LTSS: No Wrong Door

The Rhode Island Executive Office of Health and Human Services (EOHHS) is leading a multi-phase, interagency project to redesign the State’s long-term care system to align with the person-centered principles of “No Wrong Door” (NWD) advanced by the Federal Administration for Community Living.  

The EOHHS is currently implementing Phase I of this effort, which focuses on enhancing pre-eligibility functions that assist people in need of or at-risk for long-term services and supports (LTSS) without regard to the payer source. The centerpiece of Phase I is implementing a statewide network to provide person-centered options counseling (PCOC), an interactive decision-support process to support consumers in making informed LTSS decisions. Our goal is to ensure that every Rhode Islander has access to PCOC to help them decide whether LTSS is necessary and, if so, which pathway and service options best suit their needs. 

The materials posted below provide additional context and information regarding Rhode Island’s No Wrong Door System Three Phase Strategic Plan and PCOC. For questions regarding this effort, please email