Contracting for Services under the Medicaid Waiver for the Elderly and Disabled

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 the Medicaid Waiver for the Elderly and Disabled (E&D Waiver). DSAAPD recruits and screens vendors for services provided under the waiver and DMMA engages in vendor contracts.

Important Notice for Prospective Contractors

Plans are underway in Delaware to implement a new model for delivering long term care services. Effective April 1, 2012, services currently available under the E&D Waiver will be provided instead through the Diamond State Health Plan Plus Program (DSHP-Plus) under the management of DMMA. DSHP-Plus is an integrated managed health care delivery system. Vendors interested in providing services that are currently part of the E&D Waiver are encouraged to contact the DSHP-Plus managed care organizations (MCO's) to inquire about how to enroll as DSHP-Plus providers. 

For more information, including contact information for provider enrollment, please visit the DHSP-Plus page of the DMMA website.

Services Provided under the Medicaid Waiver for the Elderly and Disabled

Summary descriptions of the services provided under the Medicaid Waiver for the Elderly and Disabled can be found in the Services . section of this site.

Contracting Process

Following is a step-by-step guide to becoming a contractor under the Medicaid Waiver for the Elderly and Disabled for the following services.

• Adult Day Services
• Assisted Living
• Cognitive Services
• Day Habilitation
• Personal Care
• Personal Emergency Response System
• Respite Care

Note: Vendors interested in providing Specialized Medical Equipment and Supplies should contact HP Enterprise Services' Provider Relations Department Call Center at 1-800-999-3371.

Step 1: Review Service Specifications

DSAAPD has developed service specifications for services provided under the Medicaid Waiver for the Elderly and Disabled. These service specifications detail the requirements for service delivery including provider qualifications.

Please see the Services Specifications for the Medicaid Waiver for the Elderly and Disabled 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 the Medicaid Waiver for the Elderly and Disabled 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 Medicaid Waiver Provider Enrollment Coordinator.