Attention RI Medicaid Members: Update on Prescription Access Due to a cybersecurity issue, a contractor serving pharmacies and Medicaid programs across the US is unable to provide important online services at this time. In Rhode Island, this situation impacted pharmacies’ ability to fill prescriptions for members of the AIDS Drug Assistance Program (ADAP) and the Medicaid Program. In response, RI EOHHS has quickly brought online a new way for pharmacies to process claims. Rhode Island Medicaid has also told pharmacies that they can provide a 30-day supply of any prescriptions you are trying to fill, to help you get through this time. The pharmacy should not charge you for any prescription that is covered by Medicaid. Learn more.
Medicare Premium Payment Program If you have Medicare, the RI Medicaid Program may be able to help you with some of your Medicare costs through this program if you qualify. See the eligibility information below. Qualified Medicare Beneficiary (QMB) Specified Low-income Medicare Beneficiary(SLMB) Qualified Individual (QI) People age 65 and older and adults with disabilities may qualify as a QMB if their income is less than 100% of the Federal Poverty Level (FPL) and if their resources, such as savings, are less than $7,160 for a person or $10,750 for a married couple. If eligible as a QMB, Medicaid pays for Medicare Part A and B. People 65 and older and adults with disabilities may qualify as a SLMB if their income is between 100% and 120% of the FPL and if their resources, such as savings, are less than $7,160 for a person and $10,750 for a married couple. If eligible as a SLMB, Medicaid will pay for Medicare Part B. People 65 and older and adults with disabilities may qualify as a QI if their income is between 120% and 135% of the FPL and if their resources are less than $7,160 for an individual and $10,750 for a married couple. If eligible, Medical Assistance will pay the Medicare Part B premium. Funds for this program are limited and eligibility is on a first come, first serve basis. For more information about this program, please call or visit your local DHS Office.