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R.I. Executive Office of Health and Human Services

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uuid00hjuxb

Namestring
R.I. Executive Office of Health and Human Services
Legal namestring
Executive Office of Health and Human Services, State of Rhode Island
Websiteurl
eohhs.ri.gov
Company typeenum
Private
Founded yearstring
-
Descriptiontext

The R.I. Executive Office of Health and Human Services (EOHHS) is a cabinet-level state government agency of Rhode Island headquartered in Cranston. It is the designated single state authority for administering Medicaid and coordinating health and human services policy across five operating departments: the Department of Children, Youth and Families (DCYF); the Department of Human Services (DHS); the Department of Behavioral Healthcare, Developmental Disabilities and Hospitals (BHDDH); the Rhode Island Department of Health (RIDOH); and the Office of Healthy Aging (OHA). EOHHS oversees programs serving families with children, low-income adults, adults with disabilities, and older adults, with a headcount of 5,001–10,000 employees.

EOHHS operates an integrated technology stack purpose-built for eligibility, claims, and population health management. Core systems include the Medicaid Management Information System (MMIS), the RI Bridges eligibility platform, the HealthFacts RI All-Payer Claims Database, WellSky for home health services, an Electronic Visit Verification (EVV) platform delivered by Sandata Technologies, and an Enterprise Data Ecosystem that builds a de-identified longitudinal record of Rhode Island residents across Medicaid, eligibility, and social services data. EDI/trading-partner services are delivered through Gainwell Technologies. The agency is also the steward of Rhode Island's Olmstead Plan (2025–2030) for community-based integrated care, the Pay for Success Permanent Supportive Housing pilot, and a newly stood-up Beneficiary Advisory Council (BAC).

EOHHS is funded through state appropriations, federal Medicaid matching funds, federal grants, and legal settlements. It does not generate commercial revenue and does not sell to customers in the traditional sense. Notable capital inflows include a $156 million CMS Rural Health Transformation Program award (December 2025, covering federal fiscal years 2026–2030) and $114 million+ in cumulative opioid litigation recoveries from distributors ($90M+), Johnson & Johnson ($21M), McKinsey ($2.5M), Allergan/AbbVie, and Teva. The agency received CMS approval of its Medicaid 1115 Waiver and is preparing for federal Medicaid policy changes effective October 2026 and 2027, including work requirements and more frequent renewals.

Short descriptiontext

Rhode Island's cabinet-level state health and human services agency that administers Medicaid and coordinates five departments (DCYF, DHS, BHDDH, RIDOH, OHA) to deliver integrated services for vulnerable populations across the state.

Operating statusenum
Operating
Ownership categoryenum
Headcount rangeband
5,001–10,000
akta.pro rankint
HeadquartersCranston, United States
HQ citystring
Cranston
HQ countrystring
United States
HQ regionstring
North America
Markets served

Serves global market

Offices1 record

Each record includes

City, Country, Type, Description, Source

Keyword5 values
Medicaid administration, public health services, human services coordination, behavioral health programs, developmental disability services
Industry3 codes
1Public Health Program Administration & Operations
CodeHLAJAMABPrimaryYes
2Healthcare-Linked Social Benefits Administration (e.g., Medicaid/Means-Tested Health Coverage)
CodeBPAIAKAHPrimaryNo
3Care Management & Population Health Program Administration
CodeHLAEALAGPrimaryNo
NAICS code2 codes
  • Administration of Public Health Programs923120
  • Administration of Public Health Programs92312
SIC code3 codes
  • Hospital & Medical Service Plans6324
  • Services-Social Services8300
  • Services-Health Services8000
Product category
State Health and Human Services Administration
Marketing channels5 records

Each record includes

Title, Type, Stage, Description, Source

Distribution channels5 records

Each record includes

Title, Type, Scope, Target buyer, Description, Source

Cost components5 values
Personnel, Operations, Technology or R&D, Infrastructure, Others
GTM typeB2C
B2C
Offering typeServices
Services
Core offering1 text field

The Rhode Island Executive Office of Health and Human Services (EOHHS) administers the state's Medicaid program and coordinates health and human services across Rhode Island. It oversees five core state agencies — the Department of Children, Youth and Families (DCYF), Department of Human Services (DHS), Department of Behavioral Healthcare, Developmental Disabilities and Hospitals (BHDDH), Department of Health (RIDOH), and the Office of Healthy Aging (OHA) — providing integrated benefits and supports to Rhode Island residents.

