-for DHS programs
-for LTSS
-including link to
DHS Provider Search
Click below for OHHS Application packets used for determining eligibility for Medicaid Long Term Care (or Long Term Services and Supports - LTSS):
Help with renewing your Medicaid LTSS Benefits
LTSS - Ways to Apply
To apply for Long Term Services and Supports, mail documents and the DHS-2 Application for Assistance to: DHS, P.O. Box 8709, Cranston, RI 02920-8787.
When applying for health coverage, remember to RETURN THE COVER SHEET WITH THE COMPLETED APPLICATION FOR ASSISTANCE.
The Application for Assistance Cover Sheet is available in pdf format and can be viewed on the Application for Assistance Cover Sheet page.
DHS-2 Application for Assistance (used for all programs)
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.
Need to report a change? Please fill out the following form and return it to the address listed on the top of the form.
To apply for Medicaid (including LTSS and other human services programs), you may also contact your local DHS office.
If you do not have Adobe PDF software or access to a printer, please call your local DHS office to apply now.
