Medicaid Provider Enrollment Overview
Delaware offers 3 Medicaid waiver programs for home care agencies. The state Medicaid program is administered by Delaware Division of Medicaid and Medical Assistance (DMMA). Currently, Delaware is actively enrolling new home care providers.
The average enrollment timeline is 60-90 days from initial application to receiving your first client. With medium demand for home care services, Delaware represents a solid opportunity for agencies looking to serve Medicaid clients.
Delaware Medicaid Waiver Programs
Home care agencies in Delaware can enroll in the following waiver programs. Each program serves different populations and has specific service requirements.
DSHP Plus Long Term Care Community (LTCC)
1115 WaiverManaged long-term care services
Diamond State Health Plan Plus
1115 WaiverComprehensive managed care including HCBS
Pathways to Employment Waiver
1915(c) WaiverEmployment support services
Delaware Provider Requirements
To become a Medicaid provider in Delaware, your home care agency must meet the following requirements:
- Delaware business license
- Home health agency license from DHSS
- Criminal background checks
- Professional liability insurance
- Administrator with required qualifications
- Quality improvement plan
Step-by-Step Enrollment Process
Follow these steps to enroll as a Medicaid waiver provider in Delaware:
Obtain Delaware home health agency license
Apply for NPI
Complete Delaware Medicaid provider enrollment
Contract with MCO plans (Highmark, AmeriHealth)
Submit credentialing packets
Pass readiness review