Differentiator
Functional benefit
Problem solved
Quantifiable outcome1 of 3 values shown
  • By housing high utilizers of the healthcare, criminal justice, and homeless services with Permanent Supportive Housing, there is an estimated annual savings of $15,000-$20,000 per individual
+2 more records
Product and service1 record
1RIte Care Medicaid Program
Scale indicator9 records

Each record includes

Type, Value, Description, Source

Partnership5 partners
Strategic tierCoreTypeStrategic or Co-development Partner
Description

Partner organization for Pay for Success: Permanent Supportive Housing Pilot Program. Contact: [email protected] for program information.

Strategic tierModerateTypeStrategic or Co-development Partner
Description

Engaged as key partner in Rural Health Transformation Program application development with engagement from hospitals, primary care providers, behavioral health agencies, and municipal leaders.

Strategic tierCoreTypeTechnology or Integration
Description

Contracted vendor providing the Electronic Visit Verification (EVV) system for in-home visit scheduling, tracking, and billing to ensure quality of care in home-based services.

Strategic tierCoreTypeTechnology or Integration
Description

Healthcare portal provider for RI Medicaid trading partner enrollment, eligibility verification, claims processing, remittance advice, and prior authorizations.

5Governor's Overdose Prevention and Intervention Task Force
Strategic tierCoreTypeStrategic or Co-development Partner
Description

Key organization coordinating the state's opioid crisis response. Opioid Settlement Advisory Committee works closely with this task force for fund allocation recommendations.

eohhs.ri.gov
Recent move6 records

Each record includes

Date, Type, Title, Description, Source

Expansion highlight6 records

Each record includes

Type, Description

Peers10 records
TypeBroad incumbent
Description

Large state umbrella agency for health and human services with comparable Medicaid managed care, behavioral health, and public health functions, though with non-expansion dynamics differing from Rhode Island.

TypeBroad incumbent
Description

Largest state Medicaid agency in the U.S. (Medi-Cal), with comparable functions in managed care oversight, 1115 waiver authority, and population health programs; a benchmark for Medicaid transformation at scale.

TypeBroad incumbent
Description

State agency administering Medicaid and human services with a comparable integrated approach across multiple program lines, though at significantly larger population scale than Rhode Island.

TypeOthers
Description

Federal regulator and primary funding counterparty; relevant as the upstream entity whose 1115 waiver approvals, Rural Health Transformation awards, and federal Medicaid rules directly shape EOHHS's operating environment.

TypeDirect peer
Description

New England state agency combining health and human services under a single umbrella, with comparable small-state scale and similar Medicaid expansion dynamics.

6Connecticut Department of Social Services
TypeDirect peer
Description

Regional state agency administering Medicaid and human services in a neighboring New England state, operating under similar federal-state framework and serving a comparable population demographic.

7Massachusetts Executive Office of Health and Human Services
TypeDirect peer
Description

Direct peer as the analogous New England state cabinet-level agency administering Medicaid, public health, behavioral health, and human services with similar population-scale programs and 1115 waiver authority.

TypeOthers
Description

Core technology vendor providing EDI and Healthcare Portal infrastructure for RI Medicaid; relevant as a peer-ecosystem participant whose platform supports EOHHS's claims processing and provider enrollment workflows.

TypeDirect peer
Description

New England state cabinet agency administering Medicaid, public health, and human services with a similar small-state, integrated care model and global commitment payments (similar to Rhode Island's managed care structure).

TypeBroad incumbent
Description

Large state public health and Medicaid agency with comparable regulatory functions but at significantly greater scale; relevant for benchmarking program design and 1115 waiver innovation.

