✅ Eligibility Guide

Do You Qualify for RI Medicaid LTSS Home Care?

Many Rhode Island families don't realize they qualify for free or low-cost home care through Medicaid LTSS. Here's exactly what you need to know — in plain language.

Free Eligibility Check: 401-402-0076

The 3 Main Eligibility Requirements

To receive home care services through Rhode Island's Long-Term Services and Supports (LTSS) program, you generally must meet three criteria: residency, financial eligibility, and functional need.

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1. Rhode Island Residency

You must be a current Rhode Island resident and a U.S. citizen or qualified immigrant.

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2. Financial Eligibility

Your income and assets must fall within Medicaid limits. Many people who think they don't qualify actually do.

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3. Functional Need

You must need assistance with daily activities (bathing, dressing, etc.) due to age, disability, or chronic condition.

Who Is Eligible by Category?

Adults 65+

Rhode Island residents age 65 or older who meet income and functional need requirements.

Adults with Disabilities (ages 18 to 64)

Individuals with a documented physical or developmental disability that affects their ability to perform daily activities.

Adults with Chronic Illness

Individuals managing serious chronic conditions (such as dementia, Parkinson's, MS, or ALS) who need ongoing support at home.

Individuals at Risk of Nursing Home Placement

People who would otherwise need nursing facility care but prefer to remain home with community-based supports.

Financial Eligibility (Income & Assets)

Rhode Island LTSS uses Medicaid income and asset rules. These limits change annually, so always verify with the state or call us for a current check.

Income Limits

  • Income limits are based on the Federal Poverty Level (FPL)
  • Social Security income counts toward the limit
  • Certain deductions (medical expenses) can lower your countable income
  • Married couples have different limits than individuals

Asset Limits

  • Your primary home is generally not counted as an asset
  • One vehicle is typically exempt
  • Personal belongings and household items are exempt
  • Cash savings, investments, and second properties are counted

Important: Do not assume you don't qualify based on income alone. Many applicants qualify after allowable deductions and exemptions are applied. Call us and we will help you find out for free.

Functional Need: The Care Assessment

Beyond financial eligibility, the state will evaluate your functional need, meaning your ability to perform Activities of Daily Living (ADLs) independently. A care coordinator from EOHHS will visit your home to conduct this assessment.

They typically assess your ability to independently:

Bathe and shower
Dress and undress
Use the toilet safely
Move around the home
Prepare meals
Manage medications
Handle household tasks
Manage finances
Communicate effectively

Official Eligibility Information

For the most current income thresholds and official criteria, visit the Rhode Island LTSS eligibility page:

Visit dhs.ri.gov – Eligibility & Apply

Let Us Check Your Eligibility — For Free

In Home WellCare has helped hundreds of RI families confirm their LTSS eligibility. One call is all it takes — no obligation, no cost.

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