MEDICAID – ADULTS AGE 19 – 64

The Medicaid Program provides comprehensive medical coverage to low-income adults age 19 – 64 who do not have children in their care.

Income must be less than 138% of the federal poverty level which is $16,394 for a single adult (Effective April 2016). There is no resource test for eligibility.

Note for people with disabilities: People with disabilities can be eligible for Medicaid through this category of coverage, if income is within the limit. If income is above the income limit, a person with disabilities may be eligible for Medicaid under the current disability category and can submit an application through the Department of Human Services (DHS). A person with disabilities who needs long term services and supports also needs to apply for coverage through DHS since these services are not covered benefits through this new income-based category.

The individual must be a citizen or eligible immigrant. Eligible immigrants include: refugees, persons granted asylum, lawful permanent residents. Refugees and persons grants asylum are eligible immediately. Lawful permanent residents (LPR) who entered the U.S. after 8/22/96 must be in status for five years before they are eligible.

Individuals who are determined eligible for Medicaid will have a choice of enrolling in one of two managed care plans, Neighborhood Health Plan of RI or UnitedHealthcare.

You can apply on-line here or by submitting a paper application which you can download here. You can also request a paper application from a DHS office or by calling: 1-855-697-4347. Eligibility will generally be determined by using data about income, citizenship, immigration status and other required information from other government agencies. Applicants may be asked to provide paper documentation if a computer data match is not possible. A paper application is also available from the Department of Human Services. People who need help applying can meet with a Navigator in their community. Call 2-1-1 to find a Navigator.

Youth who were in foster care: Youth who were in foster care & receiving Medicaid on their 18th birthday are eligible for RIte Care until they turn 26. There is no income limit for these young adults. Application is through DCYF.