State Medicaid Programs are no longer required to send out Form Ten Ninety-Five B (1095B) for Medicaid enrollees. This is due to the changes in the federal mandate requiring individuals to have healthcare coverage. Therefore, you will not be mailed a Form 1095B for tax year 2019. If you still want a Form 1095B for other reasons, you may request one by calling 1-855-MY-RI-DHS, emailing ohhs.1095B@ohhs.ri.gov or sending a request in writing to:
ATTN 330B
Executive Office of Health and Human Services
3 West Road
Cranston, RI 02920
Please include your full name, date of birth, mailing address and Medicaid ID number, if known, in your request.
To help further spread the word, DHS and other State agencies are reaching out to tax preparers and Medicaid recipients by a variety of means including website posts, social media alerts and ROBO phone calls.