Medicaid Renewal Notices

What You Need to Know About Medicaid Renewal Notices

Every year, the State reviews information for all Medicaid members to make sure they are still eligible. This process is called “Medicaid renewal.” You can find your anticipated renewal date in the Medicaid Renewal Lookup Portal.  

When your Medicaid renewal happens, you’ll get certain notices from the State of Rhode Island. Keep your contact information up to date so you don’t miss these important notices. 

Renewal Notices You May Get 

Many Medicaid members will be renewed automatically. If your Medicaid is renewed automatically, you’ll get: 

If we have all of the information we need about you to renew your Medicaid coverage, we will send you a Benefits Decision Notice.  

See the Benefits Decision Notice indicating Medicaid eligibility is renewed:

Medicaid Renewal Notices 

Sometimes, the State needs more information to see if you’re still eligible for Medicaid. If we need more information to determine your eligibility, we will send you two notices:   

  • Yellow Medicaid renewal notice    
  • White Additional Documentation Required (ADR) notice, which asks for additional documents    

We mail these two notices separately. Make sure you watch for both and take action right away. After we receive and review your information, you’ll get a Benefits Decision Notice (BDN) that tells you if your Medicaid coverage is renewed. 

See the notice:

See the notice:

Some Medicaid members are in a different Medicaid category and get a different Medicaid renewal notice. If you’re in these categories, you’ll also receive a white ADR. These categories include: 

See the notice:

Recertification/Renewal Notice (Action Required)

If we don’t have enough information about your household or if we think you may no longer be eligible for Medicaid, you’ll get this yellow LTSS notice when it’s your turn to renew. It says: “Action Required. Review the Information We Have on File for You.”

The notice will include a list of documents you must provide. If you get this notice, you’ll also receive a white Additional Documentation Required notice. This notice will arrive separately from the yellow notice.

What you must do: When you receive the white Additional Documentation Required notice, gather the documents listed on your notice. Provide your signed Medicaid renewal notice AND any required documents to us before the due date on the yellow notice.

Review the notice:

See the notice:

Recertification/Renewal Notice (Action Required)

If we don’t have enough information about your household or if we think you may no longer be eligible for Medicaid, you’ll get this yellow MPP notice when it’s your turn to renew. It says: “Action Required: Review the Information We Have on File for You.”

The notice will also include a list of documents you must provide. If you get this notice, you’ll also receive a white Additional Documentation Required notice. This notice will arrive separately from the yellow notice.

What you must do: When you receive the white Additional Documentation Required notice, gather the documents listed on your notice. Provide your signed Medicaid renewal notice AND any required documents to us before the due date on the yellow notice.

Review the notice:

Other Notices You May Get 

If you get a yellow Medicaid renewal notice and a white ADR, you may also get: 

We send this when we receive your renewal notice and documents.

See the notice:

If we haven’t received information we requested from you, we’ll send a reminder to send it.

See the notice:

If you’ve chosen to receive notices by email, we’ll send you this notice if we can’t reach you by email.

See the notice:

If You Have Special Circumstances 

If you have a special circumstance that affects your Medicaid eligibility, you won’t get a yellow Medicaid renewal notice. If we know you’re part of this group, you’ll get a green Special Circumstance notice. 

What you must do: Follow the instructions in your Special Circumstance notice. 

If You’re No Longer Eligible for Medicaid 

When we review your renewal information, we may determine that you’re no longer eligible for Medicaid. If this happens, you’ll get a Benefits Decision Notice (BDN) that tells you your Medicaid benefits are ending (terminated). This BDN will give you information about other ways you can get health insurance and any assistance that may be available to you. 

If your Benefits Decision Notice does NOT say “Your health coverage is being renewed,” your Medicaid eligibility has been terminated. Be sure to read the entire Benefits Decision Notice to learn more about health plan options and any financial assistance you may be eligible for.

If we determine you are eligible for financial assistance in getting health coverage, this assistance could include:

  • Auto-enrollment in a HealthSource RI (HSRI) plan.
  • Two months of premium assistance from the State of Rhode Island.
  • Certain tax credits.

Click here to learn more about health coverage options from HSRI. 

See a sample Benefits Decision Notice indicating your Medicaid eligibility is terminated and you have been auto-enrolled into a qualified-health plan (QHP):