Provider News
Assisted Living Facilities (ALF) Providers: 2025 Room and Board (R&B) and Cost of Care (COC) Updates
Effective January 1, 2025, the monthly Room and Board (R&B) Rate for all Medicaid LTSS Assisted Living participants with income below $2901 or 300% of the Federal Benefit Rate (FBR) will be $1299 to reflect the Year 2025 Federal Benefit Rate (FBR).
Residents with income above the 300% FBR will be $2901 and adjusted accordingly based on single or double room occupancy.
Cost of Care (COC) may also change to reflect the 2025 COLA for customers who are receiving SSA benefits and other income with annual COLA increases.
For customers with income below $1299, their R&B may be less as such we encourage providers to help them apply for Category D to support their Room and Board.
For assistance, questions, or concerns, please contact the DHS Assisted Living provider Email: DHS.AssistedLivingIntakes@dhs.ri.gov.
RI Certified Community Behavior Health Clinics
Rhode Island’s Certified Community Behavioral Health Clinics (CCBHCs) launched on October 1, 2024. A CCBHC is an outpatient clinic that is certified by the State of Rhode Island to offer expanded behavioral health services. CCBHCs serve anyone who walks through the door, regardless of age, diagnosis, or insurance status. At a CCBHC, a team of trained health professionals can:
· Provide mental health support to you or a loved one,
· Help you or a loved one with substance use condition, and/or
· Provider 24/7 crisis support.
The following locations are CCBHCs in Rhode Island:
· Community Care Alliance (Woonsocket)
· Family Service of Rhode Island (Providence)
· Gateway Healthcare (Pawtucket, Johnston, and South County)
· Newport Mental Health (Newport)
· The Providence Center (Providence)
· Thrive Behavioral Health (Warwick)
Promotional materials are available in multiple languages here. Please consider sharing information about CCBHCs and related services with your patients and partners. Thank you.
Bridge Closure/Late Fees for RI Medicaid Recipients
Please be advised that RIDOT has closed the westbound side of the Washington Bridge/I-195 West due to the discovery of the critical failure of some bridge components. To ensure ongoing access to needed care and services, providers are reminded that imposing late fees, balance billing, and/or termination of beneficiaries who miss or are late to appointments due to the bridge closure is not allowable. We ask that providers support and accommodate beneficiaries affected by this closure to ensure that needed care and services are delivered timely.
Kristin Sousa, Medicaid Program Director
PROVIDER UPDATES
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