Rhode Island Medicaid Eligibility Calculator (2026)
RIte Care covers Rhode Island children up to $6,056 a month for a family of three, CHIP pregnancy coverage reaches $5,874, and adults qualify up to $1,836.
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Eligibility checklist
Pregnancy through CHIP
Medicaid covers pregnancy to 190% of the poverty line; Rhode Island then uses CHIP — both a pregnancy group and the from-conception option — up to 253%.[MACPAC]
Children are covered by Medicaid to 190% (babies) or 142% and 133% (older ages), and CHIP funds extend all of them to 261% inside Medicaid.[MACPAC]
| Group | FPL | 1 | 2 | 3 | 4 | 6 |
|---|---|---|---|---|---|---|
| Adults 19–64 | 138% | $1,836 | $2,489 | $3,142 | $3,795 | $5,102 |
| Pregnancy | 258% | $3,432 | $4,653 | $5,874 | $7,095 | $9,538 |
| Children | 266% | $3,538 | $4,797 | $6,056 | $7,315 | $9,834 |
Parents and older adults
The parent/caretaker standard is 116% of the poverty line before the expansion takes over.[MACPAC] For older adults Rhode Island’s medically needy level is about 89% of the poverty line, among the highest in the country, alongside a 100% poverty-level pathway.[MACPAC]
Postpartum
Rhode Island’s 12-month postpartum extension was approved April 20, 2023.[KFF] Newborns are deemed eligible to 190% under Medicaid or 253% under CHIP, matching the two pregnancy layers.[MACPAC]
Rhode Islanders on SSI get Medicaid without a separate state decision (a Section 1634 state), and nursing-home or waiver applicants qualify with income up to $2,982 a month in 2026 — three times the SSI rate.[MACPAC][SSA]
Applying
Apply through HealthyRhode; the Executive Office of Health and Human Services runs Medicaid.
Worked example
A Providence couple expecting a baby (three people for Medicaid) earns $5,300 a month. That is 232.8% of the poverty line for 3.
| Pregnant | RIte Care | $5,874 |
| Adult 19–64 | over by $2,158 | $3,142 |
Nearby: Massachusetts · Connecticut. How limits are applied · HealthyRhode · Report a correction