Long-term care benefit eligibility is one of the most complex areas of Medicaid. Because Medicaid is a program for the poor or near-poor, there is a rigorous eligibility determination process, in part to help ensure that applicants are not attempting to gain benefits by inappropriate divesting of assets.
This section of the website provides links to various materials we hope you find helpful in understanding Medicaid long-term care and related matters.
**New Medicaid Long-Term Care Application Process at DSS**
To better serve our applicants, clients and providers, effective October 1, 2013, DSS has launched four Long-Term Care Application Centers. The Centers will receive and process new applications from specific cities and towns for nursing home and Medicaid waiver home care applications.
The Long-Term Care Application Centers are located in the DSS Waterbury, Bridgeport, Hartford and New Haven field offices. Please check this table
for which Application Center to use, based on your city or town.
Application packets with as much documentation as possible should be mailed directly to the appropriate Long-Term Care Application Center
. Please discontinue mailing new applications to the DSS ConneCT Scanning Center. We cannot accept applications by fax because of the size and volume of most LTC applications. (In the near future, we will begin accepting applications online; these will be electronically routed, based on the address of the applicant, to the appropriate Long-Term Care Application Center. More information will be posted as it becomes available.)
Please note that these centers are processing new applications only. Long-term care redeterminations and interim changes, as well as boarding home and residential care home applications and redeterminations, will continue to be processed through the statewide ConneCT model. This means that all paperwork for redeterminations and interim changes, as well as boarding home applications and redeterminations, should be sent to the DSS ConneCT Scanning Center at P.O. Box 1320, Manchester CT 06045 (not to the new Long-Term Care Application Centers).
The Long-Term Care Application Centers also support admissions and discharges affecting area nursing homes in the ASCEND system.
For questions specific to a pending case, clients may call the assigned caseworker directly. Applicants will be provided a worker’s contact information once the case is assigned. For all other general calls or questions, the DSS Benefits Center staff will be happy to serve you at 1-855-6-CONNECT (1-855-626-6632).
For more information, please follow these links for brochure on Long-Term Care:
If you or a loved one are in an institutionalized setting, such as a nursing home, and would like to learn more about your options to move to your community, read more. Connecticut has transition services to assist people based on their individual needs. Even if you don’t qualify for the Money Follows the Person program, there are other services the Department may offer to assist you. Complete an application to access services.
Long Term Care Ombudsman Program
The Long Term Care Ombudsman Program works to improve the quality of life and quality of care of Connecticut residents living in long term care facilities. Ombudsman activity is performed on behalf of, and at the direction of residents. The Ombudsman Program responds to, and investigates complaints brought forward by residents, family members, and/or other individuals acting on their behalf and all communication is held in strict confidence. The Program brings residents to the forefront to voice their concerns directly to public officials and supports residents in their quest to shape their own legislative agenda. The Ombudsman Program offers information and consultation to consumers and providers, monitors state and federal laws and regulations, and makes recommendations for improvements.
Alzheimer's Respite Care Program
This program offers relief to stressed caregivers by providing information, support, the development of an appropriate plan of care, and services for the individual with Alzheimer’s disease or related dementias.
National Family Caregiver Support Program
The National Family Caregiver Support Program, created by the Administration on Aging, and established via the reauthorization of the Older Americans Act by the 106th Congress, helps families sustain their efforts to care for older relatives. Under this caregiver program, Connecticut’s State Unit on Aging, the Aging Services Division, works in partnership with the five Area Agencies on Aging.
Connecticut Home Care for Elders (CHCPE)
To be eligible, applicants must be 65 years of age or older, be a CT resident, be at risk of nursing home placement and meet the program’s financial eligibility criteria. To be at risk of nursing home placement means that the applicant needs assistance with critical needs such as bathing, dressing, eating, taking medications and toileting. The CHCPE helps eligible clients continue living at home instead of going to a nursing home. Each applicant’s needs are reviewed to determine if the applicant may remain at home with the help of home care services.
Connecticut Long-Term Care Website
Most people will need assistance with activities of daily living at some point in their lives, whether due to aging, injury, illness or disability. Knowing what kind of help is needed and available and how to obtain it is not an easy task. Whether you need help now or are exploring future options for yourself or a loved one, this web site can assist you. (Please note this is an external website not maintained by the Department of Social Services)