Photo of a caretaker giving an elderly woman a birthday cake. Located on the LTSS Ways to Apply Page.
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LTSS - Ways to Apply

Or you may opt to complete the printable application.

DHS-2 Application (used for all programs)

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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.

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.