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Delaware Quality Management Strategy(QMS)

Delaware submitted and received CMS approval for an 1135 Waiver to allow us to implement additional changes during the emergency declaration.

DE 1135 Flexibilities Approval Letter


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.

Diamond State Health Plan - Plus (DSHP - Plus)

The Division of Medicaid and Medical Assistance (DMMA) in partnership with the Division of Services for Aging and Adults with Physical Disabilities (DSAAPD) is developing an Integrated Long-Term Care initiative named the Diamond State Health Plan – Plus (DSHP-Plus).  This initiative will provide improved access to community-based long-term care services and increased flexibility to more effectively address individual needs, and to better control rising long-term care costs significantly impacting Medicaid.  Delaware joins many states who are implementing new models of delivering long-term care services.

Diamond State Health Plan Plus 1115 Demonstration Waiver Amendment

Public notice of DMMA's intent to submit a waiver amendment for the Diamond State Health Plan Plus was published in the July 2011 Register of Regulations (found at the following link  To view the full waiver amendment, click on the link to "DSHP Plus Waiver Amendment" below.  Please note that the period for comment ended on August 31, 2011.

Additional Diamond State Health Plan Plus information:

For healthcare enrollment call the Health Benefit Manager (HBM) at 1-800-996-9969

For information about PACE - Programs of All-Inclusive Care for the Elderly.

For questions regarding Diamond State Health Plan - Plus (DSHP - Plus), please email