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Rhode Island has 8 community health centers across 65 sites serving 220,417 patients — the #35 FQHC state by patients in the national-breadth layer. As an expansion state, Medicaid anchors the safety net, and H.R. 1 work requirements plus the December 2026 funding cliff are the key risks.
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Dates show when each source was published and when we last checked it. Neither date guarantees nothing has changed since; if you spot an error, request a correction.
The full source sweep is overdue by 25 days. Publication dates and partial claim reviews do not reset this clock.
64,499 reported patients
Actual values: 11/12 · source-backed: 8/12
Fields without a value: EHR, reported financials, NPPES operator identity, history.
This public log starts July 14, 2026. Zero logged changes does not mean a page or claim never changed before that date.
2026-08-15 · Added
New source-verified RI development added to the state intelligence feed.
2026-08-02 · Correction
Corrected the work-requirement outreach timing: 42 CFR 435.561(b)(1) and CMS Table 2 do not create a universal August 31 deadline; initial outreach begins in July, August, or September according to the state's selected applicant lookback. The before snapshot preserves the superseded source wording.
2026-07-16 · Added
New tracked RI development added to the state intelligence feed.
2026-07-16 · Added
New tracked RI development added to the state intelligence feed.
2026-07-16 · Added
New tracked RI development added to the state intelligence feed.
2026-07-16 · Added
New tracked RI development added to the state intelligence feed.
2026-07-16 · Added
New tracked RI development added to the state intelligence feed.
2026-07-15 · Correction
Corrected this RI record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · Correction
Corrected this RI record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · Correction
Corrected this RI record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · Correction
Corrected this RI record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · Correction
Corrected this RI record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · Correction
Corrected this RI record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · Correction
Corrected this RI record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · Correction
Corrected this RI record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · Correction
Corrected this RI record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · Correction
Corrected this RI record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · Correction
Corrected this RI record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · Correction
Corrected this RI record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · Correction
Corrected this RI record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · Correction
Corrected this RI record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · Correction
Corrected this RI record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · Correction
Corrected this RI record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · Correction
Corrected this RI record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · Correction
Corrected this RI record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · Correction
Corrected this RI record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
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Rhode Island's eight community health centers provide primary care to more than 220,000 people—about one in five residents, according to the state's congressional delegation. The enacted FY2027 budget includes $19 million to backfill expired enhanced ACA subsidies, approximately $20 million for Medicaid and SNAP eligibility systems and staff, $26 million from all fund sources for hospital DSH payments, and $45.8 million in state funds for OHIC-recommended social and human-services rate increases. Separately, CMS approved a $156,169,931.19 Budget Period 1 Rural Health Transformation award; the state says its rural strategy includes FQHCs as clinical anchors and explicitly funds value-based payment, workforce and health-IT work that includes health centers. These amounts describe distinct enacted or approved funding lanes and are not added together as one health-center award. The state has not published an observed FQHC-specific revenue or patient-access outcome from them.
Patient-weighted across the 8 centers with UDS 2024 data.
Rhode Island law defines advanced practice registered nursing as an independent, expanded scope and identifies APRNs as licensed independent practitioners who must consult or refer when a situation exceeds their expertise. Current nursing regulations authorize a licensed APRN who meets the education requirements to prescribe, order, procure, administer, dispense and furnish permitted substances within the APRN's role and population focus; certified nurse practitioners may prescribe legend drugs and Schedule II–V controlled substances under applicable law. A practice setting may impose narrower protocols. This establishes a state scope baseline, not a promise that every credentialing, payer or facility rule is unrestricted.
Medicaid community-engagement (work) requirements under CMS-2454-IFC (80 hrs/month, full implementation Jan 1, 2027) plus expiry of the enhanced ACA premium tax credits (end of 2025) threaten Rhode Island's expansion population and FQHC Medicaid revenue.
Role implications
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Rhode Island ranks #35 by FQHC patients, with 8 organizations and 65 sites tied to Medicaid work-requirement exposure.
Use this as the board agenda frame: exposure, owner, decision date, and the first source to recheck.
51.3% Medicaid/CHIP, 10.1% uninsured, and 6.6 points below the expansion peer average.
Turn the payer mix into scenarios for PPS, 340B, grants, and patient-volume stress.
