Puerto Rico Medicaid (Puerto Rico Medicaid)
Puerto Rico Medicaid is a vital public health care program that provides essential medical coverage for eligible individuals and families across the island of Puerto Rico. Designed for residents who are unable to afford private health insurance or do not have access to adequate healthcare, this program plays a critical role in promoting health equity and improving public health outcomes in the territory.
Administered by the Puerto Rico government in cooperation with federal agencies, Puerto Rico Medicaid offers a wide range of comprehensive health services tailored to meet the needs of low-income individuals, seniors, children, pregnant women, and people with disabilities. Covered benefits under Puerto Rico Medicaid include:
- Vision care services including eye exams and corrective lenses
- Dental care such as cleanings, fillings, and extractions
- Hospital and emergency room services
- Primary care and specialist visits
- Preventive health screenings and immunizations
- Prescription medication coverage
- Mental and behavioral health services
- Laboratory and diagnostic services
- Long-term care and home health support (for qualifying individuals)
Puerto Rico Medicaid is committed to making healthcare accessible, affordable, and equitable, serving as a critical lifeline for residents facing financial hardship, chronic illness, or disability.
If you need to speak directly with a representative for help with your Medicaid application, eligibility requirements, renewal process, or to verify health benefits and services, you can contact the Puerto Rico Medicaid office at the official phone number: 787-765-2929
Official correspondence, applications, and medical documentation can be mailed to the Puerto Rico Medicaid Program at the following address:
Puerto Rico Medicaid
P.O. Box 70184
San Juan, Puerto Rico 00936-8184
When you call or write to Puerto Rico Medicaid, you can receive support with a wide range of topics including regulatory compliance, certification of eligibility, health plan enrollment, license verification, and access to Medicaid-authorized providers and services.
The Puerto Rico Medicaid Program also supports digital access and may offer an online portal for eligibility screening, application tracking, and service management. This ensures residents can manage their healthcare coverage efficiently and stay informed about important deadlines, updates, and renewal requirements.
Puerto Rico Medicaid Number
What is Puerto Rico Medicaid number?
The official Puerto Rico Medicaid number is 787-765-2929. This is the primary contact number where residents of Puerto Rico can reach the Puerto Rico Medicaid Program to get assistance with a wide variety of Medicaid-related services and inquiries.
By calling 787-765-2929, individuals can speak directly with a live representative from the Puerto Rico Department of Health who can provide information and support on matters such as:
- Medicaid eligibility and enrollment requirements
- Application status and documentation submission
- Renewal deadlines and annual recertification
- Medicaid regulations and compliance issues
- Access to covered healthcare services
- Provider networks and health plan options
- License verification for Medicaid-approved providers
- Medicaid ID card requests or replacements
- Certificates related to Medicaid participation or eligibility
- Safety concerns or reporting Medicaid fraud and abuse
The Puerto Rico Medicaid phone number is an essential resource for current and prospective beneficiaries who require reliable, official information regarding their healthcare coverage. Whether you’re applying for the first time, managing a dependent’s account, or seeking clarification about your coverage, calling this number connects you with trained experts who can guide you through every step.
Puerto Rico Medicaid Benefits
What are Puerto Rico Medicaid benefits?
Puerto Rico Medicaid is a critical public health care program that offers a wide range of essential medical services to eligible residents across Puerto Rico who cannot afford private insurance. Funded jointly by the Puerto Rico government and the federal government, the program is designed to ensure that low-income individuals and families, the elderly, children, pregnant women, and people with disabilities have access to affordable, quality health care.
The benefits of Puerto Rico Medicaid go far beyond basic medical services. Enrolled individuals may receive full or partial coverage for:
- Primary health care and doctor visits
- Hospital care and emergency services
- Vision care, including eye exams and prescription glasses
- Dental services, such as cleanings, fillings, and extractions
- Prescription drug coverage for approved medications
- Mental health services, therapy, and behavioral health support
- Preventive services, screenings, immunizations, and wellness checks
- Pediatric care and early childhood health services
- Long-term care, including nursing home and home health services for eligible beneficiaries
- Specialist visits, diagnostic testing, and lab work
To learn more about what Puerto Rico Medicaid covers, who qualifies, and how to apply, watch this in-depth video guide that walks you through all the essentials, from benefit categories to eligibility requirements and enrollment tips:
Watch now:
This video breaks down the structure of the program and helps you understand whether you qualify, what services you can access, and how to maximize the benefits available to you and your family. Whether you’re applying for the first time or renewing your coverage, the video provides valuable insights into Puerto Rico’s Medicaid system.
