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.
EOHHS Eligibility Pathways For Elders And Adults With Disabilities If you DO NOT have Medicare or another form of health insurance, you may be eligible for Medicaid services through one of the following pathways: Medicaid Eligibility Pathways for Uninsured Elders and Adults with Disabilities (excludes LTSS) Pathway One Pathway Two Pathway Three If your income is at or below 100% of the Federal Poverty Level (FPL) and your resources (savings) are less than $4,000 (single person) or $6,000 for married couple. If you are receiving Supplemental Security Income (SSI) benefits, you automatically qualify for Medicaid. Information about how to apply for SSI is available on the U.S. Social Security Administration (SSA). If your income is above 100% of the FPL, but you have high monthly health care expenses, you may qualify for "spend down" eligibility. We will subtract these expenses from your income over a six-month period. This may reduce your income to fall within Pathway One eligibility guidelines. Flex test eligibility is re-determined every 6 months. For More Information about Medicaid: To find out what is required to apply,see the Medicaid Application. To schedule an appointment, please call your local DHS Office