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.
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: Benefits Decision Notice (BDN) 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 Eligibility Renewed-Portuguese.pdf PDF file, about 2mbmegabytes Medicaid Eligibility Renewed-English.pdf PDF file, about 16mbmegabytes Medicaid Eligibility Renewed-Spanish.pdf PDF file, less than 1mbmegabytes Medicaid Eligibility Renewed-Arabic.pdf PDF file, less than 1mbmegabytes Medicaid Eligibility Renewed-Cape Verdean Creole.pdf PDF file, less than 1mbmegabytes Medicaid Eligibility Renewed-French.pdf PDF file, less than 1mbmegabytes Medicaid Eligibility Renewed-Haitian Creole.pdf PDF file, less than 1mbmegabytes Medicaid Eligibility Renewed-Khmer.pdf PDF file, less than 1mbmegabytes Medicaid Eligibility Renewed-Lao.pdf PDF file, less than 1mbmegabytes Medicaid Eligibility Renewed-Russian.pdf PDF file, less than 1mbmegabytes Medicaid Eligibility Renewed-Chinese.pdf PDF file, less than 1mbmegabytes Medicaid Eligibility Renewed-Swahili.pdf PDF file, less than 1mbmegabytes 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. Yellow Medicaid Renewal Notice (Action required) See the notice: Recertification/Renewal Notice (Action Required)-English.pdf PDF file, about 1mbmegabytes Recertification/Renewal Notice (Action Required)-Portuguese.pdf PDF file, less than 1mbmegabytes Recertification/Renewal Notice (Action Required)-Spanish.pdf PDF file, about 2mbmegabytes Recertification/Renewal Notice (Action Required)-Arabic.pdf PDF file, about 2mbmegabytes Recertification/Renewal Notice (Action Required)-Cape Verdean Creole.pdf PDF file, about 2mbmegabytes Recertification/Renewal Notice (Action Required)-French.pdf PDF file, about 2mbmegabytes Recertification/Renewal Notice (Action Required)-Haitian Creole.pdf PDF file, about 2mbmegabytes Recertification/Renewal Notice (Action Required)-Khmer.pdf PDF file, about 2mbmegabytes Recertification/Renewal Notice (Action Required)-Lao.pdf PDF file, about 2mbmegabytes Recertification/Renewal Notice (Action Required)-Russian.pdf PDF file, about 2mbmegabytes Recertification/Renewal Notice (Action Required)-Chinese.pdf PDF file, about 2mbmegabytes Recertification/Renewal Notice (Action Required)-Swahili.pdf PDF file, about 2mbmegabytes White ADR Notice See the notice: Additional documentation required-English.pdf PDF file, less than 1mbmegabytes Additional documentation required-Spanish.pdf PDF file, less than 1mbmegabytes Additional documentation required-Portuguese.pdf PDF file, less than 1mbmegabytes Additional documentation required-Arabic.pdf PDF file, less than 1mbmegabytes Additional documentation required-Cape Verdean Creole.pdf PDF file, less than 1mbmegabytes Additional documentation required-French.pdf PDF file, less than 1mbmegabytes Additional documentation required-Haitian Creole.pdf PDF file, less than 1mbmegabytes Additional documentation required-Khmer.pdf PDF file, less than 1mbmegabytes Additional documentation required-Lao.pdf PDF file, less than 1mbmegabytes Additional documentation required-Russian.pdf PDF file, less than 1mbmegabytes Additional documentation required-Chinese.pdf PDF file, less than 1mbmegabytes Additional documentation required-Swahili.pdf PDF file, less than 1mbmegabytes 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: Long-term Services and Supports (LTSS) See the notice: LTSS Recertification Renewal Notice (Report Changes Only)-English.pdf PDF file, about 1mbmegabytes LTSS Recertification Renewal Notice (Report Changes Only)-Spanish.pdf PDF file, about 2mbmegabytes LTSS Recertification Renewal Notice (Report Changes Only)-Portuguese.pdf PDF file, about 2mbmegabytes LTSS Recertification Renewal Notice (Report Changes Only)-Arabic.pdf PDF file, less than 1mbmegabytes LTSS Recertification Renewal Notice (Report Changes Only)-Cape Verdean Creole.pdf PDF file, less than 1mbmegabytes LTSS Recertification Renewal Notice (Report Changes Only)-French.pdf PDF file, less than 1mbmegabytes LTSS Recertification Renewal Notice (Report Changes Only)-Haitian Creole.pdf PDF file, less