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.
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 DMMA_Publichearing@delaware.gov 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 to submit comments, please contact dhss_hcbstransition@delaware.gov.
