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Regulations

The Delaware Social Services Manual (DSSM) explains the rules regarding eligibility for all of the programs administered by the Division of Medicaid & Medical Assistance (DMMA) and the Division of Social Services (DSS). The list of DMMA Programs and Services includes Medicaid, the Delaware Healthy Children Program (DHCP), the Delaware Prescription Assistance Program (DPAP), and Long Term Care Medicaid, as well as assistance programs for individuals with chronic disabilities, or diseases such as breast cancer, renal disease and HIV/AIDS. The Delaware Social Services Manual is part of Title 16 of the State of Delaware Administrative Code .

The federal rules governing Medicaid and the State Children’s Health Insurance Program (SCHIP) are set forth in the Code of Federal Regulations (CFR). For the full text of the Medicaid and SCHIP rules, follow this link to the Code of Federal Regulations website, and select Title 42, Volume 2, Chapter IV, parts 430 - 499.

The United States Centers for Medicare and Medicaid Services (CMS) produces the State Medicaid Manual. This manual contains day-to-day operating instructions, policies, and procedures based on statutes and regulations, guidelines, models, and directives. They are used by CMS program components, contractors, and State survey agencies to administer CMS programs. For many others, they are a good source of technical and professional information about the Medicare and Medicaid programs.

HIPAA Privacy Notice The Health Insurance Portability and Accountability Act (HIPAA) of 1996 is a federal law that protects the privacy of a person's individually identifiable health information. This Notice tells you about your privacy rights and the duties of the State to protect health information that identifies you. The notice describes how medical information about you may be used and disclosed and how you can get access to this information.

Several Medicaid qualifying programs base Medicaid eligibility on Supplemental Security Income (SSI) eligibility standards. Such programs follow Social Security Administration regulations governing Supplemental Security Income (SSI). These regulations appear in the Social Security Administration’s Program Operations Manual, which may be accessed at the Social Security Administration’s Program Operations Manual website.

Last Updated: Friday March 15 2013
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