NHPRINeighborhood Health Plan of Rhode Island (Medicaid)
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Prior to certification of NHPRI, the CHCs received cost-based reimbursement for their Medicaid clients, and they asserted that they could not continue to provide their full range of services under a Medicaid capitated payment system.
Clearly, the State could not allow clients to enroll in a non-licensed HMO; however, they did not want to exclude the NHPRI from participating at the start of the program.
NHPRI is proud to be the first health center affiliated health plan in the country to be rated as "Excellent", the highest accreditation status by NCQA.