The Puerto Rico Medicaid Program plays an essential role in supporting public health by reducing financial barriers to care and ensuring that all eligible residents—regardless of age or income—can receive the treatment they need to lead healthier lives.
Puerto Rico Medicaid Fax Number (Puerto Rico Medicaid Fax Number)
What is Puerto Rico Medicaid fax number?
The official Puerto Rico Medicaid fax number is 787-763-5250. This dedicated fax line allows individuals, healthcare providers, and authorized representatives to send application forms, medical documents, eligibility verification papers, appeals, and other Medicaid-related materials directly to the Puerto Rico Medicaid Program for timely processing.
The Puerto Rico Medicaid fax number is an essential communication channel for those who need to submit official paperwork related to:
- New Medicaid applications
- Medicaid eligibility verification documents
- Income and residency documentation
- Medical referrals or treatment authorizations
- Renewal or redetermination forms
- Proof of identity or citizenship
- Provider billing forms and supporting documents
- Updates to beneficiary or provider information
- Appeals and grievance requests related to Medicaid coverage
- Supporting medical documentation for special needs or services
Sending documents to 787-763-5250 ensures that your submission reaches the appropriate Medicaid office in a secure and efficient manner. To avoid delays or misrouting, it is recommended that you include a clear cover sheet with your name, contact information, case number (if available), and a description of the documents being faxed.
Puerto Rico Medicaid operates under the oversight of the Puerto Rico Department of Health, and the fax line is managed during regular business hours to ensure timely handling of all incoming paperwork. Faxing is often used as a reliable alternative when in-person or email submissions are not feasible, especially for sensitive or time-critical documents.
Puerto Rico Medicaid (Puerto Rico Medicaid) Website
What is Puerto Rico Medicaid website (Puerto Rico Medicaid website)?
The official Puerto Rico Medicaid website is the central online hub where residents can access up-to-date information about the Puerto Rico Medicaid Program, including eligibility requirements, benefits, application guidelines, healthcare provider resources, and regulatory updates. You can access the official website for all Medicaid-related matters, including coverage options, enrollment assistance, license verification, and public safety alerts, by clicking here.
The website, managed by the Puerto Rico Department of Health, provides an easy-to-navigate platform where individuals, families, and healthcare professionals can find vital resources such as:
- Medicaid application forms and renewal instructions
- Eligibility screening tools
- Lists of approved medical providers and clinics
- Updates on Medicaid program changes and healthcare regulations
- Information about covered services (dental, vision, prescriptions, etc.)
- Instructions for accessing Certificates of Medicaid Eligibility
- License verification for Medicaid-approved providers
- Patient safety and health alerts
- Contact details for phone, fax, and mailing communication
- Links to downloadable forms and notices
Whether you’re looking to apply for Puerto Rico Medicaid, check your current status, explore healthcare options, or resolve an issue related to your coverage, the website offers detailed information and the necessary tools to help you manage your Medicaid benefits confidently and efficiently.
If you’re experiencing difficulties navigating the website or need assistance locating specific Medicaid documents or forms, our team at Puerto-Rico-Agencies.com is here to help you at no cost. We can assist with:
- Finding the correct forms or instructions
- Verifying provider or license status
- Clarifying eligibility requirements
- Tracking down updates or regulatory changes
- Submitting inquiries on your behalf
We’ll happily do the leg work for you. Simply use our comments form or visit the contact us page to send your request, and a member of our support team will respond promptly with the information or assistance you need.
At Puerto-Rico-Agencies.com, we are committed to helping you stay informed and connected to the services that matter most—like Puerto Rico Medicaid—with fast, accurate, and easy-to-access information you can trust.
Puerto Rico Medicaid Mailing Address (Puerto Rico Medicaid Mailing Address)
What is Puerto Rico Medicaid mailing address?