29 public ATS rows explicitly located in Rhode Island across 3 current sources; 3 Rhode Island-HQ career sources checked; largest systems and directory links show where hiring capacity may need verification.
Use the state read to pick roles to watch, openings to save, and retention risks to discuss with managers.
Rhode Island combines 220,417 FQHC patients with full practice NP practice context and access pressure from payer mix.
Map the signal to panel access, team-based care, top-of-license planning, and patient-impact follow-up.
RIHCA, state policy context, and the December 31, 2026 CHC Fund cliff define the sources to keep current.
Assign one source owner for state policy, one for federal deadlines, and one for billing/audit implications.
Rhode Island has 8 FQHC employers in the directory and 29 public ATS rows explicitly located in Rhode Island across 3 current sources; 3 Rhode Island-HQ career sources checked to compare before applying.
Use the state context to choose target employers, tailor proof, and save the next job or resource in My Progress.
A quiet fortnight — the newest finding is from 2026-08-11. We check this state's sources regularly; send us a tip if something moved.
29 FQHC job rows explicitly located in Rhode Island in the national snapshot.8 include employer-posted pay.3 current sources contribute explicit state rows; 3 state-HQ sources checked; newest review 2026-09-09.
This observation is unknown: no completed check of the official source is on record. No published match does not mean zero layoffs.
The row count describes the official artifact, not a count of FQHC layoffs. · Official source
Gov. McKee signed a $15.2B budget with ~$20M for Medicaid/SNAP retention systems and $19M to backfill expired ACA subsidies.
The retention infrastructure is the line that determines how many FQHC patients stay covered during the 2027 work-requirement launch.
Primary source · as of 2026-07-14
26 findings on Rhode Island FQHC policy and financing.Newest item: 2026-08-11
Rhode Island's Medicaid update, last revised August 11, says federal changes will end Medicaid coverage for some people who are not U.S. citizens beginning October 1, 2026, and will add work requirements and six-month renewals in 2027 for some adults. The state says most changes concern expansion adults, not every Medicaid member, that it will contact people before changes take effect, and that providers and community partners can help members prepare.
The page does not determine any individual's eligibility, publish a count of people expected to lose coverage, establish an FQHC outreach mandate, or report enrollment, access or clinical outcomes from changes that have not yet taken effect.
Directory-listed Northwest Community Health Care, operating as WellOne Primary Medical and Dental Care, posts Pascoag primary-medical hours of 8:30 a.m.–8 p.m. Monday, Tuesday and Thursday, 8:30 a.m.–6 p.m. Wednesday and 8:30 a.m.–5 p.m. Friday. At the same site, behavioral-health and substance-use-disorder service hours are 7:30 a.m.–7 p.m. Monday, 6 a.m.–7 p.m. Tuesday and Thursday, 8:15 a.m.–7 p.m. Wednesday and 8:15 a.m.–6 p.m. Friday.
WellOne's current homepage separately says it is accepting new patients, while its locations page directs patients to call for appointments. This is a standing schedule observed July 16, not a documented launch or expansion.
It does not establish walk-in or same-day access, guarantee appointments or service availability, or report visits, staffing or FTE, patient capacity, utilization, wait times, costs or outcomes.
Directory-listed Comprehensive Community Action Inc., operating as Comprehensive Community Action Program, posts primary-care schedules at four Rhode Island sites. Cranston is open until 8 p.m. Monday and Tuesday and on alternating Saturdays from 9 a.m.–noon; Coventry is open until 8 p.m. Tuesday; Warwick Health Center is open until 8 p.m. Monday and Wednesday and on alternating Saturdays from 9 a.m.–noon; and Primary Care Partners is open until 8 p.m. Monday and Tuesday and every Saturday from 9 a.m.–noon.
The page also says new patients are welcome and gives an appointment number. This is a standing schedule observed July 16, not a documented launch or expansion. Posted hours do not guarantee appointments, same-day or walk-in access, service or provider availability throughout each window, staffing or FTE, patient capacity, utilization, wait times, costs or outcomes.
The state's member page, updated July 15, says affected expansion adults ages 19–64 will renew every six months beginning in 2027. At renewal, Rhode Island will look back six months and renew coverage when the member met the requirement or qualified for an exemption in at least one month.
