Rhode Island Medicaid LTSS: Complete Guide to Eligibility & Home Care Coverage

What Is Rhode Island Medicaid LTSS?

Rhode Island's Medicaid Long-Term Services and Supports (LTSS) program helps eligible seniors and adults with disabilities pay for home care, personal care, and other support services. Administered by the Rhode Island Executive Office of Health and Human Services (EOHHS), LTSS is designed so Rhode Islanders can receive care in their own homes — not just in nursing facilities.

Who Is Eligible?

To qualify for RI Medicaid LTSS home care, you generally must:

• Be a Rhode Island resident
• Meet income and asset requirements (income limits vary by program)
• Need a nursing-facility level of care (functional need)
• Be age 65+ or have a qualifying disability

Dual-Eligible Individuals

Many Rhode Islanders qualify for both Medicare and Medicaid. If you are dual-eligible, you may receive home care through Medicaid with little or no cost to you.

What Does LTSS Cover?

LTSS can cover a wide range of home-based services:

• Personal Care — bathing, dressing, grooming, toileting
• Companion Care — social engagement, supervision, activity support
• Homemaker Services — cooking, cleaning, laundry, grocery shopping
• CNA Care — certified nursing assistant services
• Respite Care — temporary relief for family caregivers
• Adult Day Services — community-based daytime programs

How to Apply

1. Contact EOHHS at (401) 462-5300 or visit eohhs.ri.gov
2. Complete a functional assessment — a care coordinator will assess your needs
3. Receive a care plan — based on your assessment results
4. Choose an approved provider like In Home Wellcare

Neighborhood Health Plan of Rhode Island (NHPRI)

Many Medicaid recipients in Rhode Island are enrolled in Neighborhood Health Plan of Rhode Island (NHPRI). In Home Wellcare is an in-network NHPRI provider, meaning your care may be fully covered with no out-of-pocket cost.

How In Home Wellcare Can Help

Navigating Medicaid can feel overwhelming. Our team at In Home Wellcare helps families throughout Rhode Island — from Providence to Westerly — understand their options, verify eligibility, and complete the paperwork at no cost.

Call us at (401) 402-0076 for a free benefits verification. We serve all 39 Rhode Island towns and cities.

Frequently Asked Questions

Q: How long does it take to get approved? A: The process typically takes 2-8 weeks from initial application. Contact us early — we can often help expedite the process.

Q: Can I keep my current doctor if I use Medicaid home care? A: Yes. Home care through LTSS doesn't affect your primary care physician relationship.

Q: Is there a waiting list? A: Some programs may have waitlists. We recommend applying as early as possible and calling us to discuss your options in the meantime.