{"id":615,"date":"2025-02-25T17:12:41","date_gmt":"2025-02-25T17:12:41","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dmma\/homeandc\/"},"modified":"2025-10-06T14:29:49","modified_gmt":"2025-10-06T18:29:49","slug":"homeandc","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dmma\/homeandc\/","title":{"rendered":"homeandc ~  DMMA: Medical Assistance Services: Home and Community  &#8211; Delaware Health and Social Services &#8211; State of Delaware"},"content":{"rendered":"<div data-swiftype-index=\"true\">\r\n  <br>\r\n  <div class=\"container\" id=\"main_header\">\r\n    <!-- BEGIN readspeaker div -->\r\n    <div class=\"rs_skip rsbtn rs_preserve\" id=\"readspeaker_button1\">\r\n      <a class=\"rsbtn_play\" href=\"https:\/\/app-na.readspeaker.com\/cgi-bin\/rsent?customerid=7262&amp;lang=en_us&amp;readid=main_content&amp;url=https:\/\/dhss.delaware.gov\/dmma\/homeandc.html\" title=\"Listen to this page using ReadSpeaker\">\r\n      <span class=\"rsbtn_left rsimg rspart\"><span class=\"rsbtn_text\"><span>Listen<\/span><\/span><\/span>\r\n      <span class=\"rsbtn_right rsimg rsplay rspart\"><\/span>\r\n      <\/a>\r\n    <\/div>\r\n    <!-- END readspeaker div -->\r\n    <header class=\"pull-left\">\r\n      <h1>\r\n        <!--[type=EDIT name=\"Page Title\"]-->DDDS Home and Community-Based 1915(c) Lifespan Waiver<!--[END]-->\r\n      <\/h1>\r\n    <\/header>\r\n  <\/div>\r\n  <br>\r\n  <div class=\"container\">\r\n    <div class=\"row\">\r\n      <div class=\"col-md-3\" id=\"leftCol\">\r\n        <div class=\"panel-group\" id=\"accordion\">\r\n          <div class=\"panel sectionmenu_panel\">\r\n            <div class=\"panel-heading\">\r\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 &amp; Medical Assistance Menu<\/strong><\/a><\/p>\r\n            <\/div>\r\n            <div class=\"panel-collapse collapse in\" id=\"collapseOne\">\r\n              <div class=\"panel-body\" id=\"clf_nav\">\r\n                <ul class=\"nav nav-stacked nav-pills-clf\" id=\"agency_sidebar\">\r\n                  <li>\r\n                    <a href=\"\/dmma\/\">\r\n                      <h2>Home <i class=\"fa fa-home fa-fw\"><\/i><\/h2>\r\n                    <\/a>\r\n                  <\/li>\r\n                  <li class=\"toplevel\">\r\n                    <a data-parent=\"#agency_sidebar\" data-toggle=\"collapse\" href=\"#HomeMenu\">\r\n                      <h2>About <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2>\r\n                    <\/a>\r\n                    <ul class=\"panel-collapse collapse\" id=\"HomeMenu\">\r\n                      <li>\r\n                        <a href=\"\/dmma\/about.html\">About DMMA<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dmma\/sections.html\">Sections &amp; Programs<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dmma\/faqs.html\">FAQs<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dmma\/links.html\">Related Links<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dmma\/contact.html\">Contact Information<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dmma\/locations.html\">Office Locations<\/a>\r\n                      <\/li>\r\n                    <\/ul>\r\n                  <\/li>\r\n                  <li class=\"toplevel\">\r\n                    <a data-parent=\"#sidebar\" data-toggle=\"collapse\" href=\"#ServicesMenu\">\r\n                      <h2>Services <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2>\r\n                    <\/a>\r\n                    <ul class=\"panel-collapse collapse\" id=\"ServicesMenu\">\r\n                      <li>\r\n                        <a href=\"\/dmma\/services.html\">Programs and Services<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/atoz\/\">A-Z of DHSS Services<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dmma\/adult_dental_benefits.html\">Adult Dental Benefits<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dmma\/homeandc.html\">Developmental Disabilities Home &amp; Community Based Waiver Program<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dmma\/medast.html\">Medical Assistance Programs<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dmma\/medicaid.html\">Medicaid<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dmma\/dhcp.html\">Healthy Children (CHIP)<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dmma\/dpap.html\">Prescription Assistance (DPAP)<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dmma\/ltcmedicaid.html\">Long Term Care<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dmma\/disabledchildren.html\">Children&#8217;s Community Alternative Disability Program<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dmma\/hcbs_trans_plan.html\">Home &amp; Community Based Services Statewide Transition