-for DHS programs
-for LTSS
LTSS - Ways to Apply
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.
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:
Need to report a change? Please fill out the following form and return it to the address listed on the top of the form.