MCO Contract Update RI EOHHS and Medicaid are in the process of establishing a new managed care contract. If you or a loved one currently have health coverage through RI Medicaid, it’s important to know that you don’t need to take any action at this time. When a new contract is in place, the State will send information about any next steps.
If You Miss Your Renewal Deadline It is very important that you sign and submit your Medicaid renewal documents before the deadline on your packet. You need to submit the materials within 35 days of the date on the top of your renewal form. Submitting your renewal packet on time is the best way to make sure you stay covered with health insurance. If you missed the deadline on your renewal packet, you will get a Benefit Decision Notice telling you the date your Medicaid is stopping. Follow the instructions below to submit your renewal materials as soon as possible or request an appeal. I missed the deadline on my packet. What should I do? If you missed the deadline on your yellow renewal packet, sign the renewal form and submit your documents right away. Learn about the different ways you can submit your documents. If the State gets your packet within 90 days of the date your benefits stopped (according to your Benefit Decision Notice), your documents will be accepted, and your eligibility will be reviewed. If the State gets your documents within 90 days and determines you are eligible for Medicaid, your coverage will be reinstated. You will get a white Anchor Card that you can use for medication and for doctor’s visits if the provider accepts Medicaid fee-for-service. You will then be re-enrolled into your managed care plan (Neighborhood Health Plan of Rhode Island, Tufts Health (RITogether) Plan, or UnitedHealthcare Community Plan (UHCCP)). If the State gets your documents within 90 days and determines you are no longer eligible for Medicaid, you may be given information about how to get low-cost health insurance through HealthSource RI. Your Benefit Decision Notice will also give you information about how to appeal. To learn more about your coverage options while your late documents are being reviewed, call HealthSource RI (HSRI) from 8 a.m. to 6 p.m. on weekdays at 1-855-840-4774.