Delaware Quality Management Strategy(QMS)
The Delaware Quality Management Strategy is a comprehensive plan incorporating quality assurance monitoring and ongoing quality improvement processes to improve the delivery of quality care. The QMS covers services to members in Medicaid managed care, the Children’s Health Insurance Program, and Medicaid Long Term Care and community-based services. The QMS is the framework through which the State shares its objectives and strategies to address health care costs, quality and timely access in a collaborative approach with its partners and stakeholders. DMMA has reorganized the QMS for 2014. While the 2012 QMS strategies remain the same, the format has been changed slightly in some parts of the document to create an easier flow of information for interested users.
Diamond State Health Plan - Plus (DSHP - Plus)
The Division of Medicaid and Medical Assistance (DMMA) in partnership with the Division of Services for Aging and Adults with Physical Disabilities (DSAAPD) is developing an Integrated Long-Term Care initiative named the Diamond State Health Plan – Plus (DSHP-Plus). This initiative will provide improved access to community-based long-term care services and increased flexibility to more effectively address individual needs, and to better control rising long-term care costs significantly impacting Medicaid. Delaware joins many states who are implementing new models of delivering long-term care services.
Diamond State Health Plan Plus 1115 Demonstration Waiver Amendment
Public notice of DMMA's intent to submit a waiver amendment for the Diamond State Health Plan Plus was published in the July 2011 Register of Regulations (found at the following link regulations.delaware.gov/services/current_issue.shtml. To view the full waiver amendment, click on the link to "DSHP Plus Waiver Amendment" below. Please note that the period for comment ended on August 31, 2011.
Additional Diamond State Health Plan Plus information:
- Waiver Information
- DSHP-Plus Waiver Amendment
- What is an 1115 Waiver?
- Budget Neutrality Document
The Division of Medicaid and Medical Assistance has reorganized the Delaware Quality Management Strategy (QMS). Therefore, Quality Management Strategy-2014 is the same document as Quality Management Strategy-2012, except that the 2014 version has been reorganized. The purpose of the reorganization is to create an easier flow of information to the reader.To accomplish this, we made the following changes.
Quality Management Structure
Quality Management Structure—Different appearance
Goals and Objectives
Goals and Objectives
Performance Measures…Refers to phasing in the CHIPRA Pediatric Core Quality Measurement set
This information is now located on this page and references Appendix B & C. Appendix B (Children) & C (Adults) are the actual measures and found on pages 80 & 81.
Goal related HEDIS measures
Moved to and combined with goals and objectives on pages 16-24
- Program Planning
- Provider Information
- MCO Contact Information
- Client Notices
For healthcare enrollment call the Health Benefit Manager (HBM) at 1-800-996-9969
For information about PACE - Programs of All-Inclusive Care for the Elderly.
For questions regarding Diamond State Health Plan - Plus (DSHP - Plus), please email Dhss_dmma_dshp_plus@state.de.us