{"id":598,"date":"2025-02-25T17:12:37","date_gmt":"2025-02-25T17:12:37","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dmma\/dchip\/"},"modified":"2025-02-25T17:12:37","modified_gmt":"2025-02-25T17:12:37","slug":"dchip","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dmma\/dchip\/","title":{"rendered":"dchip ~  Home page for Delaware Children\ufffds Health Insurance Plans (DCHIP)  &#8211; Delaware Health and Social Services &#8211; State of Delaware"},"content":{"rendered":"<div data-swiftype-index=\"true\">\n\n\n\n\n\n  <br>\n\n\n  \n\n\n  <div class=\"container\" id=\"main_header\">\n\n\n    <!-- BEGIN readspeaker div -->\n\n\n    <div class=\"rs_skip rsbtn rs_preserve\" id=\"readspeaker_button1\">\n\n\n      <a accesskey=\"L\" class=\"rsbtn_play\" href=\"https:\/\/app-na.readspeaker.com\/cgi-bin\/rsent?customerid=7262&#038;lang=en_us&#038;readid=main_content&#038;url=https:\/\/dhss.delaware.gov\/dmma\/dchip.html\" title=\"Listen to this page using ReadSpeaker\">\n\n\n        <span class=\"rsbtn_left rsimg rspart\"><span class=\"rsbtn_text\"><span>Listen<\/span><\/span><\/span>\n\n\n        <span class=\"rsbtn_right rsimg rsplay rspart\"><\/span>\n\n\n      <\/a>\n\n\n    <\/div>\n\n\n    <!-- END readspeaker div -->\n\n\n\n\n\n    <header class=\"pull-left\">\n\n\n      <h1><!--[type=EDIT name=\"Page Title\"]--><\/h1><h1>Delaware Children&#8217;s Health Insurance Plans (DCHIP)<\/h1><h1><!--[END]--><\/h1>\n\n\n    <\/header>\n\n\n  <\/div><br>\n\n\n \n\n\n  <div class=\"container\">\n\n\n    <div class=\"row\">\n\n\n      <div class=\"col-md-3\" id=\"leftCol\">\n\n\n        <div class=\"panel-group\" id=\"accordion\">\n\n\n          <div class=\"panel sectionmenu_panel\">\n\n\n            <div class=\"panel-heading\">\n\n\n              <p class=\"panel-title\"><a class=\"agency_nav\" data-parent=\"#accordion\" data-toggle=\"collapse\" href=\"#collapseOne\"><strong><i class=\"fa fa-align-justify fa-fw\"><\/i>Medicaid &#038; Medical Assistance Menu<\/strong><\/a><\/p>\n\n\n            <\/div>\n\n\n\n\n\n            <div class=\"panel-collapse collapse in\" id=\"collapseOne\">\n\n\n              <div class=\"panel-body\" id=\"clf_nav\">\n\n\n                  <ul class=\"nav nav-stacked nav-pills-clf\" id=\"agency_sidebar\">\n    <li><a href=\"\/dmma\/\"><h2>Home <i class=\"fa fa-home fa-fw\"><\/i><\/h2><\/a><\/li>\n    <li class=\"toplevel\"><a data-parent=\"#agency_sidebar\" data-toggle=\"collapse\" href=\"#HomeMenu\"><h2>About <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\n    <ul class=\"panel-collapse collapse\" id=\"HomeMenu\">\n    <li>\n      <a href=\"\/dmma\/about.html\">About DMMA<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dmma\/sections.html\">Sections &#038; Programs<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dmma\/faqs.html\">FAQs<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dmma\/links.html\">Related Links<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dmma\/contact.html\">Contact Information<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dmma\/locations.html\">Office Locations<\/a>\n    <\/li>\n  <\/ul><\/li>\n    <li class=\"toplevel\"><a data-parent=\"#sidebar\" data-toggle=\"collapse\" href=\"#ServicesMenu\"><h2>Services <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\n    <ul class=\"panel-collapse collapse\" id=\"ServicesMenu\">  \n          <li>\n            <a href=\"\/dmma\/services.html\">Programs and Services<\/a>\n    <\/li> \n      \n      \n    <li>\n      <a href=\"\/atoz\/\">A-Z of DHSS Services<\/a>\n    <\/li>\n       <li>\n      <a href=\"\/dmma\/adult_dental_benefits.html\">Adult Dental Benefits<\/a>\n    <\/li>\n      <li>\n      <a href=\"\/dmma\/homeandc.html\">Developmental Disabilities Home &#038; Community Based Waiver