Plan<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dmma\/medical.html\">Transportation<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dmma\/crdprog.html\">Chronic Renal Disease<\/a>\r\n                      <\/li>\r\n                    <\/ul>\r\n                  <\/li>\r\n                  <li class=\"toplevel\">\r\n                    <a data-parent=\"#sidebar\" data-toggle=\"collapse\" href=\"#InformationMenu\">\r\n                      <h2>Information <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2>\r\n                    <\/a>\r\n                    <ul class=\"panel-collapse collapse\" id=\"InformationMenu\">\r\n                      <li>\r\n                        <a href=\"\/dmma\/children_with_medical_complexity.html\">Children with Medical Complexity<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dmma\/fpl.html\">Eligibility<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"https:\/\/medicaidpublications.dhss.delaware.gov\/docs\/Search?EntryId=49\">Pharmaceutical and Therapeutics (P &amp; T) Committee<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"https:\/\/medicaid.dhss.delaware.gov\/\">Provider Manuals<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dmma\/regs.html\">Regulations<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dmma\/reports.html\">Reports<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dmma\/info_stats.html\">Public Information and Statistics<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dmma\/pubs.html\">Publications &amp; Forms<\/a>\r\n                      <\/li>\r\n                      <li>\r\n                        <a href=\"\/dmma\/resources.html\">Resources<\/a>\r\n                      <\/li>\r\n                    <\/ul>\r\n                  <\/li>\r\n                 \r\n                <\/ul>\r\n              <\/div>\r\n            <\/div>\r\n          <\/div>\r\n        <\/div>\r\n        <br>\r\n      <\/div>\r\n      <div class=\"col-md-9\" id=\"main_content\">\r\n        <!--[type=HTMLEDIT name=\"Content\"]-->\r\n        <h2><strong>Delaware Division of Developmental Disabilities (DDDS) Home and Community-Based 1915(c) Lifespan Waiver Amendment<\/strong><\/h2>\r\n        <p>In accordance with the public notice requirements of 42 CFR 441.304 (d1)(e) and (f) and the state public notice requirements of Title 29, Chapter 101 of the Delaware Code, Delaware Health and Social Services (DHSS)\/Division of Medicaid and Medical Assistance (DMMA) gives notice related to the amendment of the DDDS HCBS Medicaid Waiver authorized under section 1915(c) of the Social Security Act.<\/p>\r\n        <p>The purpose of this posting is to provide public notice and elicit public input regarding Delaware\u2019s proposed amendment to its current 1915 (c) HCBS Lifespan Waiver that serves individuals with intellectual and developmental disabilities (IDD).<\/p>\r\n        <ul>\r\n          <li><a href=\"\/wp-content\/uploads\/sites\/9\/2025\/10\/Lifespan-Waiver-Amendment-8.14.2025.pdf\">DDDS HCBS 1915(c) Lifespan Waiver Amendment \u2013 Proposed Amendment 2025<\/a><\/li>\r\n          <li><a href=\"\/wp-content\/uploads\/sites\/9\/2025\/10\/Lifespan-Amendment-Public-Notice.docx.pdf\">DDDS HCBS 1915(c) Lifespan Waiver Amendment \u2013 Public Notice October 2025<\/a><\/li>\r\n        <\/ul>\r\n        <h2><strong>DDDS HCBS 1915(i) SPA Pathways<\/strong><\/h2>\r\n        <p>In accordance with the requirements of 42 U.S.C. \u00a71396a (a)(13) and 42 CFR \u00a7447.205, Delaware Health and Social Services (DHSS), Division of Medicaid and Medical Assistance (DMMA) gives notice related to the renewal of Pathways to Employment Home and Community Based State Plan Amendment authorized under 1915 (i) of the Social Security Act.<\/p>\r\n        <p>The purpose of this posting is to provide public notice and elicit public input regarding Delaware\u2019s renewal of the Pathways to Employment program that services individuals with intellectual and developmental disabilities (IDD), visual impairments, autism spectrum disorder, Asperger\u2019s Syndrome and physical disabilities ages fourteen (14) to twenty-five (25) to seek and maintain competitive employment.<\/p>\r\n        <ul>\r\n          <li><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/pathways_to_employment_1915i_renewal_template_fy25_fy29.pdf\">DDDS HCBS 1915(i) SPA Pathways &#8211; (Renewal)<\/a><\/li>\r\n          <li><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/pathways_to_employment_1915i_preprint_2025_2029_amended.pdf\">DDDS HCBS 1915(i) SPA Pathways &#8211; (Amendment)<\/a><\/li>\r\n          <li><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/ddds_hcbs_1915_current_application_approved.pdf\">DDDS HCBS 1915(i) SPA Pathways &#8211; (Current Application \u2013 Approved by CMS 12\/31\/14)<\/a><\/li>\r\n        <\/ul>\r\n        <hr>\r\n        <h2><strong>DDDS Waiver Fee-for-Service Selective Contracting Program 1915(b)(4)<\/strong><\/h2>\r\n        <p>In accordance with the requirements of 42 U.S.C. \u00a71396a (a)(13) and 42 CFR \u00a7447.205, Delaware Health and Social Services (DHSS), Division of Medicaid and Medical Assistance (DMMA) gives notice related to the renewal of an application for a fee-for-service selective contracting waiver under section 1915(b)(4) of the Social Security Act.