Medicaid Provider Enrollment Overview
Rhode Island offers 3 Medicaid waiver programs for home care agencies. The state Medicaid program is administered by Rhode Island Executive Office of Health and Human Services. Currently, Rhode Island is actively enrolling new home care providers.
The average enrollment timeline is 60-90 days from initial application to receiving your first client. With medium demand for home care services, Rhode Island represents a solid opportunity for agencies looking to serve Medicaid clients.
Rhode Island Medicaid Waiver Programs
Home care agencies in Rhode Island can enroll in the following waiver programs. Each program serves different populations and has specific service requirements.
Rhode Island Comprehensive Section 1115 Waiver
1115 WaiverComprehensive managed care including LTSS
Home and Community Based Services Program
1915(c) WaiverHCBS for elderly and disabled
Self-Directed Supports
1915(c) WaiverSelf-directed DD services
Rhode Island Provider Requirements
To become a Medicaid provider in Rhode Island, your home care agency must meet the following requirements:
- Rhode Island business registration
- Home Care Provider license from HEALTH
- Criminal background checks (BCI)
- Professional liability insurance
- EOHHS provider standards
- Quality assurance measures
Step-by-Step Enrollment Process
Follow these steps to enroll as a Medicaid waiver provider in Rhode Island:
Obtain Rhode Island provider licensure
Apply for NPI
Complete RI EOHHS Provider Enrollment
Register in MMIS
Contract with MCOs (Neighborhood, UHC, Tufts)
Complete required training