RI Medical Assistance Program
for Children with Special Health Care Needs
The RI Medical Assistance Program pays for medical and health related services for Children with Special Health Care Needs who qualify.
Children with a disability or chronic condition are automatically eligible for the Medical Assistance if they are determined eligible for: Supplemental Security Income (SSI), Katie Beckett or Adoption Subsidy through the Department of Children, Youth, and Families (DCYF). See Medical Assistance Eligibility for Children.
When eligible for Medical Assistance, parents or guardians are then given a choice of enrollment in one of two participating health plans. Children who live in a institutional facility are excluded from health plan enrollment. In those situations, children will be enrolled in traditional Medical Assistance Fee-For-Service.
- Enrollment in a Health Plan
Children who are eligible for Medical Assistance enroll in a participating health plan unless they live in an institution or residential facility. Participating health plans include: Neighborhood Health Plan of RI and UnitedHealthcare of New England.
Both health plans offer large networks of providers and covered benefits and services. They also offer a special Care Management Program to assist with care coordination or for help arranging transportation or other services. See FAQs on Enrollment in RIte Care's Health Plans for Children with Special Health Care Needs.
- Enrollment in Medical Assistance Fee-for-Service
Children who do not qualify for enrollment in a health plan, would receive traditional Medical Assistance Fee-for-Service. See Medical Assistance Fee-for-Service.
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