The official Puerto Rico Medicaid mailing address is the designated location where individuals, healthcare providers, and authorized representatives can send Medicaid-related documents, including application forms, eligibility verification materials, supporting paperwork, and other official correspondence. All physical mail intended for the Puerto Rico Medicaid Program should be sent to:
Puerto Rico Medicaid
P.O. Box 70184
San Juan, Puerto Rico 00936-8184
This address is managed by the Puerto Rico Department of Health, which oversees the administration of the Puerto Rico Medicaid Program. It serves as the central processing location for all incoming hard-copy documents related to enrollment, renewals, appeals, program eligibility, verification, and Medicaid certifications.
You may use this mailing address to send:
- Initial Medicaid application packets
- Renewal or redetermination forms
- Proof of income, residency, or citizenship
- Requests for Medicaid identification cards
- Medical documents and treatment authorizations
- Provider enrollment and licensing documents
- Appeals, complaints, and grievance forms
- Requests for Certificates of Medicaid Eligibility
- Notices of change in beneficiary or provider information
When mailing documents to Puerto Rico Medicaid, it’s highly recommended to include a cover letter or cover sheet that outlines your request, includes your contact information, and provides any relevant identification numbers or case references. This ensures faster processing and more accurate handling of your paperwork.
The Puerto Rico Medicaid Program is a vital health care initiative designed to serve the needs of low-income individuals and families across Puerto Rico. Mailing documents to the correct address is essential for timely application processing, benefit approval, or compliance updates. The San Juan-based mailing center handles thousands of Medicaid communications each year, and it remains the primary destination for all paper-based Medicaid submissions.
Puerto-Rico-Agencies.com – Your Trusted Source for Accurate and Updated Puerto Rico Medicaid Information
Puerto-Rico-Agencies.com is a leading independent online information hub, created with the sole purpose of providing the most accurate, current, and comprehensive data about Puerto Rico Medicaid and other related Medicaid services. Whether you’re a resident seeking healthcare coverage, a provider looking for regulatory updates, or simply in need of verified contact information, this website is your go-to resource for all things related to Puerto Rico Medicaid (Puerto Rico Medicaid).
Our platform is regularly updated to ensure that users have direct access to the latest details, including:
- Puerto Rico Medicaid phone numbers and fax lines
- Official mailing addresses for document submissions
- Verified email addresses for electronic communication
- Links to the official Puerto Rico Medicaid website
- Instructions for Medicaid applications, renewals, and eligibility requirements
- Information about Medicaid benefits, coverage, and services
- Guidance on regulatory compliance, safety protocols, and license verification
As new information becomes available from the Puerto Rico Department of Health or related agencies, our dedicated team continuously monitors, scans, and verifies each update to ensure everything we publish is 100% accurate and aligned with the latest Medicaid regulations and policies. This helps ensure that you receive reliable and timely guidance for all your Medicaid-related needs.
If you come across new information, changes in contact details, updated procedures, or corrections related to Puerto Rico Medicaid or any other state Medicaid program, we invite you to share it with us. You can easily contact our team by using the comments form below or by visiting the contact us page. Once we verify the information, we will promptly publish the update for the benefit of all users—and send you a note of appreciation for your valuable contribution.
At Puerto-Rico-Agencies.com, we view it as our responsibility and mission to provide verified and up-to-date content to help individuals and professionals navigate Medicaid services confidently. Our goal is to simplify your access to healthcare information and reduce the confusion often associated with complex government programs like Medicaid.
Please note that Puerto-Rico-Agencies.com is an independent informational website and is not affiliated with Puerto Rico Medicaid, the Puerto Rico Department of Health, or any federal, territorial, or local agency, board, office, or department. We operate strictly as a third-party resource dedicated to empowering users with free and easy access to essential government contact details and service information.
Additional Medicaid List
Puerto Rico Board of Nursing
Puerto Rico Vital Records
Puerto Rico DMV
Puerto Rico Inmate Search
Puerto Rico Insurance Department
Puerto Rico Department of Education
Puerto Rico Department of Labor
Puerto Rico Department of Corrections
Puerto Rico Office of The Commissioner of Insurance
Puerto Rico Unemployment Office
Puerto Rico Board of Accountancy
Puerto Rico Board of Medical Licensure and Discipline