Program<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dmma\/medast.html\">Medical Assistance Programs<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dmma\/medicaid.html\">Medicaid<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dmma\/dhcp.html\">Healthy Children (CHIP)<\/a>\n    <\/li>\n    \n    <li>\n      <a href=\"\/dmma\/dpap.html\">Prescription Assistance (DPAP)<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dmma\/ltcmedicaid.html\">Long Term Care<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dmma\/disabledchildren.html\">Children&#8217;s Community Alternative Disability Program<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dmma\/hcbs_trans_plan.html\">Home &#038; Community Based Services Statewide Transition Plan<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dmma\/medical.html\">Transportation<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dmma\/crdprog.html\">Chronic Renal Disease<\/a>\n    <\/li>\n  <\/ul><\/li>\n    <li class=\"toplevel\"><a data-parent=\"#sidebar\" data-toggle=\"collapse\" href=\"#InformationMenu\"><h2>Information <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\n    <ul class=\"panel-collapse collapse\" id=\"InformationMenu\">\n       <li>\n      <a href=\"\/dmma\/children_with_medical_complexity.html\">Children with Medical Complexity<\/a>\n    <\/li>\n      \n      \n    <li>\n      <a href=\"\/dmma\/fpl.html\">Eligibility<\/a>\n    <\/li>\n\n    <li>\n      <a href=\"https:\/\/medicaidpublications.dhss.delaware.gov\/docs\/Search?EntryId=49\">Pharmaceutical and Therapeutics (P &#038; T) Committee<\/a>\n    <\/li>\n    <li>\n      <a href=\"https:\/\/medicaid.dhss.delaware.gov\/\">Provider Manuals<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dmma\/regs.html\">Regulations<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dmma\/reports.html\">Reports<\/a>\n    <\/li>\n        <li>\n      <a href=\"\/dmma\/info_stats.html\">Public Information and Statistics<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dmma\/pubs.html\">Publications &#038; Forms<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dmma\/resources.html\">Resources<\/a>\n    <\/li>\n  <\/ul><\/li>\n <!--   <li><a id=\"SocialMenuHeader\"><h2>Connect <i class=\"fa fa-thumbs-o-up fa-fw\"><\/i><\/h2><\/a>\n  <ul id=\"SocialMenu\">\n    <li class=\"facebook\"><a href=\"https:\/\/www.facebook.com\/DEPublicHealth\" title=\"Division of Public Health Facebook Page\" target=\"_blank\"><i class=\"fa fa-facebook-square fa-lg\"><\/i> Facebook<\/a><\/li>\n    <li class=\"twitter\"><a href=\"https:\/\/twitter.com\/Delaware_DHSS\" title=\"Delaware Health and Social Services Twitter Account\" target=\"_blank\"><i class=\"fa fa-twitter-square fa-lg\"><\/i> Twitter<\/a><\/li>\n    <li class=\"googleplus\"><a href=\"#\"><i class=\"fa fa-google-plus-square fa-lg\"><\/i> Google +<\/a><\/li>\n    <li class=\"flickr\"><a href=\"#\"><i class=\"fa fa-flickr fa-lg\"><\/i> Flickr<\/a><\/li>\n    <li class=\"youtube\"><a href=\"#\"><i class=\"fa fa-youtube-square fa-lg\"><\/i> Youtube<\/a><\/li>\n    <li class=\"instagram\"><a href=\"#\"><i class=\"fa fa-instagram fa-lg\"><\/i> Instagram<\/a><\/li>\n    <li class=\"linkedin\"><a href=\"#\"><i class=\"fa fa-linkedin-square fa-lg\"><\/i> Linkedin<\/a><\/li>\n    <li class=\"pinterest\"><a href=\"#\"><i class=\"fa fa-pinterest-square fa-lg\"><\/i> Pinterest<\/a><\/li> \n  <\/ul>\n<\/li>  -->\n<\/ul>\n\n\n\n\n              <\/div>\n\n\n            <\/div>\n\n\n          <\/div>\n\n\n        <\/div><br>\n\n\n      <\/div>\n\n\n\n\n\n      <div class=\"col-md-9\" id=\"main_content\"> \n\n\n  <!--[type=HTMLEDIT name=\"Content\"]-->\n\n\n\n\n\n\n\n\n\n<h3><span style=\"font-family:arial,helvetica,sans-serif;\">Click <a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/dchip_sections_01-12.pdf\">here<\/a> for the full plan.