than 1mbmegabytes LTSS Recertification Renewal Notice (Report Changes Only)-Khmer.pdf PDF file, less than 1mbmegabytes LTSS Recertification Renewal Notice (Report Changes Only)-Lao.pdf PDF file, less than 1mbmegabytes LTSS Recertification Renewal Notice (Report Changes Only)-Russian.pdf PDF file, less than 1mbmegabytes LTSS Recertification Renewal Notice (Report Changes Only)-Chinese.pdf PDF file, less than 1mbmegabytes LTSS Recertification Renewal Notice (Report Changes Only)-Swahili.pdf PDF file, less than 1mbmegabytes 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: LTSS Recertification Renewal Notice (Action Required)-English.pdf PDF file, about 3mbmegabytes LTSS Recertification Renewal Notice (Action Required)-Portuguese.pdf PDF file, about 4mbmegabytes LTSS Recertification Renewal Notice (Action Required)-Spanish.pdf PDF file, about 8mbmegabytes LTSS Recertification Renewal Notice (Action Required)-Arabic.pdf PDF file, less than 1mbmegabytes LTSS Recertification Renewal Notice (Action Required)-Cape Verdean Creole.pdf PDF file, less than 1mbmegabytes LTSS Recertification Renewal Notice (Action Required)-French.pdf PDF file, less than 1mbmegabytes LTSS Recertification Renewal Notice (Action Required)-Haitian Creole.pdf PDF file, less than 1mbmegabytes LTSS Recertification Renewal Notice (Action Required)-Khmer.pdf PDF file, less than 1mbmegabytes LTSS Recertification Renewal Notice (Action Required)-Lao.pdf PDF file, less than 1mbmegabytes LTSS Recertification Renewal Notice (Action Required)-Russian.pdf PDF file, less than 1mbmegabytes LTSS Recertification Renewal Notice (Action Required)-Chinese.pdf PDF file, less than 1mbmegabytes LTSS Recertification Renewal Notice (Action Required)-Swahili.pdf PDF file, less than 1mbmegabytes Medicare Premium Payment (MPP) See the notice: MPP Recertification Renewal Notice (Report Changes Only)-English.pdf PDF file, about 3mbmegabytes MPP Recertification Renewal Notice (Report Changes Only)-Portuguese.pdf PDF file, about 7mbmegabytes MPP Recertification Renewal Notice (Report Changes Only)-Spanish.pdf PDF file, about 7mbmegabytes MPP Recertification Renewal Notice (Report Changes Only)-Arabic.pdf PDF file, less than 1mbmegabytes MPP Recertification Renewal Notice (Report Changes Only)-Cape Verdean Creole.pdf PDF file, less than 1mbmegabytes MPP Recertification Renewal Notice (Report Changes Only)-French.pdf PDF file, less than 1mbmegabytes MPP Recertification Renewal Notice (Report Changes Only)-Haitian Creole.pdf PDF file, less than 1mbmegabytes MPP Recertification Renewal Notice (Report Changes Only)-Khmer.pdf PDF file, less than 1mbmegabytes MPP Recertification Renewal Notice (Report Changes Only)-Lao.pdf PDF file, less than 1mbmegabytes MPP Recertification Renewal Notice (Report Changes Only)-Russian.pdf PDF file, less than 1mbmegabytes MPP Recertification Renewal Notice (Report Changes Only)-Chinese.pdf PDF file, less than 1mbmegabytes MPP Recertification Renewal Notice (Report Changes Only)-Swahili.pdf PDF file, less than 1mbmegabytes 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: MPP Recertification Renewal Notice (Action Required)-English.pdf PDF file, about 1mbmegabytes MPP Recertification Renewal Notice (Action Required)-Portuguese.pdf PDF file, about 2mbmegabytes MPP Recertification Renewal Notice (Action Required)-Spanish.pdf PDF file, about 2mbmegabytes MPP Recertification Renewal Notice (Action Required)-Arabic.pdf PDF file, less than 1mbmegabytes MPP Recertification Renewal Notice (Action Required)-Cape Verdean Creole.pdf PDF file, less than 1mbmegabytes MPP Recertification Renewal Notice (Action Required)-French.pdf PDF file, less than 1mbmegabytes MPP Recertification Renewal Notice (Action Required)-Haitian Creole.pdf PDF file, less than 1mbmegabytes MPP Recertification Renewal Notice (Action Required)-Khmer.pdf PDF file, less than 1mbmegabytes MPP Recertification Renewal Notice (Action Required)-Lao.pdf PDF file, less than 1mbmegabytes MPP Recertification Renewal Notice (Action Required)-Russian.pdf PDF file, less than 1mbmegabytes MPP Recertification Renewal