Compliance may be shown through at least $580 in monthly pre-tax income or 80 hours of combined qualifying activities, and the state says it will use information on file where available. Members do not need to report now; if documentation is needed, the state says it will send instructions through HealthyRhode and by mail.
The page does not provide an observed disenrollment count.
Attorney General Peter Neronha announced on June 29, 2026 that Rhode Island joined 23 other attorneys general and the governors of Kentucky and Pennsylvania in suing HHS and CMS. The complaint challenges the June 3 interim final rule's interpretation of terms including 'medically frail' and alleges unlawful narrowing, procedural defects, and unconstitutional coercion.
The work-requirement provision begins January 1, 2027. Correction verified August 2: the release described August 31 as a universal notification deadline, but 42 CFR 435.561(b)(1) and CMS Table 2 set initial outreach in July, August, or September according to the state's selected applicant lookback.
The release does not establish Rhode Island's selection; it reports allegations and requested relief, not a court ruling or state coverage-loss count.
A policy-tracking organization reports that Governor McKee signed three measures on June 22, 2026. H 7538 requires providers and facilities using AI solely to document in-person or telehealth visits to notify patients and review the generated documentation for accuracy.
H 7349/S 2197 restricts unlicensed AI therapy and specified provider uses, including independent therapeutic decisions; S 2195/H 7350 requires self-harm and harm-to-others protocols, crisis referrals and annual reporting beginning July 1, 2027. Health centers should review the enacted text and their counsel before implementation; this secondary summary does not establish that every AI tool or use is covered.
The enacted-budget release says $26 million from all fund sources will be distributed to Rhode Island-based hospitals through the established Disproportionate Share Hospital payment to help offset uncompensated-care losses. This is a hospital payment, not a direct FQHC award.
The release does not establish how many patients will become uninsured, how the payment will be divided among hospitals, or whether it changes health-center referrals or patient mix.
Rhode Island's enacted FY2027 budget invests approximately $20 million in information technology, personnel and other resources intended to help residents retain Medicaid and SNAP benefits under H.R. 1 and to maximize federal funding.
The budget release does not allocate that amount to FQHCs, specify a health-center subcontract, or quantify retained coverage. It is state administrative capacity funding; any health-center workflow or referral partnership remains an implementation question.
The Governor's June 12 enacted-budget release identifies $45.8 million in state funds in FY2027 for Office of the Health Insurance Commissioner's recommended rate increases for social and human-services providers. The release does not state a $116 million amount, identify which portion flows to FQHCs, or report an observed staffing or access outcome.
Health centers should use the implementing rate schedules and payer guidance—not this aggregate budget line—to model reimbursement.
Governor McKee's June 12 enacted-budget release says FY2027 provides $19 million to replace expired enhanced ACA subsidies for approximately 20,000 HealthSource RI customers. The state estimates 6,500 people could lose coverage without this investment.
The same release says the budget eliminates the health-insurance fee, estimating nearly $200 in annual premium savings for an average family of four. These are state projections and budget provisions; the release does not report observed retention or health-center utilization outcomes.
Wood River Health's June 10 announcement says it secured $750,000 through the federal fiscal year 2026 appropriations process to renovate its Hope Valley facility. The stated scope includes an expanded and redesigned waiting area, streamlined patient intake, added seating and ADA-compliant improvements; the organization says more than 12,000 people rely on it each year for medical, dental and behavioral health services.
The release documents announced funding and intended work, not completed construction; it provides no construction schedule, total project budget, added clinical capacity or observed access outcome.
In Providence Community Health Centers, Inc. v. Dupuis, No. 2024-287, decided June 5, 2026, the Rhode Island Supreme Court affirmed summary judgment for Warwick's tax assessor. The court held that PCHC's organization-specific exemption applies to property located in Providence, not its Warwick site, and that the general exemption PCHC invoked requires exclusive service to the poor, which the record did not establish.
The opinion records a $155,716.15 liability on the property's 2022 assessment. It resolves this property under the asserted statutes; it does not establish that every off-city FQHC facility is taxable.
