Rhode Island Department of Human Services
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Medical Assistance Application


The following applications and forms are used in applying for Medical Assistance if you are an adult with a disability or if you are over 65 years old and do not qualify for Medicare. Please use the RIte Care/RIte Share Application for families with children under age 19.

To apply, please call your local DHS Office. A DHS worker will help you complete the application and answer your questions about Medical Assistance.