<\/span><\/h3>\n\n\n\n\n\n\n\n\n\n\n\n<p>\u00a0<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<p><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/dchip_general_signatures.pdf\"><strong>General Signatures and Introduction<\/strong><\/a><\/p>\n\n\n\n\n\n\n\n\n\n\n\n<ul>\n\n\n\n\n\n <li>State officials administering program<\/li>\n\n\n\n\n\n <li>Introduction<\/li>\n\n\n\n\n\n <li>Federal Requirements for Submission and Review of a Proposed SPA<\/li>\n\n\n\n\n\n <li>Section description<\/li>\n\n\n\n\n\n <li>Program Options<\/li>\n\n\n\n\n\n <li>Medicaid Expansion- Medicaid SPA Requirements<\/li>\n\n\n\n\n\n <li>Combination of Options<\/li>\n\n\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n\n\n\n\n<p>\u00a0<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<p><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/dchip_section_01.pdf\"><strong>Section 1 &#8211; General Description and Purpose of the Children&#8217;s Health Insurance Plans<br>\n\n\n\n\n\nand the Requirements <\/strong><\/a><\/p>\n\n\n\n\n\n\n\n\n\n\n\n<p>This section describes the program.<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<ul>\n\n\n\n\n\n <li>Program options<\/li>\n\n\n\n\n\n <li>Assurances<\/li>\n\n\n\n\n\n <li>Civil rights requirements<\/li>\n\n\n\n\n\n <li>SPA effective and implementation dates<\/li>\n\n\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n\n\n\n\n<p>\u00a0<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<p><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/dchip_section_02_20231006.pdf\"><strong>Section 2 &#8211; General Background and Description of State&#8217;s Approach to Child Health<br>\n\n\n\n\n\nCoverage and Coordination <\/strong><\/a><\/p>\n\n\n\n\n\n\n\n\n\n\n\n<p>Provides general information related to the program including the extent and manner to which children in the state currently have creditable health coverage,<br>\n\n\n\n\n\ncurrent state efforts to provide or obtain creditable health coverage for uninsured children and how the plan is designed to be coordinated with current health insurance,<br>\n\n\n\n\n\npublic health efforts, or other enrollment initiatives.<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<ul>\n\n\n\n\n\n <li>2.1\u00a0 \u00a0 \u00a0 \u00a0Creditable coverage<\/li>\n\n\n\n\n\n <li>2.2\u00a0 \u00a0 \u00a0 \u00a0Health Services Initiatives<\/li>\n\n\n\n\n\n <li>2.3TC\u00a0 Tribal Consultation Requirements<\/li>\n\n\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n\n\n\n\n<p>\u00a0<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<p><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/dchip_section_03.pdf\"><strong>Section 3 &#8211; Methods of Delivery and Utilization Controls <\/strong><\/a><\/p>\n\n\n\n\n\n\n\n\n\n\n\n<p>Describes the method of delivery including contracting standards; enrollee enrollment processes; enrollee notification and grievance processes; and plans for enrolling providers, among others.<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<ul>\n\n\n\n\n\n <li>3.1\u00a0 \u00a0 \u00a0 \u00a0Delivery Standards<\/li>\n\n\n\n\n\n <li>3.1.1\u00a0 \u00a0 Choice of Delivery System<\/li>\n\n\n\n\n\n <li>3.1.2\u00a0 \u00a0 Use of a Managed Care Delivery System for All or Some of the State&#8217;s CHIP Populations<\/li>\n\n\n\n\n\n <li>3.1.3\u00a0 \u00a0 Nonemergency Medical Transportation PAHPs<\/li>\n\n\n\n\n\n <li>3.2\u00a0 \u00a0 \u00a0 \u00a0General Managed Care Contract Provisions<\/li>\n\n\n\n\n\n <li>3.3\u00a0 \u00a0 \u00a0 \u00a0Rate Development Standards and Medical Loss Ratio<\/li>\n\n\n\n\n\n <li>3.4\u00a0 \u00a0 \u00a0 \u00a0Enrollment<\/li>\n\n\n\n\n\n <li>3.5\u00a0 \u00a0 \u00a0 \u00a0Information Requirements for Enrollees and Potential Enrollees<\/li>\n\n\n\n\n\n <li>3.6\u00a0 \u00a0 \u00a0 \u00a0Benefits and Services<\/li>\n\n\n\n\n\n <li>3.7\u00a0 \u00a0 \u00a0 \u00a0Operations<\/li>\n\n\n\n\n\n <li>3.8\u00a0 \u00a0 \u00a0 \u00a0Beneficiary Protections<\/li>\n\n\n\n\n\n <li>3.9\u00a0 \u00a0 \u00a0 \u00a0Grievances and Appeals<\/li>\n\n\n\n\n\n <li>3.10\u00a0 \u00a0 \u00a0Program Integrity<\/li>\n\n\n\n\n\n <li>3.11\u00a0 \u00a0 \u00a0Sanctions<\/li>\n\n\n\n\n\n <li>3.12\u00a0 \u00a0 \u00a0Quality Measurement and Improvement; External Quality Review<\/li>\n\n\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n\n\n\n\n<p>\u00a0<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<p><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/dchip_section_04.pdf\"><strong>Section 4 &#8211; Eligibility Standards and Methodology <\/strong><\/a><\/p>\n\n\n\n\n\n\n\n\n\n\n\n<p>Describes the standards used to determine the eligibility of targeted low-income children for child health assistance under the plan.<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<ul>\n\n\n\n\n\n <li>4.0\u00a0 \u00a0 \u00a0 \u00a0 \u00a0Medicaid Expansion<\/li>\n\n\n\n\n\n <li>4.1\u00a0 \u00a0 \u00a0 \u00a0 \u00a0Separate Program<\/li>\n\n\n\n\n\n <li>4.1PW\u00a0 \u00a0Pregnant Women Option<\/li>\n\n\n\n\n\n <li>4.1LR\u00a0 \u00a0 Lawfully Residing Option<\/li>\n\n\n\n\n\n <li>4.1DS\u00a0 \u00a0 Supplemental Dental<\/li>\n\n\n\n\n\n <li>4.2\u00a0 \u00a0 \u00a0 \u00a0 \u00a0Assurances<\/li>\n\n\n\n\n\n <li>4.3\u00a0 \u00a0 \u00a0 \u00a0 \u00a0Methodology<\/li>\n\n\n\n\n\n <li>4.4\u00a0 \u00a0 \u00a0 \u00a0 \u00a0Eligibility screening and coordination with other health coverage programs\u00a0<\/li>\n\n\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n\n\n\n\n<p>\u00a0<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<p><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/dchip_section_05.pdf\"><strong>Section 5 &#8211; Outreach <\/strong><\/a><\/p>\n\n\n\n\n\n\n\n\n\n\n\n<p>Describes outreach activities.<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<ul>\n\n\n\n\n\n <li>5.1\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Efforts to provide or obtain creditable health coverage<\/li>\n\n\n\n\n\n <li>5.2EL\u00a0 \u00a0 \u00a0 Express Lane eligibility option\u00a0\u00a0\u00a0<\/li>\n\n\n\n\n\n <li>5.3\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Strategies<\/li>\n\n\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n\n\n\n\n<p>\u00a0<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<p><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/dchip_section_06.pdf\"><strong>Section 6 &#8211; Coverage Requirements for Children&#8217;s Health Insurance <\/strong><\/a><\/p>\n\n\n\n\n\n\n\n\n\n\n\n<p>Describes the scope of coverage and benefits offered under the plan including the categories under which that coverage is offered.<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<ul>\n\n\n\n\n\n <li>6.1\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Coverage options<\/li>\n\n\n\n\n\n <li>6.2\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Services covered<\/li>\n\n\n\n\n\n <li>6.2DC\u00a0\u00a0\u00a0\u00a0\u00a0 Dental Coverage<\/li>\n\n\n\n\n\n <li>6.2DS\u00a0\u00a0\u00a0\u00a0\u00a0 Supplemental Dental Coverage<\/li>\n\n\n\n\n\n <li>6.2\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 MHPAEA<\/li>\n\n\n\n\n\n <li>6.3\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Assurances with respect to pre-existing medical conditions<\/li>\n\n\n\n\n\n <li>6.4\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Additional Purchase Options<\/li>\n\n\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n\n\n\n\n<p>\u00a0<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<p><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/dchip_section_07.pdf\"><strong>Section 7 &#8211; Quality and Appropriateness of Care <\/strong><\/a><\/p>\n\n\n\n\n\n\n\n\n\n\n\n<p>Describes the methods (including monitoring) to be used to assure the quality and appropriateness of care and to assure access to covered services.