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Resource Center
Information to clarify health plan choices for people with Medicaid and Medicare.Benefits
Learn about dual health plan benefits, and how they’re designed to help people with Medicaid and Medicare.Enrollment
Do you or someone you know have Medicaid and Medicare? Learn how to enroll in a dual health plan.Eligibility
What does it take to qualify for a dual health plan? Here are some resources for people with Medicaid and Medicare.Frequently asked questions
Get answers to frequently asked questions for people with Medicaid and MedicareCaregiver
Valuable information and tips to help those who care for people with both Medicaid and Medicare - About Us
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Medicaid
Plans that are low cost or no-costMedicare dual eligible special needs plans
Plans that provide special coverage for those who have both Medicaid and Medicare - For Members (Opens in a new tab)
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New benefits for children effective January 1, 2016:
Home-Based Treatment Services (HBTS), Personal Assistance Support Services (PASS), Respite Services and Adolescent Substance Abuse Treatment will be managed by UnitedHealthcare Community Plan.
If you have questions related to these services, please contact UnitedHealthcare Community Plan Health Services line at 401-732-7373 or 1-800-672-2156 (TTY 711)
Children with Special Health Care Needs
Medicaid
Children with Special Healthcare Needs (CSN) is Rhode Island's Medicaid managed care plan for Children with a disability or chronic condition and they are determined eligible for: Supplemental Security Income (SSI), Katie Beckett or Adoption Subsidy through the Department of Children, Youth, and Families (DCYF). When eligible for Medicaid, parents or guardians are then given a choice of enrollment in a participating health plan. Children who live in an institutional facility are excluded from health plan enrollment. In those situations, children will be enrolled in traditional Medicaid Fee-For-Service.
Children with Special Healthcare Needs may qualify for RIte Care under UnitedHealthcare Community Plan. The Department of Human Services will enroll Children with Special Healthcare Needs who are eligible for Medicaid.
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Children with Special Health Care Needs
EOHHS in collaboration with DHS, RIDOH and the Governor’s office, continue to monitor the COVID-19 outbreak in RI and will work with our government partners and MCOs to ensure all lines of communication remain open and available. The health, safety and welfare of our members is our highest priority. More information about COVID-19 is available in multiple languages at health.ri.gov/covid. People with questions about COVID-19 can call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public. Please call 211 after hours.
View more information from the Centers for Disease Control and Prevention
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Benefits & Features
Benefits Summary
Listed below is a comprehensive list of professional health care services. Please review these services to find out which ones are covered by this health plan.
Member Handbook
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Optum Behavioral Health (OBH)
OptumHealth can help you find solutions that relieve the pressures and demands of everyday life. OptumHealth focuses on prevention and education to guard against problems before they start.
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Children with Special Health Care Needs