Medicaid

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)

If you know of a Service that should be listed but isn't, please Suggest a New Provider. If you find errors in a listing, please let us know by using the "Suggest an Edit" form on the provider's detail page.
Disclaimer...
Note: Service listings do not represent a recommendation or endorsement by the Medical Home Portal staff or its sponsoring organizations; nor do they reflect any assessment of the quality or value of a listed Service.

RI

Statewide

Organization Name: Neighborhood Health Plan of RI
Address: 910 Douglas Pike
RI
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
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.

A number of 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
Original Source: Rhode Island Dept of Health, Office of Special Needs
Last Updated: 8/5/2019
United Healthcare Community Plan
475 Kilvert Street
Warwick, RI 02886
Organization Name: United Healthcare of New England
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.
Original Source: Rhode Island Dept of Health, Office of Special Needs
Last Updated: 7/10/2019

Foster, RI

Organization Name: WellOne Primary Medical and Dental Care
Address: 142A Danielson Pike
Foster, RI 02825
Phone: 401-647-3702
Fax: 401-647-5380
Eligibility: WellOne accepts most major insurances including Rhode Island Medical Assistance as well as major credit cards and has special programs for patients with limited or no health insurance.
Services Provided: Locations in North Kingstown, Foster and Burrillville
Primary Care
Woman's Health
Dental
Behavioral health
Provider Profiles: WellOne Primary Medical and Dental Care is a 106 year-old, nonprofit community health center dedicated to providing high quality healthcare to individuals and families in the communities we serve. We are committed to achieving the highest attainable level of physical, psychological, and social well-being for all through not only treatment but also prevention and wellness.
WellOne is a nationally recognized patient-centered medical home. WellOne earned this recognition by adhering to strict standards set forth by The National Committee for Quality Assurance. Our team of professional providers has the experience and knowledge to help manage a range of healthcare needs at any age. All of our healthcare professionals are licensed by the Rhode Island Department of Health and are Board Certified in their particular specialties.
Original Source: Rhode Island Dept of Health, Office of Special Needs
Last Updated: 6/27/2016

Hope Valley , RI

Address: 823 Main Street
Hope Valley , RI 02832
Phone: 401-539-2461
Eligibility: Community Health Centers provide services to those who are eligible for RIte Care , RIte Smiles and/or medical assistance. There is also a sliding fee option.
Services Provided: To improve the health and well-being of our community by assuring access to affordable high quality healthcare, coordinated services, and health related information.
Assistance before and after hospital care
WIC services, specialized nutrition counseling and breast feeding support at two locations
Chronic care services to manage complex conditions
Prescription assistance
Referrals to Medicaid or RIteCare
Primary Care
Behavioral Health
Woman's Health
Dental
Care Coordination
Provider Profiles: Wood River Health Services provides a full range of medical, dental and social services to the community. These services include primary and urgent care, including routine physical exams, short- and long-term illnesses, immunizations and chronic disease management. Disciplines represented are Internal Medicine, Family Practice and Pediatrics.

The dental department provides comprehensive services with a focus on preventative, restorative and cosmetic dentistry.
Behavioral Health Services are available for individuals affected by domestic violence, substance abuse, child and elderly abuse and other psycho-social issues.
Integrated care management supports patients with complex medical and social service needs.

Crisis intervention services for individuals affected by domestic violence, substance abuse, child and elderly abuse and other psycho-social issues.

Staff is also available to help navigate the complicated areas of health insurance and other benefits support.
Original Source: Rhode Island Dept of Health, Office of Special Needs
Last Updated: 6/27/2016

Pascoag, RI

Organization Name: WellOne Primary Medical and Dental Care
Address: 36 Bridge Way
Pascoag, RI 02859
Phone: 401-567-0800
Fax: 401-568-7949
Eligibility: WellOne accepts most major insurances including Rhode Island Medical Assistance as well as major credit cards and has special programs for patients with limited or no health insurance.
Provider Profiles: WellOne Primary Medical and Dental Care is a 106 year-old, nonprofit community health center dedicated to providing high quality healthcare to individuals and families in the communities we serve. We are committed to achieving the highest attainable level of physical, psychological, and social well-being for all through not only treatment but also prevention and wellness.
WellOne is a nationally recognized patient-centered medical home. WellOne earned this recognition by adhering to strict standards set forth by The National Committee for Quality Assurance. Our team of professional providers has the experience and knowledge to help manage a range of healthcare needs at any age. All of our healthcare professionals are licensed by the Rhode Island Department of Health and are Board Certified in their particular specialties.
Original Source: Rhode Island Dept of Health, Office of Special Needs
Last Updated: 6/27/2016

Nationwide

Address: 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
Original Source: MedHome Portal
Last Updated: 5/22/2018
Address:
Eligibility: Low income and relatively few assets, reside in one of the 50 States or the District of Columbia.
Services Provided: Although pharmacy coverage is an optional benefit under federal Medicaid law, all states currently provide coverage for outpatient prescription drugs to all categorically eligible individuals and most other enrollees within their state Medicaid programs.
Original Source: MedHome Portal
Last Updated: 8/1/2018