<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<ul>\n\n\n\n\n\n <li>7.1\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Quality and appropriateness of care<\/li>\n\n\n\n\n\n <li>7.2\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Methods used assure asses to care<\/li>\n\n\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n\n\n\n\n<p>\u00a0<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<p><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/dchip_section_08.pdf\"><strong>Section 8 &#8211; Cost Sharing and Payment <\/strong><\/a><\/p>\n\n\n\n\n\n\n\n\n\n\n\n<p>Addresses the requirement of a State child health plan to include a description of its proposed cost sharing for enrollees.<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<ul>\n\n\n\n\n\n <li>8.1\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Statement of cost-sharing imposed<\/li>\n\n\n\n\n\n <li>8.2\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Amount of cost-sharing<\/li>\n\n\n\n\n\n <li>8.3\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 How the public will be notified of cost-sharing<\/li>\n\n\n\n\n\n <li>8.4\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Assurances with respect to cost-sharing<\/li>\n\n\n\n\n\n <li>8.5\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Description of procedures related to cost-sharing annual maximum<\/li>\n\n\n\n\n\n <li>8.6\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Description of procedures to ensure AI\/AN children are excluded from cost sharing<\/li>\n\n\n\n\n\n <li>8.7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Disenrollment protections<\/li>\n\n\n\n\n\n <li>8.8\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Expenditure limitations\u00a0\u00a0<\/li>\n\n\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n\n\n\n\n<p>\u00a0<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<p><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/dchip_section_09.pdf\"><strong>Section 9 &#8211; Strategic Objectives and Performance Goals and Plan Administration <\/strong><\/a><\/p>\n\n\n\n\n\n\n\n\n\n\n\n<p>Addresses strategic objectives, the performance goals, and the performance measures the State has established for providing child health assistance to targeted low income children under the plan for maximizing health benefits coverage for other low income children and children generally in the state.<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<ul>\n\n\n\n\n\n <li>9.1\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Strategic objectives<\/li>\n\n\n\n\n\n <li>9.2\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Performance goals<\/li>\n\n\n\n\n\n <li>9.3\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Performance measures<\/li>\n\n\n\n\n\n <li>9.4\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Annual Reports<\/li>\n\n\n\n\n\n <li>9.5\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Annual assessment and evaluation<\/li>\n\n\n\n\n\n <li>9.6\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Access to any records or information<\/li>\n\n\n\n\n\n <li>9.7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Modify measures to meet national requirements<\/li>\n\n\n\n\n\n <li>9.8\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Comply with other provisions<\/li>\n\n\n\n\n\n <li>9.9\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ensuring ongoing public involvement in program development<\/li>\n\n\n\n\n\n <li>9.10\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Provide a 1-year projected budget<\/li>\n\n\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n\n\n\n\n<p>\u00a0<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<p><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/dchip_section_10.pdf\"><strong>Section 10 &#8211; Annual Reports and Evaluations <\/strong><\/a><\/p>\n\n\n\n\n\n\n\n\n\n\n\n<p>State assures compliance annual review and evaluation with requirements.