Community First

Rhode Island is a “community first” State. The State believes people with developmental disabilities are important to their communities. They deserve the opportunity to live, work, and get services in the community. They have the right to join in the community with people without disabilities. 

This belief is based on the Medicaid rules for Home and Community-Based Services. These rules come from the federal government and cover Medicaid Long-Term Services and Supports (LTSS). Under the rules, people can get services outside of institutions or isolated settings. This may be in their own home or community.  

These rules make sure people get services in the least restrictive setting. They apply to everyone getting services from the Division. People getting services will start working on their service plan by exploring how they can get services in the community first. All services and supports a person gets should be in the least restrictive setting possible. 

This webpage was updated 6/10/25.