Medicaid for Elders and Adults with Disabilities: Community Medicaid (210-RICR-40-05-1)

Regulation Authority:

R.I. Gen. Laws Chapters 40-6 ; 40-8; and 42-35; Title XIX of the Social Security Act
R.I. Gen. Laws § 42-35
R.I. Gen. Laws § 42-7.2
Title XIX of the Social Security Act
R.I. Gen. Laws § 40-8.7

Purpose and Reason:

As part of the FY24 Budget, the RI legislature directed OHHS Medicaid to establish a Medicaid buy-in program for working people with disabilities using the "Ticket to Work" federal Medicaid option. 

People currently enrolled in the Sherlock Plan will not experience any programmatic changes when their program switches to be called Ticket to Work.  For those already on Sherlock, this will amount to a program name change and nothing more. For people under age 65 who earn too much money to qualify for Sherlock, Ticket to Work may be an opportunity to access Medicaid eligibility by paying a monthly premium.  For people over 65, the Sherlock Plan will continue in its current form.  

Although it has the same name, this new Medicaid eligibility program is NOT related to the Social Security Administration's Ticket to Work employment program and does not add new rules about what jobs qualify a person for Medicaid buy-in eligibility.