Notice (Action Required)-Chinese.pdf PDF file, less than 1mbmegabytes MPP Recertification Renewal Notice (Action Required)-Swahili.pdf PDF file, less than 1mbmegabytes Other Notices You May Get If you get a yellow Medicaid renewal notice and a white ADR, you may also get: Thank You for Submitting Your Renewal We send this when we receive your renewal notice and documents. See the notice: Thank You for Submitting Your Renewal - English PDF file, less than 1mbmegabytes Thank You for Submitting Your Renewal - Spanish PDF file, less than 1mbmegabytes Thank You for Submitting Your Renewal - Portuguese PDF file, less than 1mbmegabytes Thank You for Submitting Your Renewal - Arabic.pdf PDF file, less than 1mbmegabytes Thank You for Submitting Your Renewal - Cape Verdean Creole.pdf PDF file, less than 1mbmegabytes Thank You for Submitting Your Renewal - French.pdf PDF file, less than 1mbmegabytes Thank You for Submitting Your Renewal - Haitian Creole.pdf PDF file, less than 1mbmegabytes Thank You for Submitting Your Renewal - Khmer.pdf PDF file, less than 1mbmegabytes Thank You for Submitting Your Renewal - Lao.pdf PDF file, less than 1mbmegabytes Thank You for Submitting Your Renewal - Russian.pdf PDF file, less than 1mbmegabytes Thank You for Submitting Your Renewal - Chinese.pdf PDF file, less than 1mbmegabytes Thank You for Submitting Your Renewal - Swahili.pdf PDF file, less than 1mbmegabytes Reminder to Submit Your Renewal If we haven’t received information we requested from you, we’ll send a reminder to send it. See the notice: Renewal Reminder - English PDF file, less than 1mbmegabytes Renewal Reminder - Portuguese PDF file, less than 1mbmegabytes Renewal Reminder - Spanish PDF file, less than 1mbmegabytes Renewal Reminder - Arabic.pdf PDF file, less than 1mbmegabytes Renewal Reminder - Cape Verdean Creole.pdf PDF file, less than 1mbmegabytes Renewal Reminder - French.pdf PDF file, less than 1mbmegabytes Renewal Reminder - Haitian Creole.pdf PDF file, less than 1mbmegabytes Renewal Reminder - Khmer.pdf PDF file, less than 1mbmegabytes Renewal Reminder - Lao.pdf PDF file, less than 1mbmegabytes Renewal Reminder - Russian.pdf PDF file, less than 1mbmegabytes Renewal Reminder - Chinese.pdf PDF file, less than 1mbmegabytes Renewal Reminder - Swahili.pdf PDF file, less than 1mbmegabytes Email Undeliverable 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: Email Failure Notice - Spanish.pdf PDF file, less than 1mbmegabytes Email Failure Notice - English.pdf PDF file, less than 1mbmegabytes Email Failure Notice - Portuguese.pdf PDF file, less than 1mbmegabytes Email Failure Notice - Arabic.pdf PDF file, less than 1mbmegabytes Email Failure Notice - Cape Verdean Creole.pdf PDF file, less than 1mbmegabytes Email Failure Notice - French.pdf PDF file, less than 1mbmegabytes Email Failure Notice - Haitian Creole.pdf PDF file, less than 1mbmegabytes Email Failure Notice - Khmer.pdf PDF file, less than 1mbmegabytes Email Failure Notice - Lao.pdf PDF file, less than 1mbmegabytes Email Failure Notice - Russian.pdf PDF file, less than 1mbmegabytes Email Failure Notice - Chinese.pdf PDF file, less than 1mbmegabytes Email Failure Notice - Swahili.pdf PDF file, less than 1mbmegabytes 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. Supplemental Security Income (SSI) See the notice: Notice 2 for SSI - English PDF file, less than 1mbmegabytes Notice 2 for SSI - Portuguese PDF file, less than 1mbmegabytes Notice 2 for SSI - Spanish PDF file, less than 1mbmegabytes Notice 2 for SSI - Arabic.pdf PDF file, less than 1mbmegabytes Notice 2 for SSI - Cape Verdean Creole.pdf PDF file, less than 1mbmegabytes Notice 2 for SSI - French.pdf PDF file, less than 1mbmegabytes Notice 2 for SSI - Haitian Creole.pdf PDF file, less than 1mbmegabytes Notice 2 for SSI - Khmer.pdf PDF file, less than 1mbmegabytes Notice 2 for SSI - Lao.pdf PDF file, less than 1mbmegabytes Notice 2 for SSI - Russian.pdf PDF file, less than 1mbmegabytes Notice 2 for SSI - Chinese.pdf PDF file, less than 1mbmegabytes Notice 2 for SSI - Swahili.pdf PDF file, less than 1mbmegabytes Department