Thundermist announced on May 20 that its 37-foot mobile unit was visiting Woonsocket, West Warwick and South County. The unit accepts walk-on visits regardless of insurance or established-patient status and offers basic checkups, screenings, behavioral-health appointments, insurance-enrollment help and referrals.
The release identifies typical staffing and three weekly partner sites, says the three named funders supported the unit, and reports approximately 100 patients had used it so far in 2026. Locations may change, and the release does not report a comparison group or measured access or health outcome.
EOHHS's one-page SFY2027 schedule, updated April 17, 2026, lists medical, behavioral-health and dental encounter rates effective July 1, 2026 for eight named FQHC organizations. Medical and behavioral-health rates range from $257.66 to $319.33 across the listed provider records; dental rates range from $196.69 to $256.98.
The schedule documents rates and effective dates, not paid claims, annual revenue, patient volume or the effect of future coverage changes.
The Brown Daily Herald reported an Urban Institute microsimulation estimating 23,000 to 44,000 fewer Rhode Island Medicaid expansion enrollees, with the range determined by high, middle or low state mitigation assumptions. The article separately reports an October state estimate of about 24,600 people at risk under community-engagement requirements and about 9,000 affected by eligibility changes.
These are modeled or administrative estimates, not observed coverage losses, FQHC patient counts or proof that every disenrollment becomes uncompensated health-center care.
On April 3, Governor McKee called for passage of a proposed $10 million FY2027 hospital-support line intended to offset uncompensated care. The release names Brown University Health, Care New England, South County Health, Landmark Medical, Westerly Hospital and CharterCARE Health Partners.
It also cites earlier primary-care actions, including $6.7 million in recruitment and retention grants, but does not allocate this proposed $10 million to FQHCs or report observed uninsured-patient growth.
The April 2 release says CMS gave final approval to Rhode Island's budget and operational plan and identifies a $156,169,931.19 Budget Period 1 award, 100% federally funded. Among 13 initiatives it lists $32.2 million for value-based payment transition, $28.0 million for workforce, $16.7 million for health IT, $16.2 million for hospital-at-home and $10.2 million for behavioral-health capacity.
Several descriptions explicitly include FQHCs, but the release does not name health-center subawardees, executed contracts, patient counts or realized outcomes. These initiative amounts are uses within the same award, not additional awards.
Ocean State Media reports that about 16,000 existing HealthSource RI customers dropped 2026 coverage while about 6,500 new customers enrolled, producing a net decline of about 9,500, or 20% from 48,000 at the start of open enrollment. It reports that 2026 marketplace premiums doubled on average and that the Rhode Island Health Center Association projects health centers' uninsured share could rise from about 9% to 18%–20%.
The enrollment figures are observed exchange movement; the health-center percentage is a projection, and the article does not assign a $60 million state cost.
Blackstone Valley Community Health Care's Express Health page lists no-appointment, first-come access at 1000 Broad Street in Central Falls from 8:00 a.m. to 8:00 p.m. Monday and Tuesday, 8:00 a.m. to 5:00 p.m. Wednesday through Friday and 8:00 a.m. to 4:30 p.m. Saturday. It says walk-in, same-day and next-day appointments are available, including for community members who are not established BVCHC patients; a January 10, 2026 patient newsletter specifically labels the schedule as extended hours.
This is a published operating schedule, not evidence of utilization, wait-time reduction or emergency-department diversion, and patients should confirm current hours before traveling.
The Governor's December 30 announcement says Rhode Island received more than $156 million and describes a five-year program whose announcement represented the first year. Its preliminary framework covers 18 rural towns and positions FQHCs as clinical anchors while naming value-based care, health IT, workforce and mobile health among the priorities.
The release says the detailed budget and implementation plan still had to be finalized with CMS and reports no subawards or outcomes.
East Bay Community Action Program’s first-party News & Media index lists a November 20, 2025 report that the operator opened a new health clinic for East Providence students and school personnel; a second indexed report dated November 24 describes a health center for students and academic staff. EBCAP’s current locations page separately lists East Bay Health Center, Sweetland Building at 610 Waterman Avenue in East Providence.
The reviewed first-party text does not state an exact first-service date or opening-day service menu, schedule, school eligibility rules, staffing, visit capacity, utilization or outcomes; those details should not be inferred from the index.
