LTSS Provider Forms- Rhode Island -Department of Human Services

DHS News and Press

12/23/2019 12:00 EST

DHS Website has a host of Helpful Resources

The Department of Human Services (DHS) has recently added two additional resources to further help our customers and others assisting our customers with the benefits and programs they need to thrive at home, work and in the community. If you are helping a loved one or resident living in your...

12/13/2019 13:15 EST

Holiday Hours for the Office of Child Care

CRANSTON, RI The Office of Child Care, including its Child Care Licensing team, will be closed for walk-ins from December 24, 2019 through January 2, 2020. With the exception of Christmas Day (December 25, 2019) and New Year's Day (January 1, 2020), the Child Care staff will have limited...

10/22/2019 12:30 EDT

Alert of a Caller ID Scam

October 22, 2019 WARNING: DHS was notified today by a customer that he had received a telephone call from a person whose Caller ID number reflected the DHS toll free number (1-855-697-4347). The caller may have identified themselves as working for DHS, and attempted to obtain personal and...

10/11/2019 10:15 EDT

Coming Soon - Rhode Island Works Benefits Without Interruption for 48 Months

The RI Department of Human Services was successful this year with getting legislation passed that eliminates a 24-month time limit in our Rhode Island Works (RIW) program. Rhode Island Works is the state's Temporary Assistance for Needy Families (TANF) program, a federal block grant that gives...

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Photo of a caretaker giving an elderly woman a birthday cake. Located on the LTC Provider Forms Page.

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Click below for OHHS Application packets used for determining eligibility for Medicaid Long Term Care (or Long Term Services and Supports - LTSS):

Medicaid LTSS Applications

Help with renewing your Medicaid LTSS Benefits

Medicaid LTSS Renewal Checklist

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Medical Evaluation of Applicant for Level of Care (GW-OMR-PM-1)

Nursing Home Transition Program Referral Form Submitted by Nursing Homes (GW-REF)

Instructions for Completing GW-REF

The DHS Provider Search has been created to assist in locating Medical Assistance doctors, specialist, therapist, and other supporting services. This list does not guarantee the provider is currently accepting new Medicaid clients. If you are a Managed Care client, please contact your health plan for participating providers.

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