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 NameRhode Island Medicaid
Expanded MedicaidYes
Websitehttps://healthsourceri.com/medicaid/
Phone855-840-4774
Apply Onlinehttps://healthsourceri.com/how-to-enroll/
Appeal a Denialhttp://www.dhs.ri.gov/Programs/AppealsProcess.php
Find a Local Officehttp://www.dhs.ri.gov/DHSOffices/index.php

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 programsLab tests
Dental careMental health services
Doctor’s office visitsNutrition services
Drug or alcohol treatmentParenting classes
Emergency carePrescriptions
Home health careReferral to specialists
Hospital careSkilled nursing care
ImmunizationsSmoking cessation programs
Interpreter servicesTransportation 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.