Everything You Want To Know

Medicaid / Rhode Island

Medicaid for Home Care in Rhode Island

Medicaid Certified Home Care Agency in Rhode Island

A caregiver agency should be a certified HHA (Home Health Agency) if they wish to file Medicaid claims in Rhode Island. Certain regulations are applicable in every state. These homecare agencies always require proper license and certification for delivering services as per the information provided by the Bureau of Licensing and Certification or state’s Department of Human Services.

Governing Body: State of Rhode Island Department of Human Services (DHS)


In Rhode Island, Medicaid is known as Medical Assistance (MA) and is offered in two different ways. The state’s managed care program – RIte Care, is for pregnant women, children, and parents. Another one is Medicaid expansion that provides coverage to the residents that come under the age group from 19 to 64 years and meets the state’s Medicaid income requirements.

Medicaid Programs:

  • Ryan White HIV/AIDS support program
  • Global Consumer Choice Compact Waiver
  • Shared Living Program

Income Requirements:

  • For parents with children under 18, income up to 133% of the FPL
  • For pregnant women, income within 253% of the FPL
  • For adults, income not more than 133% of the FPL

Application Process:

To apply online for the available Medicaid programs in Rhode Island, you can visit the human service programs portal.

Medicaid with CareSmartz360

Home care businesses require advanced solutions to integrate Medicaid into their services, and Caresmartz has been doing that across the states for home care agencies, private-duty care providers, and home care franchisors for several years. CareSmartz360 is a complete software solution to manage a home care business, and it supports all Medicaid payers, allowing businesses to focus on other operations and processes.

  • Effective and comprehensive management of the revenue cycle.
  • Allows agencies to fulfill billing requirements for Medicaid, Medicare, Insurance, and Private Pay.
  • Built-In feature to submit claims electronically.
  • Quickly create, review, approve and submit claims in paper invoice or 837P, 837I format.
  • Helps in generating error-free claims to save time and efforts.
  • Identify and manage accounts and claims that are overdue.
  • Robust reporting to evaluate financial performance.
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    50-State Medicaid Guide

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