Market position
Strengths5 records

Each record includes

Headline, Details, Source

Weaknesses5 records

Each record includes

Headline, Details, Source

Competitive moat5 records

Each record includes

Type, Details

Key risks5 records

Each record includes

Headline, Details, Source

Key highlights6 records

Each record includes

Headline, Details, Source

Customer concentration

Classification, Details

Segment5 records

Each record includes

Title, Type, Primary, Description, Pain point addressed, Use case, Source

Ideal customer profile4 records

Each record includes

Profile, Firmographic size, Sales motion, Sales cycle length, Buying structure, Purchase trigger, Buyer persona, Geography, Industry vertical, Primary use case, Description, Pain points, Evidence proof points, Target buyer

Technology focused
No
API detail
Has APIbool
No

Docs URL, Description

Integration4 records

Each record includes

Title, Type, Description, Source

AI maturity
App detail

Has app

Feature3 records

Each record includes

Title, Differentiator, Description, Source

Core technology
Revenue estimate
Valuation estimate
Number of profiles
Profiles2 records

Each record includes

Name, Designation, Designation category, Overview, Profile commentary, Source

Subsidiaries5 records

Each record includes

Name, Acquired on, Relationship type, Type, Business focus

No data
Funding overview

Funding stage, Last funding date, Total funding USD

Funding rounds

Each record includes

Round, Amount USD, Date, Pre money valuation, Total investors, Investors, News

Investors

Each record includes

Name, Type, Date of entry, Rounds participated, Website

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Each record includes

Name, Acquisition type, Announced date, Completed date, Status, Website, News

Investment

Each record includes

Name, Round, Announced date, Lead investor, Website, News

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

R.I. Executive Office of Health and Human Services

State Health and Human Services Administrationeohhs.ri.gov

Rhode Island's cabinet-level state health and human services agency that administers Medicaid and coordinates five departments (DCYF, DHS, BHDDH, RIDOH, OHA) to deliver integrated services for vulnerable populations across the state.

What R.I. Executive Office of Health and Human Services does

The R.I. Executive Office of Health and Human Services (EOHHS) is a cabinet-level state government agency of Rhode Island headquartered in Cranston. It is the designated single state authority for administering Medicaid and coordinating health and human services policy across five operating departments: the Department of Children, Youth and Families (DCYF); the Department of Human Services (DHS); the Department of Behavioral Healthcare, Developmental Disabilities and Hospitals (BHDDH); the Rhode Island Department of Health (RIDOH); and the Office of Healthy Aging (OHA). EOHHS oversees programs serving families with children, low-income adults, adults with disabilities, and older adults, with a headcount of 5,001–10,000 employees.

EOHHS operates an integrated technology stack purpose-built for eligibility, claims, and population health management. Core systems include the Medicaid Management Information System (MMIS), the RI Bridges eligibility platform, the HealthFacts RI All-Payer Claims Database, WellSky for home health services, an Electronic Visit Verification (EVV) platform delivered by Sandata Technologies, and an Enterprise Data Ecosystem that builds a de-identified longitudinal record of Rhode Island residents across Medicaid, eligibility, and social services data. EDI/trading-partner services are delivered through Gainwell Technologies. The agency is also the steward of Rhode Island's Olmstead Plan (2025–2030) for community-based integrated care, the Pay for Success Permanent Supportive Housing pilot, and a newly stood-up Beneficiary Advisory Council (BAC).

EOHHS is funded through state appropriations, federal Medicaid matching funds, federal grants, and legal settlements. It does not generate commercial revenue and does not sell to customers in the traditional sense. Notable capital inflows include a $156 million CMS Rural Health Transformation Program award (December 2025, covering federal fiscal years 2026–2030) and $114 million+ in cumulative opioid litigation recoveries from distributors ($90M+), Johnson & Johnson ($21M), McKinsey ($2.5M), Allergan/AbbVie, and Teva. The agency received CMS approval of its Medicaid 1115 Waiver and is preparing for federal Medicaid policy changes effective October 2026 and 2027, including work requirements and more frequent renewals.

