ApplyApplication packets with as much documentation as possible should be mailed directly to the appropriate Long-Term Services and Supports Application Center. We cannot accept applications by fax because of the size and volume of most LTSS applications.
Application for downloading:
Long-Term Medical Care / Home Care Application (W-1LTC) (218KB)
Solicitud de Cuidado Médico a Largo Plazo / Cuidado en el Hogar (W-1LTCS) (240KB)
To apply online, please visit www.connect.ct.gov, under ‘Apply for Benefits.’
[Please note the LTSS Application Centers that process the new nursing home applications also support admissions and discharges affecting their 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).
The Long-Term Services and Supports Application Centers are processing new applications only. Long-Term Services and Supports 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 Long-Term Services and Supports Application Centers).