Representatives Seth Magaziner and Gabe Amo met on November 13, 2025 with RIHCA and leaders from Providence Community Health Centers, Blackstone Valley Community Health Care, Thundermist, Comprehensive Community Action Program, Wood River Health and East Bay Community Action Program. RIHCA said the eight centers expected uninsured patient volume to rise first from expiring ACA tax credits and later from Medicaid eligibility restrictions, while federal health-center funding had expired and other revenue was decreasing.
This is an advocacy and stakeholder account of anticipated pressure; it supplies no observed 2026 uninsured count or organization-level fiscal loss.
EOHHS's budget-implementation page says Rhode Island Medicaid is updating primary-care reimbursement to align with Medicare rates, effective October 1, 2025 and updated annually. It separately describes a three-year pilot that eliminates prior authorization for non-pharmaceutical services, treatments and procedures ordered by a primary-care provider in the normal course of treatment; implementation guidance and billing-system work were still underway when the page was last updated November 6, 2025.
The page does not say all prior authorizations are eliminated or quantify an FQHC financial or access result.
EOHHS's November 2025 caseload testimony uses claims and administrative proxies to estimate that 32,000 people would be subject to community-engagement rules and assumes 75%—about 24,600, nearly all in expansion—would be at risk of disenrollment. Its FY2027 budget estimate spreads assumed closures across February–July 2027 and calculates a $49.7 million reduction in capitation and other Medicaid payments, including $5.0 million in general revenue.
The testimony repeatedly labels key inputs preliminary and subject to federal guidance. These are budget assumptions, not observed losses, and the document does not allocate the payment reduction to FQHCs.
The Providence Community Health Centers reported on March 6, 2025 that its Broad Street Clinic officially opened for business February 3 at 228 Broad Street, moving from the basement of Crossroads Rhode Island. The first-floor site continues serving patients experiencing homelessness and other community members needing care; the operator lists behavioral-health consultation, nurse case management, community-health-advocate visits, diabetes education, point-of-care testing and services from an independent onsite laboratory.
The operator does not report staffing FTE, visit volume, utilization or patient outcomes. Its exam-room count and language about greater accessibility describe physical features, not a demonstrated capacity or access outcome.
Thundermist Health Center's services page says its pharmacy service works with CVS, Walgreens, Walmart and White Cross to provide discounted prescriptions through 340B to patients who are income eligible. The page supplies no discount amount, drug list, participating-location list or universal eligibility promise.
Patients and care teams should confirm eligibility, the prescription and the participating pharmacy before relying on a discount.
By patients (HRSA UDS 2024). Tap for the full profile.
| Organization | Patients | Sites | Uninsured | Revenue (990) | District |
|---|---|---|---|---|---|
| The Providence Community Health Centers, Inc. Providence | 64,499 | 13 | 11.18% | $123M | RI-01 |
| Thundermist Health Center Woonsocket | 63,168 | 11 | 13.23% | $121M | RI-01 |
| Comprehensive Community Action Inc. Cranston | 21,841 | 8 | 7.05% | $46M | RI-02 |
| Blackstone Valley Community Healthcare I Pawtucket | 20,795 | 9 | 8.41% | — | RI-01 |
| Northwest Community Health Care Pascoag | 17,350 | 7 | 3.27% | $31M | RI-02 |
| Tri-county Community Action Agency Johnston | 11,502 | 3 | 11.04% | $38M | RI-02 |
| East Bay Community Action Program Newport | 10,834 | 10 | 9.37% | $50M | RI-01 |
| Wood River Health Services, Inc. Hope Valley | 10,428 | 4 | 5.75% | $14M | RI-02 |
| District | Representative | Sites |
|---|---|---|
| RI-01 | Gabe Amo | 35 |
| RI-02 | Seth Magaziner | 30 |
Rhode Island ranks #35 by FQHC patients and #45 by organization count among the 57 national-breadth jurisdictions. All 8 centers depend on the federal Community Health Center Fund, authorized only through December 31, 2026.
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FQHC data from the HRSA bulk-sites file + UDS 2024 + IRS 990. State policy profile via NACHC/KFF/AANP. Intelligence items cite primary sources. Federal items apply to all states; state items are Rhode Island-only. Updated 2026-08-26.