We have scoured the internet to provide all you need to know about the Rhode Island Medicaid Benefits.
Medicaid is a joint federal-state program that provides health insurance to low-income individuals who meet certain requirements, including kids, pregnant women, the elderly, and individuals with disabilities. Applying for Medicaid in person, via telephone, or online is simple.
This post will teach you all you need to learn about Medicaid in Rhode Island.
Table of Contents
What is the Rhode Island Medical Program?
Rhode Island Medicaid is a service for people and families with income and resources that fall within certain parameters. Resources primarily apply to the elderly, blind, or disabled population within the bounds of specified rules.
Who is eligible for the Rhode Island Medical Program?
Rhode Island Medicaid offers certain limited Medicare beneficiaries who are not eligible for the full Medicaid benefit package some partial financial help with Medicare premiums and copayments or coinsurance through the Medicare Savings Plan.
- Expectant mothers
- People who are blind or disabled or who have a spouse who is blind or disabled;
- People whom someone adopts;
- People whom someone adopted;
- People who are blind or disabled or have a spouse who is disabled.
The Annual Household Income Limits (before taxes)
| Household Size* | The Maximum Income Level (Per Year) |
| 1 | $18,075 |
| 2 | $24,353 |
| 3 | $30,630 |
| 4 | $36,908 |
| 5 | $43,186 |
| 6 | $49,463 |
| 7 | $55,741 |
| 8 | $62,018 |
*For households with more than eight people, add $6,277 per additional person.
How do I contact Medicaid in Rhode Island?
Phone
1-855-840-4774
Mailing Address
Rhode Island Executive Office of Health and Human Services
600 New London Avenue Louis Pasteur Building
Cranston, RI 02921.
Website: http://www.dhs.ri.gov/
What are the Medicaid plans in Rhode Island?
RIte Care program
With the launch of its RIte Care program, Rhode Island became the first state to provide complete, risk-based managed care. Initially covering low-income children and families, the program has since been expanded to encompass low-income working families and kids with special healthcare needs.
Connect Care Choice
Most people with disabilities can access primary care services and case management through Connect Care Choice, a primary care case management program launched in 2007.
Rhody Health Partners and RIte Smiles
Older people and those with disabilities who aren’t registered in Connect Care Choice can get acute and physician services from Rhody Health Partners, a complete threat program first offered in 2008.
Additionally, most kids can access dental care through RIte Smiles, a state-wide prepaid dental plan launched in 2006.
For more details regarding Rhode Island Medicaid, visit here.
How do I apply for Rhode Island Medicaid?
Call 1-855-840-4774 to enroll.
Apply in person at the Barbara Roberts Human Services Building.
Online: Download and print the application.
Department: Rhode Island Executive Office of Health and Human Services
Mail: To 600 New London Avenue, Louis Pasteur Building
Cranston, RI 02921.
Website: http://www.dhs.ri.gov/
What does Rhode Island Medicaid cover?
Rhode Island Medicaid covers the following services:
| Ambulatory surgery | Hospital stays |
| Audiology services | Laboratory tests |
| Behavioral health services | Vision care |
| Women’s health care | Non-emergency transportation |
| Dialysis | Orthotic and prosthetic devices |
| Doctor visits | Occupational therapy |
| Smoking cessation services | Pharmacy (medications) |
| Emergency care | Physical rehabilitation |
| Family planning services | Preventive care |
| Hearing aids | Hospital outpatient care |
| Home health care | X-rays and other radiology services |
Can I have both Rhode Island Medicaid and Medicare?
A dual special needs plan (DSNP) is an example of a health insurance plan. Individuals who qualify for both Medicaid and Medicare are eligible. If so, you are considered “dual-eligible.” Depending on your degree of Medicaid eligibility, your expenditures might be as low as $0.
Rhode Island Waiver
- One state plan
- One 1115 Waiver, Rlte Care
- Nine 1915(c) Waivers
- One 1915(b) waiver, Rite Smiles
Copayments?
They do not have to pay a copayment. When a member is
- under 21 years old;
- pregnant;
- Held by the state
- Placed under government supervision
- Native American participants who qualify for Contract Health funding
- Services or Tribal Union of Indian Health Services
- The hospital (inpatient)
- A facility for skilled nursing
- A nursing home
What is not covered by Rhode Island Medicaid?
In Rhode Island, Medicaid is not mandated to offer in-home caregiving services or private nursing coverage. Bandages, adult diapers, and other disposable items are frequently excluded from insurance coverage, as are cosmetic surgery and other elective procedures.
What is the highest income limit for Rhode Island Medicaid?
The highest income limit for Pennsylvania Medicaid is $18,075 for an individual and $24,353 for a family of two per year.
What if a person’s income is too high to qualify for regular Medicaid benefits?
If your income is too high, you may still be eligible for Rhode Island Medicaid, thanks to the asset spend down option.
What documents do I need to apply for Medicaid?
The following documents are required with the application:
- The Social Security Number;
- Evidence of citizenship or authorized residency in the United States, such as a passport, drivers license, birth certificate, green card, or job authorization card
- Evidence of all income sources, both legal and illegal
- Proof of origin
- Proof of residency
- Including the Medicare card, any insurance cards
- Pregnancy;
- When non-parents apply for Medicaid on their behalf, they must provide proof of their financial position.
What is the best Medicaid in Rhode Island?
The best plan for you is the one that meets your demands and offers the most benefits in terms of health insurance and monetary help because it varies from person to person.
Where do I find the letter showing the reason(s) for denial or discontinuance from Rhode Island Medicaid?
By signing into your account at Portal, you can see the progress of your Rhode Island Medicaid application.
