Executive Office of Health and Human Services

Official Website: https://eohhs.ri.gov/

The Executive Office of Health and Human Services (EOHHS) serves as "the principal agency of the executive branch of state government" (R.I.G.L. §42-7.2-2) responsible for managing the departments of: Health (RIDOH); Human Services (DHS); Office of Healthy Aging (OHA); Office of Veterans Services (VETS); Children, Youth and Families (DCYF); and Behavioral Healthcare, Developmental Disabilities and Hospitals (BHDDH). EOHHS is also designated as the single State agency to administer the Medicaid program in Rhode Island.

Forms & Documents

Browse all Executive Office of Health and Human Services government forms

101 - 120 of 125 forms

Form Title Topics
Request for Prior Authorization for DME-Children Only
Request for Prior Authorization for Home Modification and/or Special Medical Equipment/Rehab Equipment (GW-EM1)
Request for Prior Authorization for Home Modification and/or Special Medical Equipment/Rehab Equipment (GW-EM1)
RI Medicaid Disclosures
Rite Share Enrollment Application
RIte Share Enrollment Application - Add Member to Existing Group
RIte Share Enrollment Application - Add Member to Existing Group
RIte Share Enrollment Application - Group
RIte Share Enrollment Application - Group
RIte Share Enrollment Application - Individual
RIte Share Enrollment Application - Individual
Severe Malocclusion Treatment Request Form
Severe Malocclusion Treatment Request Form
Third Party Liability (TPL) Information Card
Third Party Liability (TPL) Information Card
Third Party Liability (TPL) Information Card
UB-04 Claim Form
UB-04 Claim Form 2021
UB-04 Claim Form Instructions
UB-04 Claim Form Instructions

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