Delaware, like the United States as a whole, is steadily aging. As people age, they experience a higher proportion of expensive chronic conditions, a higher probability for disability, and a corresponding increase in the use of and need for health-related services and supports. Delawareans, like other aging and disabled individuals in the U.S., want alternatives to choose from when it comes to obtaining long-term services. Few people want to live in institutions; the vast majority want to stay in their homes and communities for as long as possible. The purpose of this report is to provide information on Delaware's long-term care environment and to facilitate discussion on the options available to the State as it works to increase community-based Medicaid long-term care services and supports. Ultimately, the goal is to improve the quality of life and health status of individual people without the financial, physical, or cognitive means to completely care for themselves. For the complete report go to Promoting Community-Based Alternatives for Medicaid Long-Term Services and Supports for the Elderly and Individuals with Disabilities.
The Division of Medicaid and Medical Assistance has updated the Quality Management Strategy (QMS) to incorporate the PROMISE (Promoting Optimal Mental Health for Individuals through Supports and Empowerment) program. The quality strategy plan provides a framework for the State to communicate the vision, objectives, and monitoring strategies for attaining quality, timely access, and cost effectiveness. The attachments are the updated QMS that includes PROMISE assurances. The proposed changes to the QMS are in red for easy identification.