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The Executive Office of, Health and Human Services , State of Rhode Island
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Agency Announcements

RIBridges Alert

Alert for Health and Human Services customers about a recent data breach. Click here for more info. 

Applications Update

There is an important update regarding application reviews. For more information, visit https://dhs.ri.gov/programs-and-services.

Applying for Benefits

The customer portal (healthyrhode.ri.gov and the HealthyRhode mobile app) is not available because of the data breach. You can apply for all benefits by phone by calling 1-855-697-4347, in person at a DHS office, or by mail. Visit https://dhs.ri.gov/apply-now for more information. Please click here to find application assistance.

Fair Hearing - How to Request Without Web (Mail, Call, Visit)

While the customer portal (healthyrhode.ri.gov and the HealthyRhode mobile app) is not available, fair hearings can only be requested by phone, in person, or by mail. 

To file an appeal regarding Medicaid and Purchased Health Coverage through HealthSource RI, call HealthSource RI at 1-855-840-HSRI (4774). For questions about filing an appeal for human services programs such as SNAP, RIW, Child Care, GPA, or SSP call the Department of Human Services at 1-855-MY-RI-DHS (1-855-697-4347).

To request a fair hearing in person, please visit your nearest DHS office. 

To request a fair hearing by mail, please mail your completed Appeal Form to PO Box 8709, Cranston, RI 02920.

For more information about the fair hearing process, please visit the Appeals Office page.

  1. Home
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  3. FPL Guidelines And Eligibility Information
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  • Older Adults
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  • Provider Search
  • Websites & Telephone Numbers
  • 2021 Medicaid Managed Care Member Survey

FPL Guidelines And Eligibility Information

2021 FPL Values (100%)

No. Of Individuals

Annual Limit

Monthly Limit

1

12880

1073

2

17420

1452

3

21960

1830

4

26500

2208

5

31040

2587

6

35580

2965

7

40120

3343

8

44660

3722

9

49200

4100

10

53740

4478

ADDL Person

4540

378
  • Federal Poverty Level (FPL) Guidelines 2024
  • SSI and Medicaid Spousal Impoverishment Standards 2024
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Executive Office of Health and Human Services
3 West Road
Cranston, RI 02920

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