What Is RIte Care?
RIte Care is Rhode Island's Medicaid program — a joint federal-state health insurance program that provides free or very low-cost healthcare coverage to qualifying Rhode Island residents. It's one of the most comprehensive Medicaid programs in New England, covering medical, dental, mental health, vision, and prescription drugs.
Who Qualifies for RIte Care in Rhode Island?
Income Limits (2026)
RIte Care covers adults whose income is at or below 138% of the Federal Poverty Level (FPL):
| Household Size | Monthly Income Limit | Annual Income Limit |
|---|---|---|
| 1 person | $1,732 | $20,783 |
| 2 people | $2,345 | $28,139 |
| 3 people | $2,957 | $35,477 |
| 4 people | $3,570 | $42,831 |
| Each additional | +$613 | +$7,358 |
Programs Within RIte Care
| Program | Who It Covers |
|---|---|
| Medicaid for Families | Parents and caretakers of children |
| Medicaid for Adults | Adults 19–64 without dependent children |
| CHIP (RIte Care for Kids) | Children under 19 up to 261% FPL |
| Medicaid for Pregnant Women | Up to 253% FPL during pregnancy |
| Medicaid for Elderly & Disabled | SSI recipients and qualifying seniors |
What Does RIte Care Cover?
RIte Care provides comprehensive coverage including:
Medical:
- Primary care doctor visits ($0–$3 co-pay)
- Specialist visits ($0–$3 co-pay)
- Emergency room visits
- Hospital stays
- Laboratory tests and X-rays
- Preventive screenings
Dental:
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- Cleanings and X-rays
- Fillings and extractions
- Root canals (anterior teeth)
- Dentures
- Emergency dental
Mental Health & Substance Use:
- Therapy and counseling
- Psychiatric services
- Substance use treatment
- Prescription medications for mental health
Vision:
- Eye exams
- Eyeglasses (one pair every 2 years)
Prescription Drugs:
- Most medications covered at $0–$3 co-pay
- Specialty medications covered
How to Apply for RIte Care
Online (Fastest)
Apply at HealthSourceRI.com — available 24/7. Takes about 20–30 minutes to complete.
By Phone
Call the HealthSource RI Customer Service Center at 1-855-840-4774, available Monday–Friday 8 AM–6 PM.
In Person
Visit any Department of Human Services (DHS) office or a certified enrollment assistant. Find locations at dhs.ri.gov.
What You'll Need
| Document | Details |
|---|---|
| Social Security numbers | For all household members applying |
| Proof of identity | Driver's license, state ID, or passport |
| Proof of Rhode Island residency | Utility bill, lease, or government mail |
| Proof of income | Recent pay stubs, tax return, or benefit letter |
| Immigration documents | If applicable |
Approval Timeline
- Standard processing: Within 45 days of your application
- Expedited (pregnant women, emergency situations): Within 24–48 hours in some cases
- Automatic enrollment: If you receive SNAP or SSI, you may be automatically enrolled
RIte Care vs. HealthSource RI Marketplace Plans
| RIte Care (Medicaid) | Marketplace Plans |
|---|---|
| Monthly premium | $0 (free) |
| Deductible | $0 |
| Income limit | Up to 138% FPL |
| Dental coverage | Yes (comprehensive) |
If your income is above the RIte Care limit, you may qualify for subsidized marketplace plans through HealthSource RI.
Frequently Asked Questions
Can immigrants get RIte Care in Rhode Island?
Lawful permanent residents (green card holders) who have been in the US for 5+ years may qualify. Refugees and asylees qualify immediately. Undocumented immigrants are not eligible for full Medicaid but may qualify for emergency Medicaid.
What if I get a new job with health insurance?
You must report the change to HealthSource RI. If your employer's insurance is considered "affordable" under ACA standards, you may lose RIte Care eligibility.
Can I keep my current doctor?
RIte Care uses managed care organizations (MCOs). Most providers accept RIte Care, but you should verify before switching. Major RIte Care MCOs in RI include Neighborhood Health Plan and UnitedHealthcare Community Plan.
How long does RIte Care coverage last?
Coverage is renewed annually. You'll receive a renewal notice and must confirm your continued eligibility each year.
Official Resources
- HealthSource RI — Apply for Coverage
- RI Department of Human Services — Medicaid
- Neighborhood Health Plan of RI
Disclaimer: Eligibility limits and covered services are subject to change. Contact HealthSource RI at 1-855-840-4774 for the most current information.
