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 

NEW APPLICATION FOR MEDICAID AFFORDABLE COVERAGE - Families, Children, Pregnant Women, Adults 19-64 (including RIte Care, RIte Share and Rhody Health Partners)

Forms

Applications

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