2019, is an NCQA-accredited, not-for-profit health plan that …

    • TherapySearch
      https://www.therapysearch.com
      Neighborhood Health Plan (NHP) – TherapySearch
      TherapySearch: Neighborhood Health Plan (NHP) Neighborhood Health Plan (NHP) Neighborhood Health Plan (NHP) is a not-for-profit health insurance provider based …

Who owns the neighborhood health plan of Rhode Island?Rhode Island Foundation completes acquisition of Neighborhood Health Plan of Rhode Island. PROVIDENCE — The Neigborhood Health Plan of Rhode Island (NHPRI) has ended its Boston-based ownership.

https://www.nhpri.org/providers/

Neighborhood Health Plan of Rhode Island network providers are required to complete an annual training. The provider training offers an overview of

https://www.nhpri.org/provider-portal-access-application/

This application constitutes an agreement between Neighborhood Health Plan of RI (Neighborhood) and its affiliated professional or institutional provider.

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