Attention Medicaid Members Have you moved in the past three years? Have you gotten a new phone number or email address? If your contact information is out of date, you might miss important information regarding your Medicaid benefits. Stay connected to health coverage, and update your contact information today! Click here for more information. You can access your account online at https://healthyrhode.ri.gov.
Protecting Your Benefits ebtEDGE will never call or text you to ask for your personal information, card number or PIN. Do not share your information with anyone. Protect yourself by changing your PIN monthly or by freezing your card.
Community Reminder Recent action by the federal government ends the extra COVID SNAP benefits, known as SNAP Emergency Allotments, as of February 2023. The last COVID SNAP payment will be on February 3, 2023. Households will receive only their regular monthly SNAP issuance beginning on March 1, 2023. Community partners and advocates can find additional support and resources here.
Did You Know? • Applications submitted in the last 30 days (with the exception of LTSS (90 days) or expedited SNAP) are still within the window of processing. • You can check the status of your application after 30 days through the Call Center or Customer Portal at healthyrhode.ri.gov, where all of your notices are available.
DHS Clinical Team The Executive Office of Health and Human Services (EOHHS) and DHS have together cared for our consumers on the State's Medicaid program. Specifically, EOHHS has been responsible for the Medicaid clinical eligibility determinations through its Office of Medical Review (OMR) while DHS determines the financial eligibility for those applicants. To create a more efficient process, the State in the fall of 2021 moved all eligibility, both financial and clinical, to DHS. The Office of Medical Review, now called the DHS Clinical Team, is responsible for determination of LTSS clinical levels of care, Katie Beckett clinical eligibility, the Medical Assistance Review Team and Pediatric Private Duty Nursing (PDN) assessments, authorizations and oversight. LTSS level of care determinations are necessary for the determination of LTSS eligibility. Katie Beckett (KB) is a Medicaid eligibility category for children under age 19, who are disabled and meet an institutional level of care and who are otherwise ineligible for Medicaid due to family income. The Medical Assistance Review Team (MART) is responsible for adult disability determinations. Medically-necessary Pediatric PDN is a covered benefit for children under age 21 who are considered severely disabled and/or technology dependent and would otherwise require inpatient care in a hospital or pediatric nursing facility. The PDN Policy Guidance Document details the current processes for the administration of PDN. PDN Policy Guidance Document (rev. Oct. 2021) PDF file, less than 1mbmegabytes