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Delaware Home and Community-Based Services (HCBS) Statewide Transition Plan


General Information

Delaware Health and Social Services (DHSS)/Division of Medicaid and Medical Assistance (DMMA) and Division of Developmental Disability Services (DDDS) would like to elicit public input regarding Delaware’s proposed amendment to its current the Developmental Disabilities Home and Community-Based (HCBS) Waiver Program to create the Life Span Waiver. Please click on the link below to view the documents for more information on the proposed amendment and your opportunity to provide input into this process.
Home and Community


HCBS Public Comments Now Available to View

In January 2014, the Centers for Medicare & Medicaid Services (CMS) published the home and community-based services (HCBS) final rule, also known as the Community Rule. The Community Rule is intended to support home and community-based (HCB) settings as an alternative to institutional care for participants in Medicaid HCBS programs.

CMS required all states to develop a Statewide Transition Plan to outline how they would come into compliance with the Community Rule.  On March 17, 2015, after working with stakeholders across Delaware, a Transition Plan was developed and submitted to CMS for approval. The Statewide Transition Plan describes the activities Delaware will undertake to achieve full compliance with all federal requirements by the required date of March 17, 2019.

Delaware’s Statewide Transition Plan specifies all the services, delivered in both residential and non-residential settings, which will be reviewed to determine compliance with federal requirements in the Community Rule. Specifically, the Transition Plan outlines the actions that Delaware will take to:

  • Engage stakeholders in all phases of the process;
  • Assess relevant policies and regulations at all levels, as well as provider settings against the Community Rule;
  • Develop and implement strategies to remediate non-compliant situations; and
  • Demonstrate full compliance with the Community Rule by March 17, 2019. 

As Transition Plan activities are implemented, we will continue to update this site with additional information and materials. Please contact DMMA at if you would like a copy of the STP in Spanish.

New Information

CMS Final Approval of Delaware’s  HCBS Statewide Transition Plan

Delaware’s  HCBS Statewide Transition Plan

Statewide Transition Plan Amendment

Delaware Request for Heightened Scrutiny Review: Gilpin Hall Adult Day Program

Learn More

Scheduled Public Hearings October 2016

Statewide Transition Plan

Amendment to the Statewide Transition Plan including Milestones starting on page 16 (DE STP Amendment 1 09252016)

Revised Attachment 6 State Systemic Assessments By Settings 7-11-2016

DDDS State Self-Assessment Evidence of Compliance 7-11-16

CMS DE STP Initial Approval Letter

DE Statewide Transition Plan

Attachment 6 State Systemic Assessments by Settings 7-11-2016

DDDS State Self Assessment Evidence of Compliance

MCO Contract 2016

Attach. 5 CMS Comments & DHSS response

Attach. 7 DDDS Surveys

Attach. 8 DSHP Surveys

Attach. 9 Responses to Public Comments

Hearing Schedule

HCBS Community Rule Public Comments

Previous Information

HCBS Community Rule Presentation

Delaware’s  Statewide HCBS Transition Plan

Comments from March 2015 Public Comment Period

Comments from August 2015 Public Comment Period

State Self Assesment

2016 Budget Epilogue

CMS Response Letter-DE 092515 to De laware's 9/17/15 Statewide Transition Plan

Delaware’s Frequently Asked Questions on the Community Rule

CMS Frequently Asked Questions on the Community Rule

CMS Website on the Community Rule:

Governor's Commission on CBAID DE Transition Plan Charter

For any additional questions related to the Transition Plan or if you would like to submit comments, please contact .