<\/p>\r\n        <p>The purpose of this posting is to provide public notice and elicit public input regarding Delaware\u2019s renewal of the this waiver which seeks to limit freedom of choice of providers of the Employment Navigation service and to selectively contract a transportation broker to provide the non-medical transportation services to Pathways program participants.<\/p>\r\n        <ul>\r\n          <li><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/waiver_fee_for_service_approved.pdf\">DDDS Waiver Fee-for-Service 1915(b)(4) &#8211; (Current Application \u2013 Approved by CMS 12\/31\/14)<\/a><\/li>\r\n          <li><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/1915b_4_pathways_waiver_renewal_application_cy25_29.pdf\">DDDS Waiver Fee-for-Service 1915(b)4 \u2013 Renewal Application <\/a><\/li>\r\n        <\/ul>\r\n        <hr>\r\n        <h2><strong>Delaware Division of Developmental Disabilities (DDDS) Home and Community-Based 1915(c) Lifespan Waiver Renewal<\/strong><\/h2>\r\n        <p>In accordance with the public notice requirements of 42 CFR 441.304(e) and (f) and Title 29, Chapter 101 of the Delaware Code, Delaware Health and Social Services (DHSS)\/Division of Medicaid and Medical Assistance (DMMA) gives notice related to the renewal of the DDDS HCBS Medicaid Waiver authorized under section 1915(c) of the Social Security Act. The purpose of this posting is to provide public notice and elicit public input regarding Delaware\u2019s proposed amendment to its current HCBS Waiver that serves individuals with intellectual and developmental disabilities (IDD) to create the Lifespan Waiver.<\/p>\r\n        <p>The currently approved DDDS HCBS 1915(c) Lifespan Waiver can be accessed below under general information.<\/p>\r\n        <ul>\r\n          <li><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/ddds_newspaper_lifespan_renewal.pdf\">DDDS HCBS 1915(c) Lifespan Waiver Amendment \u2013 Full Public Notice<\/a><\/li>\r\n          <li><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/ddds_amended_lifespan_waiver.pdf\">DDDS HCBS 1915(c) Lifespan Waiver Amendment \u2013 Renewal Application<\/a><\/li>\r\n        <\/ul>\r\n        <hr>\r\n        <h2><strong>General Information<\/strong><\/h2>\r\n        <p>Delaware Health and Social Services (DHSS)\/Division of Medicaid and Medical Assistance (DMMA) and Division of Developmental Disabilities (DDDS) received approval from the Center for Medicaid Services (CMS) to amend the Home and Community-Based Lifespan Waiver on May 25, 2017 with an effective date of July 1, 2017.  Please click on the documents below for more information.<\/p>\r\n        <ul>\r\n          <li><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/ddds_lifespan_waiver_pages_1_104.pdf\">DDDS HCBS Lifespan Waiver Amendment 01 pages 1 \u2013 104 (Approved by CMS on 5\/25\/17)<\/a><\/li>\r\n          <li><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/ddds_lifespan_waiver_pages_105_209.pdf\">DDDS HCBS Lifespan Waiver Amendment 01 pages 105 \u2013 209 (Approved by CMS on 5\/25\/17)<\/a><\/li>\r\n        <\/ul>\r\n        <p> <\/p>\r\n        <p> <\/p>\r\n        <!--[END]-->\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n  <!-- \/container -->\r\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Listen DDDS Home and Community-Based 1915(c) Lifespan Waiver Medicaid &amp; Medical Assistance Menu Home About About DMMA Sections &amp; Programs FAQs Related Links Contact Information Office Locations Services Programs and Services A-Z of DHSS Services Adult Dental Benefits Developmental Disabilities Home &amp; Community Based Waiver Program Medical Assistance Programs Medicaid Healthy Children (CHIP) Prescription Assistance [&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-615","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dmma\/wp-json\/wp\/v2\/pages\/615","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=615"}],"version-history":[{"count":4,"href":"https:\/\/dhss.delaware.gov\/dmma\/wp-json\/wp\/v2\/pages\/615\/revisions"}],"predecessor-version":[{"id":1125,"href":"https:\/\/dhss.delaware.gov\/dmma\/wp-json\/wp\/v2\/pages\/615\/revisions\/1125"}],"wp:attachment":[{"href":"https:\/\/dhss.delaware.gov\/dmma\/wp-json\/wp\/v2\/media?parent=615"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}