Neighborhood Health Plan of Rhode Island policy updates
Track new and updated Neighborhood Health Plan of Rhode Island policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Brivaracetam (Briviact) coverage criteria for partial-onset seizures | Neighborhood Health Plan Of Rhode Island | Clinical | Pharmacy & Specialty Drugs | Modified | Jul 1, 2026 |
| Eslicarbazepine | Neighborhood Health Plan Of Rhode Island | Clinical | Neurology/Neurosurgery | Modified | Jun 1, 2026 |
| Compounded Drug Products | Neighborhood Health Plan Of Rhode Island | Clinical | Pharmacy & Specialty Drugs | Modified | Jun 1, 2026 |
| Slynd (drospirenone) 4 mg tablet — Coverage Criteria | Neighborhood Health Plan Of Rhode Island | Clinical | Pharmacy & Specialty Drugs | Modified | Jun 1, 2026 |
| STI Testing Payment Policy — Reimbursement consolidation to CPT 87801 | Neighborhood Health Plan Of Rhode Island | Reimbursement | Reproductive Health & Fertility | Modified | Jun 1, 2026 |
| Durable Medical Equipment (DME) supplies — coverage, prior authorization, frequency and quantity limits | Neighborhood Health Plan Of Rhode Island | Reimbursement | — | Modified | Jun 1, 2026 |
| Deemed Eligibility Coverage Reminders | Neighborhood Health Plan Of Rhode Island | Administrative | — | Modified | May 27, 2026 |
| Hearing aid repair claims (V5014) reimbursement guidance | Neighborhood Health Plan Of Rhode Island | Reimbursement | — | Modified | May 27, 2026 |
| Voyxact (sibeprenlimab) — Coverage Criteria for Primary IgA Nephropathy | Neighborhood Health Plan Of Rhode Island | Clinical | Nephrology | Modified | May 1, 2026 |
| Jascayd (nerandomilast) — Coverage Criteria for Idiopathic Pulmonary Fibrosis (IPF) and Progressive Pulmonary Fibrosis (PPF) | Neighborhood Health Plan Of Rhode Island | Clinical | Pulmonology | Modified | May 1, 2026 |
OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.
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Coverage data is sourced from publicly available payer medical policy documents and updated as payers publish revisions. Read more about where our data comes from. Always consult the primary payer source for clinical decision-making.