The purpose of the Division of Medicaid and Medical Assistance is to provide health care coverage to individuals with low incomes and those with disabilities and to ensure access to high quality, cost effective and appropriate medical care and supportive services.
In response to the Centers for Medicare and Medicaid Services (CMS) promulgating a rule which for the first time defines the standard of being "community-based," Delaware - and the individuals and families we serve - is committed to the goals of enhancing the quality of home and community-based services (HCBS) and ensuring full access to the benefits of community living.
The Department of Health and Social Services (DHSS) is driven by core values that enhance individuals' access to the least-restrictive environments, promotes individual choice, and engages families and significant others. DHSS has and will continue to engage stakeholders, and will continue to facilitate and promote a robust stakeholder process as the State conducts activities toward implementation of the final rule.Consistent with transparency requirements, the State conducted two public hearings and incorporated public responses into the final submission.
Please follow the link below in our “Featured Services” section to access the Transition Plan and additional information on the HCBS Community Rule.
Questions and Answers for Your New MCO
Continuing your care into 2015: The Continuity of Care period is to allow time for you to adjust your new Health Plan and Providers.
This period is 90 Days. Your services will continue through March 31, 2015, or until your Managed Care Provider updates your care plan or contacts you.
If you are not satisfied with your new Managed Care provider, you have until March 31st to make changes by calling the Health Benefits Manager at 800-996-9969
For more information about Pharmacy Benefits, please select Pharmacy FAQs
For more information, please select the link for your new MCO: