Medicaid

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A combined federal and state program administered by the state that provides medical benefits for individuals and families with limited incomes who fit into an eligibility group that is recognized by federal and state law. (AIRS NL-5000.5000)

United Healthcare Community Plan
475 Kilvert Street
Warwick, RI 02886
Service Categories:
Organization Name: United Healthcare of New England
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Address:
United Healthcare Community Plan
475 Kilvert Street
Warwick, RI 02886
Toll Free Phone: 800-587-5187
Eligibility: UnitedHealthcare offers coverage to beneficiaries of Rhode Island's RIte Care program, including Children With Special Healthcare Needs. Children with Special Healthcare Needs includes: children who are eligible for Rhode Island Medical Assistance through Supplemental Security Income (SSI), Katie Beckett or Adoption Subsidy.) Eligibility for enrollment in RIte Care is determined by the Department of Human Services (DHS).

Eligibility basis

Children under the age of 21 are eligible for Medical Assistance due to their eligibility for Katie Becket, SSI, or Adoption subsidy
Must live in Rhode Island
Are not covered by other health insurance
And do not live in an institutional long-term facility
Provider Profiles: Children with Special Healthcare Needs (CSN) is Rhode Island's Medicaid managed care plan for Children with a disability or chronic condition and they are determined eligible for: Supplemental Security Income (SSI), Katie Beckett or Adoption Subsidy through the Department of Children, Youth, and Families (DCYF). When eligible for Medicaid, parents or guardians are then given a choice of enrollment in a participating health plan. Children who live in an institutional facility are excluded from health plan enrollment. In those situations, children will be enrolled in traditional Medicaid Fee-For-Service.

Children with Special Healthcare Needs may qualify for RIte Care under UnitedHealthcare Community Plan. The Department of Human Services will enroll Children with Special Healthcare Needs who are eligible for Medicaid.
Source: Rhode Island Dept of Health, Office of Special Needs
Last Updated: 7/10/2019
910 Douglas Pike
Smithfield, RI 02917
Phone: 800-459-6019
Service Categories:
Organization Name: Neighborhood Health Plan of RI
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Address:
910 Douglas Pike
Smithfield, RI 02917
Phone: 800-459-6019
Toll Free Phone: 800-459-6019
Eligibility: A RIte Care plan for families, children, pregnant women and children with special health care needs.
Services Provided:

NHPRI follows the Network model and serves the following Medicaid populations in Rhode Island:

  • Families with low to moderate income
  • Children with special health care needs
  • All children in the RI foster care system
  • Medicaid-only adults with disabilities
  • Medicaid expansion population, and
  • Dually eligible (Medicare/Medicaid) beneficiaries https://www.nhpri.org/medicare-medicaid/
  • We also serve individuals and small businesses through HealthSource RI (Rhode Island’s health benefits exchange).

ACCESS is Neighborhood’s plan through the RIte Care program for children, families and pregnant women. 

Care Coordination programs are available through Neighborhood including:

  • Neonatal Case Management Program can help you coordinate and manage the many needs of your baby after being discharged from the Neonatal Intensive Care Unit (NICU).
  • The Children with Special Health Care Needs (CSN) Care Management Program can help to improve a child's health and wellness if they are at risk due to complex medical and/or social issues.
  • The Substitute Care Program can help improve the health and wellness of children in foster care.
Provider Profiles:

Neighborhood Health Plan of Rhode Island (Neighborhood) is a non-profit HMO that was founded in 1994 to make sure everyone in the state has access to high-quality, low-cost health care. Neighborhood has been ranked as one of the top Medicaid health plans in America for the past twelve years and currently serves more than 190,000 members. Neighborhood also recently extended its great service, benefits and value to individuals and businesses through HealthSource RI – the state’s health insurance exchange.

Source: Rhode Island Dept of Health, Office of Special Needs
Last Updated: 9/8/2020
Washington, DC
Service Categories:
Address:
Washington, DC
Services Provided:

Govbenefits.com is a free confidential prescreening tool for state and federal government programs. Search for benefits you may be able to receive.

Provider Profiles:

Internet resource, State and Federal resources
Partners with USA.gov

Source: MHP-Nationwide
Last Updated: 6/22/2020
7500 Security Boulevard
Baltimore, MD 21244
Phone: 800-633-4227
Service Categories:
Address:
7500 Security Boulevard
Baltimore, MD 21244
Phone: 800-633-4227
TDD: 877-486-2048
Toll Free Phone: 800-633-4227
Languages Spoken: Spanish
Eligibility:

Persons age 65 and older, anyone with certain disabilities or end-stage renal disease.

Services Provided:

Provides health insurance for Americans age 65 and older, people under age 65 with certain disabilities, and people of all ages with end stage renal disease (permanent kidney failure requiring dialysis or a kidney transplant).

  • Medicare
Source: Nationwide Suggest Providers Queue
Last Updated: 6/2/2021