Rhode Island Medicaid Eligibility

This page provides general guidelines for the Rhode Island Medicaid eligibility requirements. This is an assistance program that provides medical coverage for low-income people of all ages. The department that handles the Medicaid program is Rhode Island Executive Office of Health and Human Services. If you have questions or issues about the Medicaid application or the eligibility requirements, contact the Rhode Island Medicaid office.


Rhode Island Medicaid Overview

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


Rhode Island Medicaid Eligibility Requirements - Non Income

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).


Documents Needed For Rhode Island Medicaid Application


Rhode Island Medicaid Benefits

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.


Rhode Island Medicaid & CHIP Eligibility Levels

Below is the modified adjusted gross income (MAGI) eligibility levels for Rhode Island Medicaid and Children's Health Insurance Program (CHIP).

Eligibility Levels - By Percentage Of Federal Poverty Level (FPL)

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: 261%
Age 1-5: 261%
Age 6-18: 261%
N/A Medicaid: 190%
CHIP: 253%
133% 133%

Eligibility Levels - By Percentage Of Federal Poverty Level (FPL)

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: 208%
Age 1-5: 208%
Age 6-18: 208%
N/A Medicaid: 194%
CHIP: N/A
62% 0%

Eligibility Levels - Individual By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $2,538
Age 1-5: $2,538
Age 6-18: $2,538
N/A Medicaid: N/A
CHIP: N/A
$1,293 $1,293

Eligibility Levels - Family Of Two By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $3,421
Age 1-5: $3,421
Age 6-18: $3,421
N/A Medicaid: $2,491
CHIP: $3,316
$1,743 $1,743

Eligibility Levels - Family Of Three By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $4,304
Age 1-5: $4,304
Age 6-18: $4,304
N/A Medicaid: $3,133
CHIP: $4,172
$2,193 $2,193

Eligibility Levels - Family Of Four By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $5,187
Age 1-5: $5,187
Age 6-18: $5,187
N/A Medicaid: $3,776
CHIP: $5,028
$2,643 $2,643