Forms

DD Billing Manual: This is a “living document,” and will continue to be treated as such. We will update and make changes to increase the validity and utilization of the billing manual. Please direct any comments to Lori Mota by email at [email protected].

Eligibility Form
Application for Assistance-Medicaid Waiver
Finance Forms
Medical Forms
Financial Resources

Provider Forms

Residential Services Forms
Variance Forms
Individualized Planning Tools
Note: Adobe Reader

To fill-in a PDF application on your computer, you will need Adobe Reader software installed on your computer. There is no cost to install Adobe Reader and is available here.

You may also print the application, fill it out and mail to the BHDDH, Division of Developmental Disabilities, 6 Harrington Hall, Cranston, RI 02920.