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.
Frequently Asked Questions
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.