R.I. Executive Office of Health and Human Services firmographics

Firmographics
Name
R.I. Executive Office of Health and Human Services
Legal name
Executive Office of Health and Human Services, State of Rhode Island
Website
https://eohhs.ri.gov
Company type
Private
Operating status
Operating
Headcount range
5,001–10,000 employees
Short description
Rhode Island's cabinet-level state health and human services agency that administers Medicaid and coordinates five departments (DCYF, DHS, BHDDH, RIDOH, OHA) to deliver integrated services for vulnerable populations across the state.
Ownership category
akta.pro rank

R.I. Executive Office of Health and Human Services industry classification

Industry
Product category
State Health and Human Services Administration
NAICS
Administration of Public Health Programs (923120), Administration of Public Health Programs (92312)
SIC
Hospital & Medical Service Plans (6324), Services-Social Services (8300), Services-Health Services (8000)
akta.pro primary industry
Public Health Program Administration & Operations (HLAJAMAB)
akta.pro secondary industries
Healthcare-Linked Social Benefits Administration (e.g., Medicaid/Means-Tested Health Coverage) (BPAIAKAH), Care Management & Population Health Program Administration (HLAEALAG)

Keywords

  • Medicaid administration
  • Public health services
  • Human services coordination
  • Behavioral health programs
  • Developmental disability services

Where R.I. Executive Office of Health and Human Services is headquartered

Location

Headquarters

HQ city
Cranston
HQ country
United States
HQ region
North America

Offices1 record

Markets served

R.I. Executive Office of Health and Human Services business model

Business model
GTM type
B2C
Offering type
Services
Cost components
Personnel, Operations, Technology or R&D, Infrastructure, Others

Distribution channels5 records

Marketing channels5 records

R.I. Executive Office of Health and Human Services product offering

Product offering

Core offering

The Rhode Island Executive Office of Health and Human Services (EOHHS) administers the state's Medicaid program and coordinates health and human services across Rhode Island. It oversees five core state agencies — the Department of Children, Youth and Families (DCYF), Department of Human Services (DHS), Department of Behavioral Healthcare, Developmental Disabilities and Hospitals (BHDDH), Department of Health (RIDOH), and the Office of Healthy Aging (OHA) — providing integrated benefits and supports to Rhode Island residents.

Differentiator

Problem solved

Functional benefit

Products and services

  • RIte Care Medicaid Program

Quantifiable outcome

  • By housing high utilizers of the healthcare, criminal justice, and homeless services with Permanent Supportive Housing, there is an estimated annual savings of $15,000-$20,000 per individual
  • +2 more outcomes

Companies that use R.I. Executive Office of Health and Human Services

Customer profile

Segments5 records

Ideal customer profiles4 records

R.I. Executive Office of Health and Human Services technology and API

Technology

Technology focussed No

API detail

Has API
No
API docs
API detail

Core technology

AI maturity

App detail

Integration4 records

Feature3 records

R.I. Executive Office of Health and Human Services partnerships and signals

Strategic signal

Partnerships

Five partnerships are on record, tiered core and moderate.

  • Rhode Island Coalition to End HomelessnesscoreStrategic or Co-development PartnerPartner organization for Pay for Success: Permanent Supportive Housing Pilot Program. Contact: [email protected] for program information.
  • Narragansett Indian TribemoderateStrategic or Co-development PartnerEngaged as key partner in Rural Health Transformation Program application development with engagement from hospitals, primary care providers, behavioral health agencies, and municipal leaders.
  • Sandata Technologies, LLCcoreTechnology or IntegrationContracted vendor providing the Electronic Visit Verification (EVV) system for in-home visit scheduling, tracking, and billing to ensure quality of care in home-based services.
  • Gainwell TechnologiescoreTechnology or IntegrationHealthcare portal provider for RI Medicaid trading partner enrollment, eligibility verification, claims processing, remittance advice, and prior authorizations.
  • Governor's Overdose Prevention and Intervention Task ForcecoreStrategic or Co-development PartnerKey organization coordinating the state's opioid crisis response. Opioid Settlement Advisory Committee works closely with this task force for fund allocation recommendations.

Scale indicators9 records

Recent moves6 records

Expansion highlights6 records

R.I. Executive Office of Health and Human Services competitors and assessment

Company assessment

Broad incumbents

  • Texas Health and Human Services Commission: Large state umbrella agency for health and human services with comparable Medicaid managed care, behavioral health, and public health functions, though with non-expansion dynamics differing from Rhode Island.
  • California Department of Health Care Services: Largest state Medicaid agency in the U.S. (Medi-Cal), with comparable functions in managed care oversight, 1115 waiver authority, and population health programs; a benchmark for Medicaid transformation at scale.
  • Pennsylvania Department of Human Services: State agency administering Medicaid and human services with a comparable integrated approach across multiple program lines, though at significantly larger population scale than Rhode Island.
  • New York State Department of Health: Large state public health and Medicaid agency with comparable regulatory functions but at significantly greater scale; relevant for benchmarking program design and 1115 waiver innovation.

