Attention Providers: Change Healthcare Update Change Healthcare (CHC) can resume submitting claims to RI Medicaid. This means if you are doing business with CHC, they can submit your claims to RI Medicaid and CHC can now resume downloading your 835/277unsolicited transactions.Please reach out to your clearing house representative with any questions you may have regarding the submissions. You can also reach out to riediservices@gainwelltechnologies.com.
The Sherlock Plan: Medicaid For Working People With Disabilities Updates for this web page are in progress. Program Description The Sherlock Plan – Medicaid for Working People with Disabilities Program is a type of Medicaid eligibility for working adults with disabilities. People eligible under this category are entitled to the full scope of Medicaid benefits, home and community-based services, and services needed to facilitate and/or maintain employment. Some participants may be required to pay a monthly premium. Program Eligibility To be found eligible for the program of Working People with Disabilities, a person must: Be at least eighteen (18) years of age and Currently meet the Medicaid requirements for eligibility based on a disability. Individuals who meet this disability requirement are not required to be unable to work, and Have proof of active, paid employment such as a pay stub or current quarterly U.S. Internal Revenue Service (IRS) tax statement (for those who are self-employed), Have countable earned net income no greater than 250% of the FPL. Countable income is defined as the total earned income remaining after all SSI-related disregards are applied; and Have countable assets no greater than $10,000 (for an individual) or $20,000 (for a couple). Medical savings accounts or retirement accounts are not counted as a resource; approved items that are necessary for an individual to remain employed are also not counted as a resource (i.e., wheelchair accessible van). How Do I Apply Option 1: Call the DHS call center, (855) 697- 4347, if you think you may be eligible. If your situation indicates that you may be eligible, you will be directed to your local DHS office. Option 2: Obtain the application online. Go to the DHS website, www.dhs.ri.gov, click on “Apply Now” tab, click Overview and Download the“DHS-2 Application for Assistance.” Submit Forms: Mail completed DHS-2 Form to address noted on the instructions or drop off at a local DHS office. For More Information The Sherlock Plan Brochure, June 2023 The Sherlock Plan Regulations, May 2014