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The Rhode Island Home and Community Care Co-Pay Program is a non-Medicaid, state program that provides supportive care services, both in the home and in adult day care, that help individuals remain living in their homes. This program is similar to the Rhode Island's Medicaid program of the same name in terms of some of the services provided. However, there are three major differences. The services/benefits available through the waiver program are more extensive, such as personal emergency response systems and home modifications, financial requirements for the co-pay program are considerably less rigid, and program participants are required to make a co-payment for the services they receive.
Age - applicants must be at least 65 years of age.
Residency - applicants must be legal residents of Rhode Island. No duration of residency or waiting period exists.
Functional Need - applicants must require assistance with their activities of daily living, such as mobility, toiletry, and bathing, and be unable to leave home without assistance.
Financial Need - the 2017 income limits for a single or widowed applicant is $24,120 / year ($2,010 / month) and for a married couple at $32,480 / year ($2,706 / month). Income limits change annually and are pegged at 200% of the Federal Poverty Level. There are no asset limits.
Medicaid Ineligible - the applicant cannot also be eligible and receiving services from Medicaid. More information on RI Medicaid eligibility is here.
The types of assistance included under this program are listed below. Program participants will be charged a co-pay for any services they receive. While services are not provided free of charge, they are provided at rates considerably below the market rate.
This program is administered by the Rhode Island Division of Elderly Affairs. To inquire about eligibility or begin the application process, one should contact their Regional POINT Agency.
One can download the state pocket manual to services here, though it does not contain much information about this program and has not been updated since 2016.