Contracting for Services under Home and Community-Based Waivers Operated by DSAAPD

General Information

The Division of Services for Aging and Adults with Physical Disabilities (DSAAPD) coordinates with the Division of Medicaid and Medical Assistance (DMMA), Delaware's Medicaid Agency, for the operation of home and community-based Medicaid Waivers. DSAAPD recruits and screens vendors for services provided under these Waivers and DMMA engages in vendor contracts.

Contracting is carried out on an ongoing basis. Under Medicaid home and community-based waiver requirements, the State contracts with all willing and qualified providers for the delivery of services under the waivers.  

Services Provided under Medicaid Waivers Operated by DSAAPD

DSAAPD operates three home and community-based waivers. Summary descriptions of the services* provided under each of these waivers can be found in the Services section of this site. See listings for:

• Medicaid Waiver for Elderly and Disabled
• Medicaid Waiver for Acquired Brain Injury
• Medicaid Waiver for Assisted Living

*(Please note that case management is available under each waiver, however for the Elderly & Disabled and Assisted Living Waivers, case management is provided directly by DSAAPD staff as an administrative function.)

Contracting Process

Following is a step-by-step guide to becoming a service contractor under the home and community-based waivers operated by DSAAPD.

Step 1: Review Service Specifications

DSAAPD has developed service specifications for services provided under each of its Medicaid home and community-based waivers. These service specifications detail the requirements for service delivery including provider qualifications.

Please see the Services Specifications for Waivers Operated by DSAAPD page of this web site to download these specifications.

Step 2: Obtain Required Licensure

All of the services under Medicaid home and community-based waivers require certain credentials on the part of service contractors. Requirements vary by service. Some services, for example, require only a state business license or 501(c)(3)status, while others require more highly specialized credentials.

Please see the Licensure Requirements for Waivers Operated by DSAAPD page of this web site to view the licensure requirements for each waiver service.

Step 3: Complete Initial Application

As part of the contractor screening process, DSAAPD requires that each vendor submit a brief, initial application. Application information can be found on the the DSAAPD Initial Application for Medicaid Waiver Contractors page of this web site.

Step 4: Participate in Introductory Meeting

Once a prospective contractor has submitted an initial application, the contractor is contacted by DSAAPD staff who arrange a pre-approval meeting to review service plans and, as appropriate, tour the proposed service site.

Any required adjustments to the provider's proposed service plans, service location, and/or other aspects of the service delivery are discussed during the introductory meeting. This step may be repeated until the provider has met all of the requirements detailed in the service specifications.

Step 5: Enter Into Contract with State

Once DSAAPD determines that a prospective provider has met all of the requirements detailed in the service specifications, the provider is referred to DMMA's provider relations agent.

The DMMA provider relations agent verifies licensure and carries out various administrative functions related to formally approving the vendor as a Waiver provider. As part of this process, the provider is given an enrollment packet, which includes a final application form. The provider relations agent also facilitates the processing of the vendor contract. A copy of the contract boilerplate can be downloaded from the provider relations agent's website. The provider relations agent's website also contains a copy of the Provider Policy Manual , which includes information about what to expect as a Waiver provider.

For more information about becoming a service provider under home and community-based waivers operated by DSAAPD, please contact DSAAPD's Waiver Coordinator.