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.
LTSS: No Wrong Door The Rhode Island Executive Office of Health and Human Services (RI EOHHS) is leading an interagency team to redesign the State’s long-term care system to align with the person-centered principles of “No Wrong Door” (NWD) advanced by the Federal Administration for Community Living. The LTSS Interagency Redesign Team is an interagency work group that is comprised of EOHHS (the designated State Medicaid authority), the RI Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals (BHDDH), the RI Department of Human Services (DHS), and the RI Office of Healthy Aging (OHA). In tandem, these State agencies administer the delivery of Medicaid LTSS to Rhode Islanders with chronic illnesses or disabilities who meet the financial and clinical eligibility criteria. The State’s LTSS redesign efforts includes, but not limited to, the following: Person-Centered Options Counseling (PCOC) (Complete): In August 2021, Rhode Island successfully implemented a PCOC program and network to assist consumers who are entering into or inquiring about the State’s system of publicly and privately financed LTSS. Additional information regarding the State’s PCOC program is available at myoptions.ri.gov. Conflict-Free Case Management (CFCM) (Ongoing): The State is currently designing and implementing a statewide system for providing CFCM for Medicaid participants who receive LTSS in a home or community-based setting. The LTSS Interagency Redesign Team’s goal is to create a CFCM network that complies with federal requirements and aligns with RI EOHHS’s guiding principles regarding Choice, Equity, and Community Engagement. LTSS Modernization (Ongoing): Rhode Island will become one of the first states in the nation to implement a single consumer information management system (CIMS) for Medicaid HCBS participants in which “information follows the person”. This project includes three key components: Development of a single e-LTSS record housed on a cloud-based CIMS for ancillary functions that supports a person from the point of entry into the system Reorganizing agency roles and responsibilities and associated business practices accordingly to eliminate silos and accommodate shifts in consumer demand; and Investment in technology upgrades, interfaces and integration between the CIMS, Bridges (the State’s eligibility system) and the MMIS (the State’s claims payment system) required to support a full transition to a more person-centered quality driven and resilient LTSS system. Over the next several years, Rhode Island will continue to streamline access and transform its LTSS system into a model that is person-centered, coordinated, data informed, easily accessible and highly visible, and committed to quality. Archived Materials Person-Centered Options Counseling Operational Manual (Updated 4/6/2023) Person-Centered Options Counseling Fact Sheet (Updated 12/16/2020) Rhode Island's No Wrong Door System Three Phase Strategic Plan (Updated 4/6/2023) Rhode Island's No Wrong Door System Three Phase Strategic Plan Fact Sheet (Updated 12/15/2020) PowerPoint Presentation Regarding Rhode Island's NWD System Three Phase Strategy Plan and Implementation of PCOC (Updated 12/16/2020) Frequently Asked Questions - Rhode Island's NWD Strategy and Implementation (Updated 12/18/2020) VIDEO: EOHHS Implementing Phase 1: No Wrong Door Redesign Community Meeting (12/16/2020, 11:00 a.m.) Survey Results: No Wrong Door (NWD) strategy and its Phase I implementation activities (Updated 1/19/2021)