Long Term Care

Medicaid Long Term Care (LTC) services are available for individuals over age 65 and for individuals with disabilities. The types of services available include:

Nursing Home Care or
 

Home and Community Based Services:

• Homemaker/ CNA services
• Environmental modifications
• Special medical equipment
• Meals on Wheels
• Personal Emergency Response Systems  
• Case Management
• Senior Companion
• Assisted Living
• Personal care services (Self-directed care) 
• Respite
• Minor home modifications

Each of the categories listed above (Nursing Home Care and Home and Community Based Services) require a certain Level of Care to qualify. The Levels of Care are Highest need and High need. Only individuals who qualify for the Highest Level of Care are eligible for Nursing Facility care. See Medicaid Long Term Care-Level of Care  for more information. These new needs-based Level of Care criteria became effective on July 1, 2009.

In addition to Level of Care criteria, individuals must also meet financial eligibility criteria to qualify.

How To Apply

Please contact a DHS Long Term Care office or a Department of Elderly Affairs (DEA) Case Management Agency. See below. To view or print the applications/ forms required to apply, see Medical Assistance/ Long Term Care Application. Any of the offices listed below can assist applicants and their families with the application process.

For More Information

• DHS Offices for Long Term Care  
• DEA Case Management Agencies
• DEA Home and Community Care (401) 462-0570
• The Point (401) 462-4444
  
• For information on Preventive Services see, Preventive Level of Care  criteria.

Additonal Programs

The following programs offer many services to individuals with disabilities to make living at home or in the community possible. Please contact the agencies below for more information.

• Personal Choice Program
  This program provides individuals with disabilities who qualify for Medicaid LTC (at the highest or high Level of Care) the opportunity to receive self-directed home and community-based services using a “cash and counseling model.” For more information, see Personal Choice Program fact sheet.
  Pari Independent Living Center (401) 725-1966 voice/TTY
  Tri-Town Community Action Program (401) 349-5760
  
  
• Habilitation Program
  This program provides a community-based alternative for individuals who need a hospital Level of Care. For more information, see Habilitation Program fact sheet.
  Pari Independent Living Center (401) 725-1966 voice/TTY
  Tri-Town Community Action Program (401) 349-5760
  
  
• Developmental Disabilities Program
  This program provides home and community based services to people between 22 and 64 years old who are at risk for residing in an institutional setting (an Intermediate Care Facility for the Mentally Retarded). For more information, please call the Division of Developmental Disabilities at MHRH (401) 462-3234.