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Attention Medicaid Participants: Eligibility Renewals Restarted April 1, 2023
The Division of Medicaid & Medical Assistance provides the following Long Term Care services:
An individual applying for the Nursing Facility program must be a Delaware resident and must be willing to enter a nursing facility and accept Medicaid coverage. To apply for this program, contact either the Medical Eligibility Unit for New Castle County or the Medical Eligibility Unit for Kent and Sussex Counties.
The medical criteria for this program are as follows: the applicant must be in need of a skilled or intermediate level of care as defined by Delaware Medicaid criteria. In other words, the individual must require the level of care provided by a nursing facility. If his gross monthly income exceeds the income limit for this program (set at 250% of the Supplemental Security Income - SSI - standard), he will need to establish a Miller Trust in order to qualify. His assets cannot exceed $2,000 unless he has a spouse.
The Nursing Facility Program pays for the cost of care provided in nursing facilities in Delaware that have contracts with Delaware Medicaid. These nursing facilities provide room, board and nursing services to persons who are elderly, infirm or disabled.
Official lists of all Licensed Long Term Care Facilities in Delaware are maintained by the Division of Health Care Quality, which is responsible for licensing and certifying all Delaware Long Term Care facilities.
Medicaid nursing facility rates are based on the facilities' annual costs reports.