Rhode Island Medicaid Eligibility Requirements

If you are looking to apply for Medicaid in Rhode Island** then read the information below. Though we try to provide accurate information please note this is for informational purposes. We recommend you contact your Rhode Island Medicaid Office to verify these eligibility requirements.

Rhode Island Medicaid Overview
Medical Assistance is for eligible persons who need help getting care and paying medical bills.

Rhode Island Medicaid Eligibility
The enrollee must be a U.S. citizen or legal alien and Rhode Island resident.

Rhody Health Partners & Connect Care Choice: The enrollee must be 21 years or older, ineligible for Medicare or other health insurance, and live in the community (at home, in assisted living, or a group home).

Medicaid Income Requirements In Rhode Island
This information is based on the Federal Poverty Level (FPL). These income guideline standards were effective starting January 1st, 2014.
Children
Age 0-1 261% FPL
Age 1-5 261% FPL
Age 6-18 261% FPL

Pregnant Women
190% FPL

Adults
Parents 133% FPL
Other Adults 133% FPL
Is Medicaid Expanding? Yes

Documents You May Need
Proof of income
Proof of pregnancy if pregnant
Proof of immigration status
Proof of citizenship and identity

Medicaid Coverage In Rhode Island
Adults who qualify for Medical Assistance must enroll in Rhody Health Partners or Connect Care Choice where they will get all the services currently covered by Medical Assistance. Services include inpatient and outpatient hospital services, clinic and emergency room care, laboratory and x-rays, pharmacy, physician and dental services, durable medical equipment, surgical appliances, and prosthetic devices, home health, podiatry, ambulance, community mental health center services, substance abuse, nursing facilities, optometry, intermediate care facility and day treatment services for the developmentally-challenged, hospice care, organ transplant services. Undocumented immigrants can get emergency care.

**The information provided above is a general guideline when applying for Rhode Island Medicaid. These guidelines can change from time to time, because of that we recommend that you contact your local Medicaid office in Rhode Island to verify the latest eligibility requirments for Medicaid coverage in Rhode Island.