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Rhode Island · Medicaid

Medicaid in Rhode Island

Looking for Medicaid eligibility in Rhode Island? Here is how this coverage lane works specifically for Rhode Island residents, what it costs, and how to get it.

Facts on this page checked Jan 15, 2026. Sources are listed at the end.

How it works here

Medicaid, explained for Rhode Island.

Rhode Island expanded Medicaid under the ACA, so adults with income up to 138% of the Federal Poverty Level may qualify regardless of whether they have children.

Medicaid in Rhode Island provides free or very low-cost comprehensive coverage for those who qualify, and you can apply year-round — there is no enrollment window.

If you do not qualify for Medicaid in Rhode Island, a subsidized Marketplace plan through HealthSource RI is usually the next best option.

Rhode Island expanded Medicaid under the ACA, so adults with income up to about 138% of the Federal Poverty Level may qualify for comprehensive coverage year-round.

Medicaid rules in Rhode Island still depend on household size, income, and category (for example pregnancy or disability). An application through HealthSource RI or the state Medicaid agency is the reliable way to confirm.

Given Rhode Island's approximate 4.3% uninsured rate, an annual eligibility check is worthwhile whenever wages, hours, or household composition change.

Rhode Island facts

Marketplace
HealthSource RI
Medicaid expansion
Adopted
Uninsured rate
~4.3%

Open enrollment 2027

When Rhode Island can enroll.

Differs from HealthCare.gov
Opens
Nov 1, 2026
Sun
For Jan 1 coverage
Check the exchange
HealthSource RI sets this date
Last day to enroll
Jan 31, 2027
Sun

Rhode Island runs its own exchange. These dates come from a secondary source (healthinsurance.org, Aug 2026). Confirm with HealthSource RI before you rely on a date. Outside this window, a qualifying life event (a move, a new baby, losing other coverage) can open a Special Enrollment Period.

Medicare is different.Medicare’s annual enrollment runs Oct 15 to Dec 7, 2026. For Medicare help, visit our sister site OLYRON Medicare or Medicare.gov.

Dates checked Oct 15, 2026. Sources: HealthCare.gov: dates and deadlines; CMS statement, Jul 27, 2026.

Questions

Good questions, short answers.

Who qualifies for Medicaid in Rhode Island?

Adults with income up to about 138% of the Federal Poverty Level, plus children, pregnant women, and others who meet income rules.

Can I apply for Medicaid any time in Rhode Island?

Yes — unlike Marketplace plans, Medicaid enrollment is open year-round for those who qualify.

Did Rhode Island expand Medicaid?

Yes. Rhode Island adopted ACA Medicaid expansion, which generally opens coverage to more low-income adults.

Sources

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