Others

  • Centers for Medicare & Medicaid Services (CMS): Federal regulator and primary funding counterparty; relevant as the upstream entity whose 1115 waiver approvals, Rural Health Transformation awards, and federal Medicaid rules directly shape EOHHS's operating environment.
  • Gainwell Technologies: Core technology vendor providing EDI and Healthcare Portal infrastructure for RI Medicaid; relevant as a peer-ecosystem participant whose platform supports EOHHS's claims processing and provider enrollment workflows.

Direct peers

  • New Hampshire Department of Health and Human Services: New England state agency combining health and human services under a single umbrella, with comparable small-state scale and similar Medicaid expansion dynamics.
  • Connecticut Department of Social Services: Regional state agency administering Medicaid and human services in a neighboring New England state, operating under similar federal-state framework and serving a comparable population demographic.
  • Massachusetts Executive Office of Health and Human Services: Direct peer as the analogous New England state cabinet-level agency administering Medicaid, public health, behavioral health, and human services with similar population-scale programs and 1115 waiver authority.
  • Vermont Agency of Human Services: New England state cabinet agency administering Medicaid, public health, and human services with a similar small-state, integrated care model and global commitment payments (similar to Rhode Island's managed care structure).

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

R.I. Executive Office of Health and Human Services social profiles

Digital presence

R.I. Executive Office of Health and Human Services financial estimates

Financial estimate

Revenue estimate

Valuation estimate

R.I. Executive Office of Health and Human Services leadership team

Management profile

Number of profiles

Profiles2 records

R.I. Executive Office of Health and Human Services subsidiaries and ownership

Company hierarchy

Subsidiaries5 records

R.I. Executive Office of Health and Human Services funding detail

Funding detail

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

R.I. Executive Office of Health and Human Services M&A and investment

M&A and investment

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about R.I. Executive Office of Health and Human Services

What does R.I. Executive Office of Health and Human Services do?

The Rhode Island Executive Office of Health and Human Services (EOHHS) administers the state's Medicaid program and coordinates health and human services across Rhode Island. It oversees five core state agencies — the Department of Children, Youth and Families (DCYF), Department of Human Services (DHS), Department of Behavioral Healthcare, Developmental Disabilities and Hospitals (BHDDH), Department of Health (RIDOH), and the Office of Healthy Aging (OHA) — providing integrated benefits and supports to Rhode Island residents.

Is R.I. Executive Office of Health and Human Services a public or private company?

R.I. Executive Office of Health and Human Services is a private company. It is classified as state government owned and is currently operating.

When was R.I. Executive Office of Health and Human Services founded?

R.I. Executive Office of Health and Human Services was founded in -1. It employs 5,001 to 10,000 people.

Where is R.I. Executive Office of Health and Human Services based?

R.I. Executive Office of Health and Human Services is headquartered in Cranston, United States, in the North America region.

Who are R.I. Executive Office of Health and Human Services's main competitors?

Broad incumbents on record are Texas Health and Human Services Commission, California Department of Health Care Services, Pennsylvania Department of Human Services and New York State Department of Health. Others are Centers for Medicare & Medicaid Services (CMS) and Gainwell Technologies. Direct peers are New Hampshire Department of Health and Human Services, Connecticut Department of Social Services, Massachusetts Executive Office of Health and Human Services and Vermont Agency of Human Services.

Does R.I. Executive Office of Health and Human Services have an API?

No public API is recorded for R.I. Executive Office of Health and Human Services.

What industry is R.I. Executive Office of Health and Human Services in?

R.I. Executive Office of Health and Human Services's product category is State Health and Human Services Administration. Its primary akta.pro industry code is HLAJAMAB, Public Health Program Administration & Operations, with a secondary code of BPAIAKAH, Healthcare-Linked Social Benefits Administration (e.g., Medicaid/Means-Tested Health Coverage). Its NAICS code is 923120 and its SIC code is 6324.

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