<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<ul>\n\n\n\n\n\n <li>10.1\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Annual Reports\u00a0\u00a0\u00a0\u00a0<\/li>\n\n\n\n\n\n <li>10.2\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Future reporting requirements<\/li>\n\n\n\n\n\n <li>10.3\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Comply with all applicable Federal laws and regulations<\/li>\n\n\n\n\n\n <li>10.3DC\u00a0\u00a0\u00a0 Submit yearly the approved dental benefit package<\/li>\n\n\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n\n\n\n\n<p>\u00a0<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<p><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/dchip_section_11.pdf\"><strong>Section 11 &#8211; Program Integrity <\/strong><\/a><\/p>\n\n\n\n\n\n\n\n\n\n\n\n<p>State assures services are provided in an effective and efficient manner through free and open competition or through basing rates on other public and private rates that are actuarially sound.<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<ul>\n\n\n\n\n\n <li>11.1\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Procurement standards<\/li>\n\n\n\n\n\n <li>11.2\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Sanctions and penalties<\/li>\n\n\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n\n\n\n\n<p>\u00a0<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<p><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/dchip_section_12.pdf\"><strong>Section 12 &#8211; Applicant and Enrollee Protections <\/strong><\/a><\/p>\n\n\n\n\n\n\n\n\n\n\n\n<p>Describes review process for eligibility and enrollment matters, health services matters (i.e., grievances), and for states that use premium assistance a description of how it will assure that applicants and enrollees are given the opportunity at initial enrollment and at each redetermination of eligibility to obtain health benefits coverage other than through that group health plan.<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<ul>\n\n\n\n\n\n <li>12.1\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Eligibility and Enrollment Matters<\/li>\n\n\n\n\n\n <li>12.2\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Health Services Matters<\/li>\n\n\n\n\n\n <li>12.3\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Premium Assistance Programs<\/li>\n\n\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n\n\n\n\n<p>\u00a0<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<p><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/dchip_appendix.pdf\"><strong>Appendix<\/strong><\/a><\/p>\n\n\n\n\n\n\n\n\n\n\n\n<ul>\n\n\n\n\n\n <li>Key for Newly Incorporated Templates<\/li>\n\n\n\n\n\n <li>CMS Regional Offices<\/li>\n\n\n\n\n\n <li>GLOSSARY<\/li>\n\n\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n\n\n\n\n<p>\u00a0<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<p><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/dchip_magi_pages.pdf\"><strong>MAGI Pages <\/strong><\/a><\/p>\n\n\n\n\n\n\n\n\n\n\n\n<ul>\n\n\n\n\n\n <li><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/dchip_cover_page.pdf\">Cover Page<\/a><\/li>\n\n\n\n\n\n <li><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/dchip_cs07_revised.pdf\">CS7\u00a0 \u00a0 \u00a0Targeted Low-income Children<\/a><\/li>\n\n\n\n\n\n <li><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/dchip_cs15_revised.pdf\">CS15\u00a0\u00a0 MAGI Income Methodology<\/a><\/li>\n\n\n\n\n\n <li><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/dchip_cs03_revised.pdf\">CS3\u00a0 \u00a0 \u00a0Set MAGI-based income standards for CHIP Medicaid Expansions.