Rhode Island Medicaid
Looking for affordable health coverage? Learn about UnitedHealthcare Medicaid coverage in Rhode Island.
All Rhode Islanders deserve affordable health care, including you. That’s why we offer many plans to help you get healthy — and stay healthy. With one of the largest provider networks in Rhode Island, you have access to choose the providers and specialists that fit your health care needs. We cover adults, people with disabilities, pregnant women, children and seniors. We offer Dual Special Needs plans for those who qualify for both Medicaid and Medicare.
Get important updates on new Medicaid requirements and community resources
Starting in 2027, changes are coming to Medicaid. This means some adults may need to:
- Renew their Medicaid coverage 2 times a year
- Show that they are working, going to school or job training or helping in their community
- Provide information to the Department of Health and Human Services (DHHS) to renew coverage
Community resources are available for work, school, job training and local support.
Get important updates on new Medicaid requirements and community resources
Starting in 2027, changes are coming to Medicaid. This means some adults may need to:
- Renew their Medicaid coverage 2 times a year
- Show that they are working, going to school or job training or helping in their community
- Provide information to the Department of Health and Human Services (DHHS) to renew coverage
Community resources are available for work, school, job training and local support.
See why Rhode Island chooses UnitedHealthcare
We offer more ways to use your benefits and get the most out of your plan.
Find plans
Medicaid
UnitedHealthcare Rhody Health Partners
Rhody Health Partners (RHP) is Rhode Island's Medicaid managed care plan. It’s available for eligible adults with disabilities who are 21 years or older. Members can choose from a large network of healthcare providers, specialists and hospitals who are part of the UnitedHealthcare of New England network.
UnitedHealthcare Rhody Health Partners ACA Adult Expansion
The UnitedHealthcare Rhody Health Partners ACA Adult Expansion plan is for available for adults between 19 and 64 years old, with no dependent children. To qualify for this plan, you must also meet income requirements and be a United States citizen or a legal permanent resident.
Children with Special Health Care Needs
Children with Special Health Care Needs (CSN) is Rhode Island's Medicaid managed care plan for children with a disability or chronic condition. To qualify, children must be eligible for Supplemental Security Income (SSI), Katie Beckett or Adoption Subsidy through the Department of Children, Youth and Families (DCYF).
Children with Special Healthcare Needs may qualify for UnitedHealthcare RIte Care. Children who live in an institutional facility are eligible for traditional Medicaid Fee-For-Service plan.
UnitedHealthcare RIte Care
RIte Care is Rhode Island's Medicaid managed care program for families on the RI Works Program and eligible pregnant women, children and parents. Members can choose from the large network of healthcare providers, specialists and hospitals who are part of the UnitedHealthcare of New England network.
Dual Special Needs plans
Dual Special Needs plans (also called Dual Health plans or D-SNPs for short) are for people who have both Medicaid and Medicare. D-SNPs offer more benefits than those you get with original Medicare or Medicaid. They cover most provider visits, hospital stays and prescription drugs.
Eligibility and enrollment
Eligibility
The Rhode Island Medicaid health plans provide medical coverage to families, pregnant women, children, people with disabilities and adults who meet income requirements.
Enrollment
Join or switch to UnitedHealthcare Community Plan of Rhode Island. Open enrollment for Rhode Island Medicaid plans is available year-round.
Applying for Medicaid is easy and can be done in-person, by phone or online. To learn more about eligibility and enrolling in Medicaid, visit the Steps to enroll page.
Renewals
Get ready to renew your coverage
It may be time to renew your Medicaid coverage soon. If more information is needed to complete your yearly renewal, the state will contact you. If you haven’t already, check into the requirements to keep your UnitedHealthcare coverage.
If you’re eligible for work requirements, you may need to renew your health coverage 2 times per year and show that you’re working, going to school or job training or helping in the community.
Benefits and features
We want to help you live healthier lives and to have the best possible member experience.
Get the Calm Health app for no-cost mental health support
With the Calm Health app, there's an easier way to care for your mental health and well-being. As a member of UnitedHealthcare Community Plan, you can use it anytime at no cost. The app offers:
- Mental health screening
- Self-guided digital programs
- Support for your emotional well-being
To get started, download the UnitedHealthcare app and go to Coverage & Benefits to find the Calm Health app.
One Pass™ fitness benefit
Stay fit and healthy with UnitedHealthcare® One Pass™. Get flexible and convenient benefits for $0, including:
- Membership to 300+ gym locations
- Over 20,000 livestream classes
- Online workouts
- A guide to tailor your workouts
Pregnancy coverage
We help mother and baby:
- Find a provider and a pediatrician (child's doctor)
- Get an OB/GYN, nurse-midwife
- Schedule rides for provider visits
Healthy First Steps® offers:
- Gift card rewards
- Baby scripts™ pregnancy app
- Baby and breastfeeding supplies
- Women, Infants and Children (WIC) services and more
Behavioral health
Behavioral health is just as important as physical health. That’s why coverage includes both mental health and substance use disorder treatment services for problems like:
- Stress
- Depression
- Anxiety
- Use of drugs or alcohol
Quit For Life® program
Get the help you need to quit tobacco. The Quit For Life program includes:
- Coaching
- Online support
- Nicotine replacements or medications
Additional benefits
Sometimes you need a little extra help. That’s why we give you more options for your care and well-being.
This includes:
- Mental health and substance use treatment
- Care management
- Diabetes supplies
Download the Medicaid newsletter
HealthTalk member newsletter
Our HealthTalk newsletter is now online. The newsletters are a great way to learn about our health plan and important health topics.
You can read it whenever, wherever you want. Check back quarterly for a new edition.