Delaware External Quality Review 2021 Technical Summary Report

Promoting Community-Based Alternatives for Medicaid Long-Term Care Services

Delaware, like the United States as a whole, is steadily aging. As people age, they experience a higher proportion of expensive chronic conditions, a higher probability for disability, and a corresponding increase in the use of and need for health-related services and supports. Delawareans, like other aging and disabled individuals in the U.S., want alternatives to choose from when it comes to obtaining long-term services. Few people want to live in institutions; the vast majority want to stay in their homes and communities for as long as possible. The purpose of this report is to provide information on Delaware's long-term care environment and to facilitate discussion on the options available to the State as it works to increase community-based Medicaid long-term care services and supports. Ultimately, the goal is to improve the quality of life and health status of individual people without the financial, physical, or cognitive means to completely care for themselves. For the complete report go to Promoting Community-Based Alternatives for Medicaid Long-Term Services and Supports for the Elderly and Individuals with Disabilities.

2018 DMMA EQRO Compliance Report

2017 DMMA EQRO Compliance Report

2016 DMMA EQRO Compliance Report

Quality Management Strategy (QMS)

The Division of Medicaid and Medical Assistance has updated the Quality Management Strategy (QMS) to incorporate the PROMISE (Promoting Optimal Mental Health for Individuals through Supports and Empowerment) program.  The quality strategy plan provides a framework for the State to communicate the vision, objectives, and monitoring strategies for attaining quality, timely access, and cost effectiveness.  The attachments are the updated QMS that includes PROMISE assurances.  The proposed changes to the QMS are in red for easy identification. 

Mental Health Parity and Addiction Equity Act (MHPAEA)

The Centers for Medicare & Medicaid Services (CMS) issued a final rule that applies the requirements of the Mental Health Parity and Addiction Equity Act (MHPAEA) to Medicaid managed care organizations (MCOs), the Children's Health Insurance Program (CHIP), and Medicaid alternative benefit plans (ABPs). The rule requires Delaware and its contracted Medicaid/CHIP MCOs to be in compliance with the final parity rule by October 2, 2017. This includes providing documentation of parity compliance to the general public and posting this information to the State's Medicaid website by October 2, 2017.

The purpose of this posting is share with the public the final document we are submitting to CMS to meet the compliance requirement. MHPAEA Final Report