Rhode Island Medicaid Program Overview
Enrollment, funding, and managed care facts for Rhode Island Medicaid.
Get Rhode Island's Medicaid Fee Schedule →Enrollment
Rhode Island Medicaid covered approximately 0.29-0.32M people. Two independent sources give total Rhode Island Medicaid/CHIP enrollment figures from different periods: KFF's state indicator (285,146, May 2026) and CMS's 2024 Medicaid Managed Care Enrollment and Program Characteristics report (317,797 total Medicaid enrollees, ~2024 data). Two additional figures found this pass -- healthinsurance.org (303,480, October 2025) and RI EOHHS's own SFY2023 Medicaid Expenditure Report (average monthly full-benefit enrollment of 366,082, SFY2023, a different scope/period) -- were not used to narrow the range further, but are consistent with a decline pattern from 2023-2024 data toward 2025-2026 figures (post-pandemic unwinding).
Funding & federal match
Rhode Island has adopted ACA Medicaid expansion, effective 2014-01-01.
For FFY2026 (Oct 1, 2025 - Sep 30, 2026), Rhode Island's Federal Medical Assistance Percentage (FMAP) is 57.5%.
Delivery system & managed care
A large share of Rhode Island Medicaid is delivered through managed care organizations (MCOs) rather than fee-for-service — estimates range from 84.2-84.21% of Medicaid enrollees.
Has Rhode Island expanded Medicaid under the ACA?
Yes. Rhode Island has adopted ACA Medicaid expansion. Effective 2014-01-01.
How many people are enrolled in Rhode Island Medicaid?
Approximately 0.29-0.32M people.
What percentage of the federal Medicaid match does Rhode Island receive?
57.5% for FFY2026 (Oct 1, 2025 - Sep 30, 2026) — meaning the federal government pays roughly 58 cents of every Rhode Island Medicaid dollar, and the state pays the rest.
Is most of Rhode Island Medicaid delivered through managed care?
Estimates range from 84.2-84.21% of Medicaid enrollees in managed care.
Get Rhode Island's Free Medicaid Fee Schedule
Request actual Rhode Island Medicaid reimbursement rates by billing code — free, delivered as a CSV.
Sources
- KFF State Health Facts - Total Monthly Medicaid & CHIP Enrollment
- CMS - Medicaid Managed Care Enrollment and Program Characteristics, 2024
- Federal Register / GPO - Federal Financial Participation in State Assistance Expenditures, FFY2026 FMAP Notice (2024-27910)
- KFF State Health Facts - Federal Matching Rate (FMAP) for Medicaid
- KFF - Status of State Medicaid Expansion Decisions
- healthinsurance.org - Medicaid eligibility and enrollment in Rhode Island
- MACPAC - MACStats Medicaid and CHIP Data Book, Exhibit 29 (Percentage of Medicaid Enrollees in Managed Care by State, July 1, 2022)
Data last verified 2026-09-17. Also see our free Medicaid Fee Schedule tool.