The deployment of extremely large aperture arrays (ELAAs) in sixth-generation (6G) networks is expected to shift communications into the near-field regime, where spherical-wave propagation enables distance-aware beamfocusing but remains highly vulnerable to physical blockages that cause non-line-of-sight (NLoS) conditions. To resolve this inherent vulnerability, reconfigurable intelligent surfaces (RIS) can be utilized to circumvent these blockages and effectively establish reliable NLoS communication links. In envisioned deployment scenarios, accurately acquiring instantaneous CSI and predicting sudden blockages is profoundly challenging due to the prohibitive pilot overhead associated with massive passive arrays and the unpredictable mobility of environmental scatterers. To address this, we propose the Dual-Transformer Hierarchical Deep Reinforcement Learning (DT-HDRL) framework, which integrates two specialized transformer models with a two-timescale hierarchical control agent. The first transformer integrates a ray-tracing digital twin prior with distance-aware geometric correction features to yield rapid and precise CSI estimates, while a complementary vision transformer (ViT) processes sequential camera frames to forecast impending blockages prior to link degradation. These predictive outputs are then fed directly into the hierarchical control agent. Within this architecture, a high-level controller processes the slow-timescale blockage predictions to jointly dictate the user transmission path (line-of-sight (LoS) or RIS-assisted NLoS) and RIS active/sleep scheduling, whereas a low-level controller employs the fast-timescale CSI estimates to perform joint base station (BS) beamfocusing and RIS phase-shift optimization.