Healthcare Reform, Medicaid Coverage and You

Better access to affordable coverage, one of the most important parts of federal health care reform, begins on January 1, 2014. To get ready for this important event, Rhode Island built a new, state of the art eligibility system for consumers of all ages and backgrounds who need affordable health coverage. This system powers Rhode Island's new health insurance marketplace, HealthSource RI, and eligibility for healthcare coverage funded by Medicaid. Eventually, consumers will be able to apply for most of the state's publicly funded health and human services programs through this system.

How is this new system different?

  • For the first time, you can apply on-line at healthyrhode.ri.gov. You will be guided step-by-step through the application process. You can still apply in person or by mail too!Apply in person, on-line, by mail or phone
  • There is an easier and fairer way of counting income that is based on the information you report in your federal taxes. 
  • By completing one application, you can find out if you qualify for Medicaid coverage or affordable coverage paid in whole or part by tax credits or other funds

More information about applying through the new system, who is eligible and when, and where to get started is located here.

Important Dates to Remember

January 1, 2014

  • Affordable coverage under federal health reform begins.
  • Low income adults ages 19-64 without children become eligible for Medicaid funded coverage through Rhody Health Partners. See more information on the Healthcare for Adults 19-64 page.
  • Parents enrolled in RIte Care with income from 133% to 175% of the federal poverty level shift to non-Medicaid subsidized affordable coverage.
  • New income standard and move to new eligibility system for all consumers seeking Medicaid for:

   Families with income up to 133% FPL, children and pregnant women with income up to 250% of the FPL

       Adults 19 to 64 with income up to 133% FPL

        Adults with disabilities who do not need long term services and supports and do not meet clinical and asset tests

October 1, 2013

The new eligibility system will become operational for consumers looking for affordable health coverage. You can apply online at healthyrhode.ri.gov or in person or by mail to see the types of coverage you and your family can get, how much it will cost and the amount you will have to pay. Your coverage WILL NOT START UNTIL JANUARY 1, 2014. See more information on the Healthcare for Adults 19-64 page.

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