Delaware Makes Changes to Medicaid Waiver Programs

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Delaware has received approval from the Centers for Medicaid and Medicare Services (CMS) to make changes to Medicaid Home and Community-Based Waiver programs administered and operated by the Division of Services for Aging and Adults with Physical Disabilities (DSAAPD). The changes take effect on December 1, 2010.

The changes are designed to provide more service options and at the same time streamline service delivery. They will not result in a loss or reduction of services for anyone who is enrolled in a DSAAPD Waiver program.

Here are the major changes that will take effect:

Combination of three existing waiver programs: Beginning December 1, all services provided under the Assisted Living (AL) Waiver, the Acquired Brain Injury (ABI) Waiver, and the Elderly and Disabled (E&D) Waiver will be provided under an amended Elderly and Disabled Waiver. Following is a summary of the services provided:

Current Elderly and Disabled (E&D) Waiver	Assisted Living (AL) Waiver	Acquired Brain Injury (ABI) Waiver	Amended Elderly and Disabled (E&D) Waiver
Adult Day Services Case Management Medical Equipment and Supplies Personal Care Personal Emerergency Response Respite	Assisted Living Case Management	Adult Day Services Assisted Living Case Management Cognitive Services Day Habilitation Personal Care Personal Emergency Response Respite	Adult Day Services Assisted Living Case Management Cognitive Services Day Habilitation Medical Equipment and Supplies Personal Care Personal Emergency Response Respite Support for Participant Direction

Expanded personal care options: Personal care service options are being expanded under the amended E&D Waiver. Previously, personal care services - which offer support in various aspects of daily living - were provided only by home health agencies. After December 1, participants who receive personal care can choose among three provider types: 1) home health agencies; 2) personal assistance services agencies; 3) and personal care attendants. Participants who chose to receive personal care services from attendants will serve as employers, hiring and supervising their own attendants. These individuals will also receive Support for Participant Direction Services to assist them in their role as employers.

2012 Update: After 4/1/12, all services will be provided under Diamond State Health Plan Plus.

If you have questions, please contact the Delaware Aging and Disability Resource Center (ADRC).

Delaware Makes Changes to Medicaid Waiver Programs

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