Medicaid for Elders and Adults with Disabilities: Community Medicaid

210-RICR-40-05-1 PROPOSED RULE

Title 210 Executive Office of Health and Human Services
Chapter 40 Medicaid for Elders and Adults with Disabilities
Subchapter 05 Community Medicaid
Part 1 Medicaid for Elders and Adults with Disabilities: Community Medicaid
Type of Filing Amendment
Regulation Status Proposed
Filing Notice Date 08/27/2026
Public Comment Dates 08/27/2026 to 09/26/2026
Additional Information www.eohhs.ri.gov

Regulation Authority:

R.I. Gen. Laws § 40-6
R.I. Gen. Laws § 40-8
R.I. Gen. Laws § 42-7.2

Purpose and Reason:

This amendment reflects a change in the income eligibility requirements for the Medicare Premium Payment Program that was made in the fiscal year (FY) 2026 Enacted Budget. The FY 2026 Budget increased the effective income limit for the Qualified Medicare Beneficiary (QMB) and Qualifying Individual (QI) eligibility pathways by applying income disregards. The effective income limits increased from 100% of the federal poverty level (FPL) to 125% FPL for QMB, and from 135% FPL to 168% FPL for QI. This amendment includes other technical and clarifying edits.

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