The Rhode Island EOHHS (the state Medicaid agency) began a long-term services and supports (LTSS) interagency reform initiative in 2018. Part of that effort included strengthening their No Wrong Door (NWD) System by engaging the LTSS Interagency Redesign Team, an interagency work group that is comprised of EOHHS, the Rhode Island BHDDH, the Rhode Island DHS, and the Rhode Island OHA. The group devised a NWD Three Phase Strategic Plan which includes marketing and outreach, person-centered counseling standardization and training, streamlined access initiatives, and information technology enhancements.