Long Term Services and Supports (LTSS) involves a variety of services designed to meet a person’s health or personal care needs. These services help people live as independently and safely as possible when they can no longer perform everyday activities on their own.

For information on choosing the right setting for you or your family member, click here.

For information on Home and Community Based settings click here.

For all forms to apply for LTSS, click here. The page also includes the Application for Assistance Cover Sheet when applying for health coverage, contact information to staff, and agencies who can support and answer questions for those applying.

Here is a Verification Checklist to also assist with applying. The following Renewals Checklist and LTSS Renewal FAQ may be helpful as well.

Individuals must meet both the financial and clinical level of care requirements in order to qualify for Medicaid & LTSS.

• Basic Eligibility Requirements
• 1. Residency:
• You must reside in Rhode Island
• 2. Financial
• LTSS will assess the income and assets of applicant and their spouse. You may be asked to provide verification of income, property, resources and other necessary information if requested
• a. Your countable resources may not exceed $4,000 for an individual
• 3. You must meet the Level of Care

Remember: When printing the appropriate application and instructions (if needed), fill it out as completely as possible.

Pleasemail the completed application to the RI Department of Human Services, P.O. Box 8709, Cranston, RI 02920-8787.

If you meet the clinical and financial criteria for Medicaid-funded long term care, your care will be delivered through one of the following options:

• 1. Managed long term care: "Rhody Health Options,” PACE or "Connect Care Choice Community Partners."
• 2. Fee-for-service: You can get your LTSS through a fee-for-service system. Under this system, you may choose the agency or provider who delivers the service(s).
• 3. Self-direction: You and/or your family can purchase home and community-based services on your own through a self-direction service delivery system. Under this option, you will receive help to develop a budget for the services in your authorized plan of care. You will then be connected to an agency – a "fiscal intermediary" – that will help you pay for your needed services.

Need to report a change? Please fill out the following form and return it to the address listed on the top of the form.

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