\u00a0Establish new Medicaid eligibility group for 6 \u2013 18 year olds with incomes between 100 \u2013 133% of the FPL<\/a><\/li>\n\n\n\n\n\n <li><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/dchip_cs14_revised.pdf\">CS14\u00a0\u00a0 Establish new coverage group for children who lose Medicaid eligibility as a\u00a0result of discontinuation of disregards<\/a><\/li>\n\n\n\n\n\n <li><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/dchip_cs24_revised.pdf\">CS24\u00a0\u00a0\u00a0 Single, Streamlined Application Screen and Enroll Process Renewals Screening by\u00a0Other Insurance Affordability Programs<\/a><\/li>\n\n\n\n\n\n <li><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/dchip_cs17_revised.pdf\">CS17\u00a0\u00a0 Residency<\/a><\/li>\n\n\n\n\n\n <li><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/dchip_cs18_revised.pdf\">CS18\u00a0\u00a0 Citizenship\/Lawfully Residing Immigrants<\/a><\/li>\n\n\n\n\n\n <li><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/dchip_cs19_revised.pdf\">CS19\u00a0\u00a0 Social Security Number<\/a><\/li>\n\n\n\n\n\n <li><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/dchip_cs20_revised.pdf\">CS20\u00a0\u00a0 Substitution of Coverage<\/a><\/li>\n\n\n\n\n\n <li><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/dchip_cs21_revised.pdf\">CS21\u00a0\u00a0 Premium Lock-Outs<\/a><\/li>\n\n\n\n\n\n <li><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/dchip_CS27_MMDL_2-image.pdf\">CS27\u00a0\u00a0 Continuous Eligibility<\/a><\/li>\n\n\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n\n\n\n\n<p>\u00a0<\/p>\n\n\n\n\n\n\n\n\n\n\n\n<p><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/dchip_attachments.pdf\"><strong>Attachments<\/strong><\/a><\/p>\n\n\n\n\n\n\n\n\n\n\n\n<ul>\n\n\n\n\n\n <li>Attachment 1 &#8211; 6.2.6.1- List of NQTLS Highmark Health Options<\/li>\n\n\n\n\n\n <li>Attachment 2 &#8211; 6.2.6.1- List of NQTLS UnitedHealth Care Community Plan<\/li>\n\n\n\n\n\n <li>Attachment 3 &#8211; 6.2.6.1 &#8211; NQTL Analysis UnitedHealth care Community Plan<\/li>\n\n\n\n\n\n <li>Attachment 4 &#8211; 6.2.6.1 &#8211; NQTL Analysis Highmark Health Options<\/li>\n\n\n\n\n\n<\/ul>\n\n\n\n\n\n\n\n\n\n\n\n<p>\u00a0<\/p>\n\n\n\n\n\n  <!--[END]-->\n\n\n  \n\n\n      <\/div>\n\n\n    <\/div>\n\n\n  <\/div><!-- \/container -->\n\n\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Listen Delaware Children&#8217;s Health Insurance Plans (DCHIP) Medicaid &#038; Medical Assistance Menu Home About About DMMA Sections &#038; Programs FAQs Related Links Contact Information Office Locations Services Programs and Services A-Z of DHSS Services Adult Dental Benefits Developmental Disabilities Home &#038; Community Based Waiver Program Medical Assistance Programs Medicaid Healthy Children (CHIP) Prescription Assistance (DPAP) [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-598","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dmma\/wp-json\/wp\/v2\/pages\/598","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dhss.delaware.gov\/dmma\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dhss.delaware.gov\/dmma\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dmma\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dmma\/wp-json\/wp\/v2\/comments?post=598"}],"version-history":[{"count":0,"href":"https:\/\/dhss.delaware.gov\/dmma\/wp-json\/wp\/v2\/pages\/598\/revisions"}],"wp:attachment":[{"href":"https:\/\/dhss.delaware.gov\/dmma\/wp-json\/wp\/v2\/media?parent=598"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}