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Medicaid LTSS Application

The following application packet is used for determining eligibility for Medicaid Long Term Care [or Long Term Services and Supports (LTSS)].  For help with completing the application, see the phone numbers below.

Nursing Home Forms

For help with the application, please call: 

DEA Case Management Agencies

DEA Home and Community Care (401) 462-0570

The Point  (401) 462-4444


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