Forms & Applications

To gain access to benefits and/or assistance, most health and human services programs administered by EOHHS and the departments require the completion of an application. The application materials and forms for all Medicaid programs are located in the list below. We have also included application materials for programs administered by the EOHHS departments, if available. You should always check the website of the department that operates the program of interest to you to be sure you have the most updated application materials available.

Forms and Applications A-Z
All documents are in pdf format  PDF 

Health Insurance Coverage- Applications




74 West Road | Cranston, RI 02920 | Contact Us | Directions
©, Executive Office of Health & Human Services.
Sitemap | Privacy Policy