Planes de salud de Medicaid en Rhode Island

Servicios para miembros: 1-800-459-6019

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• Routine dental checkups and treatment

  Neighborhood covers routine dental checkups and treatment for adults and children who see a dentist that accepts Rhode Island Medicaid or participates in RIte Smiles.

• Eye exams and glasses

  Members up to age 21 have eye exams and glasses covered. Members age 21 and older have an eye exam and glasses covered one time, and members over 21 with diabetes have an annual eye exam covered.

• Rides to medical appointments

  Rhode Island Medicaid covers nonemergency medical transportation to medical, dental, and other health related appointments, arranged by calling MTM at 1-855-330-9131.

• Neighborhood Health Plan of Rhode Island Obtenido el 2026-07-17
• Neighborhood Health Plan of Rhode Island Obtenido el 2026-07-17
• Neighborhood Health Plan of Rhode Island Obtenido el 2026-07-17

enrollment.portal_name and enrollment.phone are quote-gate verified against a captured EOHHS Medicaid Annual Plan Change Opportunity page (eohhs.ri.gov/Home/PlanChange.aspx), which tells members to call HealthSource RI at 1-855-840-4774 to change plans. enrollment.portal_url is quote-gate verified against a captured 2016 EOHHS press release announcing the state's eligibility system, the only captured EOHHS page found stating the healthsourceri.com domain in plain text (it directs members to call 1-855-840-4774 or visit healthsourceri.com); the phone number in that fact matches the current PlanChange.aspx page's number exactly. The areas.statewide.plans roster fact is quote-gate verified against the same captured EOHHS Medicaid Annual Plan Change Opportunity page, which names all three current Rhode Island Medicaid managed care plans: Neighborhood Health Plan of RI, Tufts Health Plan RITogether, and UnitedHealthcare Community Plan. Rhode Island is a single statewide Medicaid managed care market (RIte Care / Rhody Health Partners), so this file carries one service_area (slug statewide) rather than county or region rosters. The enrollment channel is HealthSource RI (healthsourceri.com), Rhode Island's state-run health insurance marketplace; EOHHS's own PlanChange.aspx page instructs members to contact HealthSource RI by phone to choose or change a Medicaid managed care plan, which is why HealthSource RI, not a .gov URL, is recorded as the enrollment portal. healthsourceri.com is not yet in check:plans' KNOWN_BROKER_HOSTS allowlist, so this file is expected to fail the portal host check until that host is reviewed and added (see scratchpad/broker-hosts-pending.md). Rhode Island's Medicaid managed care roster has been in public flux: the state tentatively awarded a new five-year contract to only two of the three current plans (Neighborhood and UnitedHealthcare, excluding Tufts) in 2024, but canceled that award in February 2025 amid new federal CMS requirements and extended the existing three-plan contract through June 30, 2026; the EOHHS PlanChange.aspx page and RIteCare.aspx page, captured live on 2026-07-17 for this file, both still list all three plans as active, so all three are recorded here. Per-plan member_phone numbers, provider_directory_url, formulary_url values, and extra_benefits were independently checked live on each plan's own official Medicaid page (Neighborhood Health Plan of Rhode Island, Tufts Health RITogether, UnitedHealthcare Community Plan) as part of this authoring pass but are not yet cited by a quote-gated fact, so the state as a whole stays unverified, the same standing as TX.json, CA.json, and NY.json today. Legal carrier names (Neighborhood Health Plan of Rhode Island, Inc.; Tufts Health Public Plans, Inc.; UnitedHealthcare of New England, Inc.) were confirmed against Rhode Island Department of Business Regulation filings and NCQA report card listings rather than a quote-gated fact. NCQA ratings stay null; rating_source_url points at NCQA's report card search filtered for Rhode Island Medicaid plans.

Servicios para miembros: 1-866-738-4116

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• Rides to appointments

  Tufts Health RITogether can arrange rides to medical, dental, or other health related appointments, including bus tickets requested seven business days ahead, or a van or taxi ride for members who qualify.

• Doula support

  The plan covers doula support for soon to be parents, new parents, and families through a blend of in person and virtual visits.

• Over the counter drug coverage

  The plan covers over the counter drugs and products with a prescription when dispensed as a prescription at a pharmacy, generally paying for the generic version.

• EXTRAS rewards

  Members can get gift cards for completing an annual wellness visit and other health activities through the plan's EXTRAS program.

• Tufts Health Plan Obtenido el 2026-07-17
• Tufts Health Plan Obtenido el 2026-07-17
• Tufts Health Plan Obtenido el 2026-07-17

