Here you’ll find applications and forms for programs, services and waivers that are statewide and with a large number of participants:
Forms for Programs, Services and Waivers
Medicaid
SNAP (food stamps), Medicaid, MED-Connect (Medicaid for Employees with Disabilities) and/or cash assistance:
- Downloadable Application W-1 E
- Downloadable Application W-1ES (Spanish)
- Online Application / ConneCT
- Online Application / ConneCT (Spanish)
Long-term Medical Care / Home Care
- Go to the Department of Social Services webpage
- Long-term Care/Waiver Application W-1 LTSS
- Long-term Care/Waiver Application W-1 LTSSS (Spanish)
Community First Choice (CFC) and Money Follows the Person (MFP)
Connecticut Home Care Program for Elders (CHCPE)
