Rhode Island Medicaid is a federal and state-funded program that pays for medical and health related services for eligible Rhode Islanders, including children, pregnant women, parents, seniors, and individuals with disabilities.
Program Name | Rhode Island Medicaid |
Expanded Medicaid | Yes |
Website | https://healthsourceri.com/medicaid/ |
Phone | 855-840-4774 |
Apply Online | https://healthsourceri.com/how-to-enroll |
Appeal a Denial | https://dhs.ri.gov/apply-now/appeals-process |
Find a Local Office | https://dhs.ri.gov/about-us/dhs-offices |
Eligibility Requirements
To be eligible for Rhode Island Medicaid, you must be a resident of the state of Rhode Island, a U.S. national, citizen, permanent resident, or legal alien, in need of health care assistance, whose financial situation would be characterized as low-income or very low-income.
You must also be one of the following:*
- Pregnant
- Be responsible for a child 18 years of age or younger
- Blind
- Have a disability or a family member in your household with a disability
- Be 65 years of age or older
* ACA Medicaid expansion covers eligible low-income adults.
Annual Household Income Limits (before taxes)
Household Size* | Maximum Income Level (Per Year) |
1 | $17,131 |
2 | $23,169 |
3 | $29,207 |
4 | $35,245 |
5 | $41,284 |
6 | $47,322 |
7 | $53,360 |
8 | $59,398 |
*For households with more than eight people, add $6,038 per additional person.
Available Services Include:
Childbirth education programs | Lab tests |
Dental care | Mental health services |
Doctor’s office visits | Nutrition services |
Drug or alcohol treatment | Parenting classes |
Emergency care | Prescriptions |
Home health care | Referral to specialists |
Hospital care | Skilled nursing care |
Immunizations | Smoking cessation programs |
Interpreter services | Transportation services |
Copayments
Most Rhode Island Medicaid beneficiaries are not charged a copay for services. Some members may have to pay $1 to $2 for their prescriptions.
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