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Attention Medicaid Participants: Eligibility Renewals Restarted April 1, 2023
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
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:
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.
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
Scheduled Public Hearings October 2016
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
Attachment 6 State Systemic Assessments by Settings 7-11-2016
DDDS State Self Assessment Evidence of Compliance
Attach. 5 CMS Comments & DHSS response
Attach. 9 Responses to Public Comments
HCBS Community Rule Public Comments
HCBS Community Rule Presentation
Delaware’s Statewide HCBS Transition Plan
Comments from March 2015 Public Comment Period
Comments from August 2015 Public Comment Period
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:http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Long-Term-Services-and-Supports/Home-and-Community-Based-Services/Home-and-Community-Based-Services.html
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 firstname.lastname@example.org .