How to Become a Medicaid Home Care Provider in Delaware

Delaware Medicaid (Diamond State Health Plan) — managed by Delaware Division of Medicaid & Medical Assistance (DMMA)

Delaware Medicaid at a Glance

Program Name

Delaware Medicaid (Diamond State Health Plan)

Managing Agency

Delaware Division of Medicaid & Medical Assistance (DMMA)

Reimbursement Rates

$17–$25/hour for personal care; $45–$85/visit for skilled nursing

Application Timeline

60–90 days

Enrollment Process: Step by Step

  1. 1

    Register through Delaware MMIS Provider Enrollment

  2. 2

    Complete DMMA Provider Application

  3. 3

    Submit NPI, EIN, and Delaware business license

  4. 4

    Complete SBI background checks

  5. 5

    Obtain Delaware DHSS home health license

  6. 6

    Submit liability insurance documentation

  7. 7

    Contract with MCOs (managed care state)

Accepted Provider Types

Home Health Agencies Personal Attendant Services Skilled Nursing Providers

Required Certifications & Licenses

  • Delaware Home Health License
  • NPI Number
  • SBI Background Check

Waiver Programs in Delaware

These Medicaid waiver programs fund home and community-based services in Delaware:

Diamond State Health Plan Plus (DSHP+)

Pathways Waiver

Billing System

MCO-based billing — contract with Highmark or AmeriHealth Caritas

⚠️ Common Denial Reasons

  • Failure to contract with MCOs
  • Missing background checks
  • Licensing gaps

💡 Tips for Approval

  • Delaware is a managed care state — MCO contracts are essential
  • Small state means less competition but stricter oversight
  • DSHP+ is the primary HCBS waiver program

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Frequently Asked Questions — Medicaid in Delaware

How do I become a Medicaid provider in Delaware?

To enroll as a Medicaid home care provider in Delaware, you must apply through Delaware Division of Medicaid & Medical Assistance (DMMA). The process includes: Register through Delaware MMIS Provider Enrollment. Timeline: 60–90 days.

What are the Medicaid reimbursement rates in Delaware?

$17–$25/hour for personal care; $45–$85/visit for skilled nursing

What certifications are required in Delaware?

Required certifications include: Delaware Home Health License, NPI Number, SBI Background Check.

What waiver programs are available in Delaware?

Diamond State Health Plan Plus (DSHP+); Pathways Waiver

What are common reasons for Medicaid denial in Delaware?

Failure to contract with MCOs; Missing background checks; Licensing gaps

More Delaware Home Care Resources

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