enrollment.portal_name and enrollment.phone are quote-gate verified against a captured EOHHS Medicaid Annual Plan Change Opportunity page (eohhs.ri.gov/Home/PlanChange.aspx), which tells members to call HealthSource RI at 1-855-840-4774 to change plans. enrollment.portal_url is quote-gate verified against a captured 2016 EOHHS press release announcing the state's eligibility system, the only captured EOHHS page found stating the healthsourceri.com domain in plain text (it directs members to call 1-855-840-4774 or visit healthsourceri.com); the phone number in that fact matches the current PlanChange.aspx page's number exactly. The areas.statewide.plans roster fact is quote-gate verified against the same captured EOHHS Medicaid Annual Plan Change Opportunity page, which names all three current Rhode Island Medicaid managed care plans: Neighborhood Health Plan of RI, Tufts Health Plan RITogether, and UnitedHealthcare Community Plan. Rhode Island is a single statewide Medicaid managed care market (RIte Care / Rhody Health Partners), so this file carries one service_area (slug statewide) rather than county or region rosters. The enrollment channel is HealthSource RI (healthsourceri.com), Rhode Island's state-run health insurance marketplace; EOHHS's own PlanChange.aspx page instructs members to contact HealthSource RI by phone to choose or change a Medicaid managed care plan, which is why HealthSource RI, not a .gov URL, is recorded as the enrollment portal. healthsourceri.com is not yet in check:plans' KNOWN_BROKER_HOSTS allowlist, so this file is expected to fail the portal host check until that host is reviewed and added (see scratchpad/broker-hosts-pending.md). Rhode Island's Medicaid managed care roster has been in public flux: the state tentatively awarded a new five-year contract to only two of the three current plans (Neighborhood and UnitedHealthcare, excluding Tufts) in 2024, but canceled that award in February 2025 amid new federal CMS requirements and extended the existing three-plan contract through June 30, 2026; the EOHHS PlanChange.aspx page and RIteCare.aspx page, captured live on 2026-07-17 for this file, both still list all three plans as active, so all three are recorded here. Per-plan member_phone numbers, provider_directory_url, formulary_url values, and extra_benefits were independently checked live on each plan's own official Medicaid page (Neighborhood Health Plan of Rhode Island, Tufts Health RITogether, UnitedHealthcare Community Plan) as part of this authoring pass but are not yet cited by a quote-gated fact, so the state as a whole stays unverified, the same standing as TX.json, CA.json, and NY.json today. Legal carrier names (Neighborhood Health Plan of Rhode Island, Inc.; Tufts Health Public Plans, Inc.; UnitedHealthcare of New England, Inc.) were confirmed against Rhode Island Department of Business Regulation filings and NCQA report card listings rather than a quote-gated fact. NCQA ratings stay null; rating_source_url points at NCQA's report card search filtered for Rhode Island Medicaid plans.

Servicios para miembros: 1-800-587-5187

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• Bus pass to appointments

  As a RIte Care member, you may qualify for a bus pass for you and your family to use to get to the doctor's office.

• Eye exam and eyewear allowance

  The plan covers a routine eye exam and a 150 dollar allowance toward contacts or frames, with standard lenses covered in full.

• Calm Health app

  Members can use the Calm Health app at no cost anytime to help care for their mental health and well being.

• UnitedHealthcare Community Plan Obtenido el 2026-07-17
• UnitedHealthcare Community Plan Obtenido el 2026-07-17

enrollment.portal_name and enrollment.phone are quote-gate verified against a captured EOHHS Medicaid Annual Plan Change Opportunity page (eohhs.ri.gov/Home/PlanChange.aspx), which tells members to call HealthSource RI at 1-855-840-4774 to change plans. enrollment.portal_url is quote-gate verified against a captured 2016 EOHHS press release announcing the state's eligibility system, the only captured EOHHS page found stating the healthsourceri.com domain in plain text (it directs members to call 1-855-840-4774 or visit healthsourceri.com); the phone number in that fact matches the current PlanChange.aspx page's number exactly. The areas.statewide.plans roster fact is quote-gate verified against the same captured EOHHS Medicaid Annual Plan Change Opportunity page, which names all three current Rhode Island Medicaid managed care plans: Neighborhood Health Plan of RI, Tufts Health Plan RITogether, and UnitedHealthcare Community Plan. Rhode Island is a single statewide Medicaid managed care market (RIte Care / Rhody Health Partners), so this file carries one service_area (slug statewide) rather than county or region rosters. The enrollment channel is HealthSource RI (healthsourceri.com), Rhode Island's state-run health insurance marketplace; EOHHS's own PlanChange.aspx page instructs members to contact HealthSource RI by phone to choose or change a Medicaid managed care plan, which is why HealthSource RI, not a .gov URL, is recorded as the enrollment portal. healthsourceri.com is not yet in check:plans' KNOWN_BROKER_HOSTS allowlist, so this file is expected to fail the portal host check until that host is reviewed and added (see scratchpad/broker-hosts-pending.md). Rhode Island's Medicaid managed care roster has been in public flux: the state tentatively awarded a new five-year contract to only two of the three current plans (Neighborhood and UnitedHealthcare, excluding Tufts) in 2024, but canceled that award in February 2025 amid new federal CMS requirements and extended the existing three-plan contract through June 30, 2026; the EOHHS PlanChange.aspx page and RIteCare.aspx page, captured live on 2026-07-17 for this file, both still list all three plans as active, so all three are recorded here. Per-plan member_phone numbers, provider_directory_url, formulary_url values, and extra_benefits were independently checked live on each plan's own official Medicaid page (Neighborhood Health Plan of Rhode Island, Tufts Health RITogether, UnitedHealthcare Community Plan) as part of this authoring pass but are not yet cited by a quote-gated fact, so the state as a whole stays unverified, the same standing as TX.json, CA.json, and NY.json today. Legal carrier names (Neighborhood Health Plan of Rhode Island, Inc.; Tufts Health Public Plans, Inc.; UnitedHealthcare of New England, Inc.) were confirmed against Rhode Island Department of Business Regulation filings and NCQA report card listings rather than a quote-gated fact. NCQA ratings stay null; rating_source_url points at NCQA's report card search filtered for Rhode Island Medicaid plans.