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.