I am looking to apply for Eligibility for supports or services for a person with Intellectual Disabi

I am looking to apply for Eligibility for support or services for a person with Intellectual Disability

Contacts

Eligibility

Eligibility Fact Sheet (Eligibility Fact SheetPDF, 90 KB)

Application

To download and print the application:
In English: Application(PDF, 1 MB)
In Spanish: Application Spanish (PDF, 1 MB)
To request an Application to be sent via US Mail:
Email address: DDS.Eligibility@ct.gov
Tel: (860) 418-6117
Toll Free: (866) 433-8192.

Application, Supporting Documents, and Requested information should be submitted to:

Department of Developmental Services

Eligibility Unit

460 Capitol Avenue

Hartford, CT 06106

Fax: 860-622-2797

Email: DDS.Eligibility@ct.gov

How to Apply for Title 19 (Medicaid)

Connect.ct.gov/access
Medicaid (ct.gov)

Forms

Fact Sheets/Resources

Who can assist me

Record Retention Policy: Pursuant to Connecticut General Statute §11-8 and §11-8a, DDS retains records used in the eligibility determination process for 10 (ten) years from the date of application.