Medicaid Provider Enrollment Overview

Delaware offers 3 Medicaid waiver programs for home care agencies. The state Medicaid program is administered by Delaware Division of Medicaid and Medical Assistance (DMMA). Currently, Delaware is actively enrolling new home care providers.

The average enrollment timeline is 60-90 days from initial application to receiving your first client. With medium demand for home care services, Delaware represents a solid opportunity for agencies looking to serve Medicaid clients.

Delaware Medicaid Waiver Programs

Home care agencies in Delaware can enroll in the following waiver programs. Each program serves different populations and has specific service requirements.

1

DSHP Plus Long Term Care Community (LTCC)

1115 Waiver

Managed long-term care services

2

Diamond State Health Plan Plus

1115 Waiver

Comprehensive managed care including HCBS

3

Pathways to Employment Waiver

1915(c) Waiver

Employment support services

Delaware Provider Requirements

To become a Medicaid provider in Delaware, your home care agency must meet the following requirements:

  • Delaware business license
  • Home health agency license from DHSS
  • Criminal background checks
  • Professional liability insurance
  • Administrator with required qualifications
  • Quality improvement plan

Step-by-Step Enrollment Process

Follow these steps to enroll as a Medicaid waiver provider in Delaware:

1

Obtain Delaware home health agency license

2

Apply for NPI

3

Complete Delaware Medicaid provider enrollment

4

Contract with MCO plans (Highmark, AmeriHealth)

5

Submit credentialing packets

6

Pass readiness review