Delaware Flag

Managed LTSS Program & State Demonstration to Integrate Care for Dual Eligible Individuals

In 1996, through its Diamond State Health Plan (DSHP) §1115 Medicaid managed care demonstration waiver, the state began mandatorily enrolling most Medicaid recipients into managed care organizations (MCOs) to create efficiencies in the Medicaid program and expand Medicaid coverage. (Source: DSHP Fact Sheet)
Diamond State Health Plan website

In June 2012, through an amendment to its DSHP §1115 Medicaid managed care demonstration waiver, the state began providing LTSS to eligible individuals, including dual eligibles, through a mandated managed care delivery system entitled Diamond State Health Plan Plus (DSHP-Plus). (Source: BNA Register, 6/12/2012; DSHP Fact Sheet)
Waiver Amendment Request Letter to CMS
Current Approval Document

Balancing Incentive Program

Delaware is planning to participate in the Balancing Incentive Program in FY 2014. However, the state has not yet submitted a BIP Application to CMS. (Source: Kaiser BIP website, 6/2014)

Section 1915(i) HCBS State Plan Option

As of June 2014, Delaware has submitted to CMS a proposed §1915(i) HCBS State Plan Amendment known as Pathways to Employment. The proposed program will target youth aged 14 to 25 in certain disability groups and offer an array of employment-related services including: Employment Navigator; career exploration and assessment; supported employment (individual and small group); benefits counseling; financial coaching; non-medical transportation; personal care (including a self-directed component); and orientation, mobility, and assistive technology. The program will seek to ensure more seamless transitions from school to work, and across the array of employment options and supports. (Source: Kaiser HCBS State Plan Option website, 5/2014; State Medicaid website; Pathways to Employment website)
Proposed State Plan Amendment

Health Homes

As of June 2014, the state has not officially submitted a Proposed Health Home State Plan Amendment to CMS, but the state plans to participate in the Health Home State Plan Option in FY 2014. (Source: CMS Health Home Proposal Status website, 6/2014; Kaiser Health Home website, 6/2014)

Disclaimer: This project was supported, in part by grant number 90BC0018, from the U.S. Administration for Community Living, Department of Health and Human Services, Washington, D.C. 20201. Grantees undertaking projects under government sponsorship are encouraged to express freely their findings and conclusions. Points of view or opinions do not, therefore, necessarily represent official Administration for Community Living policy.