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.
RIte Smiles Reference Materials 1. Rhode Island Annual Medicaid Expenditure Report 2. RI Managed Medicaid Mode Member Handbook 3. RI EOHHS Guidelines for Marketing Materials and Member Communications Medicaid Managed Care Program RIte Smiles NEMT MMP (adhoc) Final 2021 4. Appeals-Grievances Notification Model Documents 5. Medicaid Health Plan Change Request Form Medicaid Health Plan Change Request Form - English (04/2021) Medicaid Health Plan Change Request Form - Spanish (04/2021) Medicaid Health Plan Change Request Form - Portuguese (04/2021) 6. Managed Care Reporting Calendar and Templates for Dental Plans 7. Rhode Island Medicaid Managed Care Encounter Data Methodology, Thresholds, and Penalties for Non-Compliance 8. EOHHS 837 Encounter Companion Guide v2,12 9. 10. Dental EPSDT Periodicity Schedule 11. Medicaid Managed Care Program Medical Loss Ratio Calculation 12. EOHHS RIte Smiles Contract Requirements for Reporting and Intermediate Sanctions 13. Minimum Fraud and Abuse Prevention, Detection and Reporting Requirements for Members 14. Dental Services Provider Manual 15. Access to Dental Care 2019 RIKC 16. Dental Safety Net 2017 17. BRFSS 2016 18. Oral Health Head Start Report 2017 19. Oral Health RI Children 2015 20. WIC Survey 2016 RI Dental Association Journal 21. Oral and Behavioral Health Teens 2018 22. Dental Census 2018 23. Case Study Driving Improved Teen Dental Utilization through Quality Improvement Strategies in Rhode Island 24. Innovative State Practices for Improving the Provision of Medicaid Dental Services 25. Centers for Medicare and Medicaid Services Waiver List 26. Rhode Island Medicaid Covered Dental Benefits for Children Under Age 21 27. SFY 2021 RIte Smiles Capitation Rates