Welcome to the application process for the Connecticut Home Care Program for Elders.
 
The State of Connecticut wants to give you an opportunity to stay home instead of going to a nursing home. That is the purpose of the Home Care Program For Elders. You can find out whether you may qualify for any of the services from this program by completing this Request Form. Persons who qualify for the program will also be required to complete a brief health screen. Once the health screen is completed, someone will contact you within 48 hours to review your screen.

For more details about the Home Care Program For Elders, Click here.

For eligibility requirements, Click here.

Click 'Next' below to proceed with the application.

NOTE: Proceed ONLY if you are prepared to enter income and asset information at this time. You will not be able to come back to the application later.
 
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