The purpose of the Division of Medicaid and Medical Assistance is to provide health care coverage to individuals with low incomes and those with disabilities and to ensure access to high quality, cost effective and appropriate medical care and supportive services.
Pathways to Employment Proposal
In July 2012, Governor Jack Markell, as Chairman of the National Governors Association (NGA), launched an initiative to improve employment opportunities for individuals with disabilities and to support businesses to find skilled workers. In Delaware, this initiative will take the form of an innovative program to increase the options to support low income individuals with disabilities who wish to work. This effort, called Pathways to Employment (Pathways) brings together many State agencies around the common goal of ensuring that Delawareans, regardless of their disability, have the option and supports they need to work. DMMA intends to submit a proposal to the Centers for Medicare & Medicaid Services (CMS) using a 1915(i) Home and Community-Based State Plan Amendment to implement the Pathways program. The Pathways to Employment concept paper and Draft State Plan Amendment are available for public review and comment at Pathways. Send any written comments to Sharon Summers at firstname.lastname@example.org no later than December 31, 2013.
Diamond State Health Plan 1115 Waiver Renewal
Delaware Health and Social Services (DHSS), Division of Medicaid and Medical Assistance (DMMA) intends to file an application with the Centers for Medicare and Medicaid Services (CMS) to request a five-year extension of the Diamond State Health Plan 1115 Demonstration Waiver, which is scheduled to expire on December 31, 2013. Under a waiver of Section 1115(a) of the Social Security Act, the Diamond State Health Plan (DSHP) implemented a mandatory Medicaid managed care demonstration program statewide on January 1, 1996.
Goals of the DSHP are to improve and expand access to healthcare to more adults and children throughout the State, create and maintain a managed care delivery system emphasizing primary care, and to strive to control the growth of healthcare expenditures for the Medicaid population. The Division of Medicaid and Medical Assistance (DMMA) proposes to hold two (2) Public Hearings on the Diamond State Health Plan 1115 Demonstration Waiver Renewal Request. The hearings will include an overview of the status of the current program, the program objectives, Diamond State Health Plan 1115 Demonstration Waiver Renewal Request concepts and the federal waiver process. To view the Waiver application, go to the 1115 Waiver Renewal page.
DMMA Disproportionate Share Hospital Application Process
Under Medicaid's Disproportionate Share Hospital program (DSH), DMMA is authorized to make annual lump-sum supplemental Medicaid payments to qualified Delaware-based hospitals which serve a disproportionate share of Medicaid and low-income patients. Qualifying hospitals must have inpatient facilities located in Delaware, meet other federal and state requirements and in some cases must also have been enrolled as providers with DMMA's Managed Care Organizations and the Medicaid fee-for-service program in the consecutive 24 months immediately preceding the month of DSH payment.
An acute care hospital wishing to apply must submit a completed DSH application which must be received by DMMA no later than 4:30 pm Eastern time, Monday, December 9, 2013. For a psychiatric hospital, the deadline is 4:30 pm, Monday, March 3, 2014. Questions about the DSH application process may be sent to Mr. Jackie Myster at email@example.com or you may call 302-255-9617. For a copy of the DMMA Director's October 25, 2013 announcement, the DSH application form (DMMA Form DSH 1), and the instructions for completing the DSH application, go to Disproportionate Share Hospital Application Process page.
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. For more information click on Quality Management Strategy.
Provider Incentive Program for Electronic Health Records
The Health Information Technology for Economic and Clinical Health Care Act, more commonly referred to as the HITECH Act, was enacted as part of The American Recovery and Reinvestment Act of 2009. Section 4210 establishes an incentive payment program for Medicare and Medicaid providers to encourage the adoption and use of electronic health records. The Medicaid EHR incentive program is voluntary and began in calendar year 2011. For more information, go to Delaware Medical Assistance Program (DMAP).
List of Medicaid Participating Dentists Now Available
Comprehensive dental care is a benefit for children and adolescents through the Delaware Medicaid and CHIP Programs. DMMA has compiled a list of enrolled dentists and it is now posted at the following website: www.dmap.state.de.us/information/DE_participating_oral_health_providers.pdf
Click on the link and print off the list to help locate a dentist in your area who can treat your Medicaid or CHIP eligible child. Once you have made an appointment with a dentist who will care for your child, be sure to keep that appointment. Missed appointments prevent your child from receiving the vital oral health care he/she needs and can cause difficulty with making your next appointments.
Medicaid for Workers with Disabilities (MWD) Starts Operation
The Medicaid for Workers with Disabilities (MWD) program was implemented by the Division of Medicaid and Medical Assistance on October 1, 2009. This program is intended to assist individuals with disabilities by allowing them to work without losing health benefits. Individuals with countable income below 275% of the Federal Poverty Level (FPL) may be eligible. Cost sharing, in the form of monthly premiums, will be applied to those with incomes exceeding 100% of FPL. For more information and an application please call (302) 255-9500 or 1-800-372-2022