Rhode Island Department of Human Services

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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.
  • Personal Choice Program - individuals over age 65 who qualify for Medicaid LTC (highest or high Level of Care) may be able to receive self-directed home and community-based services using a “cash and counseling model.” Please contact the agencies below for more information or see fact sheet.
    Pari Independent Living Center (401) 725-1966 voice/TTY
    Tri-Town Community Action Program (401) 349-5760