of Children, Youth, and Families (DCYF) See the notice: Notice 2 for DCYF - English PDF file, less than 1mbmegabytes Notice 2 for DCYF - Portuguese PDF file, less than 1mbmegabytes Notice 2 for DCYF - Spanish PDF file, less than 1mbmegabytes Notice 2 for DCYF - Arabic.pdf PDF file, less than 1mbmegabytes Notice 2 for DCYF - Cape Verdean Creole.pdf PDF file, less than 1mbmegabytes Notice 2 for DCYF - French.pdf PDF file, less than 1mbmegabytes Notice 2 for DCYF - Haitian Creole.pdf PDF file, less than 1mbmegabytes Notice 2 for DCYF - Khmer.pdf PDF file, less than 1mbmegabytes Notice 2 for DCYF - Lao.pdf PDF file, less than 1mbmegabytes Notice 2 for DCYF - Russian.pdf PDF file, less than 1mbmegabytes Notice 2 for DCYF - Chinese.pdf PDF file, less than 1mbmegabytes Notice 2 for DCYF - Swahili.pdf PDF file, less than 1mbmegabytes 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. Medicaid Eligibility Termination 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): Medicaid Eligibility Terminated-Auto-Enrollment-English.pdf PDF file, about 2mbmegabytes Medicaid Eligibility Terminated-Auto-Enrollment-Portuguese.pdf PDF file, about 2mbmegabytes Medicaid Eligibility Terminated-Auto-Enrollment-Spanish.pdf PDF file, about 1mbmegabytes Medicaid Eligibility Terminated-Auto-Enrollment-Arabic.pdf PDF file, less than 1mbmegabytes Medicaid Eligibility Terminated-Auto-Enrollment-Cape Verdean Creole.pdf PDF file, less than 1mbmegabytes Medicaid Eligibility Terminated-Auto-Enrollment-French.pdf PDF file, less than 1mbmegabytes Medicaid Eligibility Terminated-Auto-Enrollment-Haitian Creole.pdf PDF file, less than 1mbmegabytes Medicaid Eligibility Terminated-Auto-Enrollment-Khmer.pdf PDF file, less than 1mbmegabytes Medicaid Eligibility Terminated-Auto-Enrollment-Lao.pdf PDF file, less than 1mbmegabytes Medicaid Eligibility Terminated-Auto-Enrollment-Russian.pdf PDF file, less than 1mbmegabytes Medicaid Eligibility Terminated-Auto-Enrollment-Chinese.pdf PDF file, less than 1mbmegabytes Medicaid Eligibility Terminated-Auto-Enrollment-Swahili.pdf PDF file, less than 1mbmegabytes
Recertification/Renewal Notice (Action Required)-Cape Verdean Creole.pdf PDF file, about 2mbmegabytes
LTSS Recertification Renewal Notice (Report Changes Only)-Portuguese.pdf PDF file, about 2mbmegabytes
LTSS Recertification Renewal Notice (Report Changes Only)-Arabic.pdf PDF file, less than 1mbmegabytes
LTSS Recertification Renewal Notice (Report Changes Only)-Cape Verdean Creole.pdf PDF file, less than 1mbmegabytes
LTSS Recertification Renewal Notice (Report Changes Only)-French.pdf PDF file, less than 1mbmegabytes
LTSS Recertification Renewal Notice (Report Changes Only)-Haitian Creole.pdf PDF file, less than 1mbmegabytes
LTSS Recertification Renewal Notice (Report Changes Only)-Russian.pdf PDF file, less than 1mbmegabytes
LTSS Recertification Renewal Notice (Report Changes Only)-Chinese.pdf PDF file, less than 1mbmegabytes
LTSS Recertification Renewal Notice (Report Changes Only)-Swahili.pdf PDF file, less than 1mbmegabytes
LTSS Recertification Renewal Notice (Action Required)-Cape Verdean Creole.pdf PDF file, less than 1mbmegabytes
LTSS Recertification Renewal Notice (Action Required)-Haitian Creole.pdf PDF file, less than 1mbmegabytes
MPP Recertification Renewal Notice (Report Changes Only)-Cape Verdean Creole.pdf PDF file, less than 1mbmegabytes
MPP Recertification Renewal Notice (Report Changes Only)-Haitian Creole.pdf PDF file, less than 1mbmegabytes
MPP Recertification Renewal Notice (Report Changes Only)-Russian.pdf PDF file, less than 1mbmegabytes
MPP Recertification Renewal Notice (Report Changes Only)-Chinese.pdf PDF file, less than 1mbmegabytes
MPP Recertification Renewal Notice (Report Changes Only)-Swahili.pdf PDF file, less than 1mbmegabytes
MPP Recertification Renewal Notice (Action Required)-Cape Verdean Creole.pdf PDF file, less than 1mbmegabytes
MPP Recertification Renewal Notice (Action Required)-Haitian Creole.pdf PDF file, less than 1mbmegabytes
Medicaid Eligibility Terminated-Auto-Enrollment-Cape Verdean Creole.pdf PDF file, less than 1mbmegabytes