{"id":636,"date":"2025-02-25T17:12:46","date_gmt":"2025-02-25T17:12:46","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dmma\/state_plan\/"},"modified":"2025-06-13T16:09:07","modified_gmt":"2025-06-13T21:09:07","slug":"state_plan","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dmma\/state_plan\/","title":{"rendered":"state_plan ~  Delaware State Plan  &#8211; Delaware Health and Social Services &#8211; State of Delaware"},"content":{"rendered":"<div data-swiftype-index=\"true\">\r\n\r\n\r\n\r\n\r\n\r\n  <br>\r\n\r\n\r\n  \r\n\r\n\r\n  <div class=\"container\" id=\"main_header\">\r\n\r\n\r\n    <!-- BEGIN readspeaker div -->\r\n\r\n\r\n    <div class=\"rs_skip rsbtn rs_preserve\" id=\"readspeaker_button1\">\r\n\r\n\r\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\/state_plan.html\" title=\"Listen to this page using ReadSpeaker\">\r\n\r\n\r\n        <span class=\"rsbtn_left rsimg rspart\"><span class=\"rsbtn_text\"><span>Listen<\/span><\/span><\/span>\r\n\r\n\r\n        <span class=\"rsbtn_right rsimg rsplay rspart\"><\/span>\r\n\r\n\r\n      <\/a>\r\n\r\n\r\n    <\/div>\r\n\r\n\r\n    <!-- END readspeaker div -->\r\n\r\n\r\n\r\n\r\n\r\n    <header class=\"pull-left\">\r\n\r\n\r\n      <h1><!--[type=EDIT name=\"Page Title\"]-->Delaware Medicaid State Plan<!--[END]--><\/h1>\r\n\r\n\r\n    <\/header>\r\n\r\n\r\n  <\/div><br>\r\n\r\n\r\n \r\n\r\n\r\n  <div class=\"container\">\r\n\r\n\r\n    <div class=\"row\">\r\n\r\n\r\n      <div class=\"col-md-3\" id=\"leftCol\">\r\n\r\n\r\n        <div class=\"panel-group\" id=\"accordion\">\r\n\r\n\r\n          <div class=\"panel sectionmenu_panel\">\r\n\r\n\r\n            <div class=\"panel-heading\">\r\n\r\n\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 &#038; 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Single State Agency<\/li>\r\n\r\n\r\n\r\n\r\n <li>Section 2 &#8211; Coverage and Eligibility<\/li>\r\n\r\n\r\n\r\n\r\n <li>Section 3 &#8211; Services: General Provisions<\/li>\r\n\r\n\r\n\r\n\r\n <li>Section 4 &#8211; General Program Administration<\/li>\r\n\r\n\r\n\r\n\r\n <li>Section 5 &#8211; Personnel Administration<\/li>\r\n\r\n\r\n\r\n\r\n <li>Section 6 &#8211; Financial Administration<\/li>\r\n\r\n\r\n\r\n\r\n <li>Section 7 &#8211; General Provisions<\/li>\r\n\r\n\r\n\r\n\r\n<\/ul>\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n<p><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/sp_magi.pdf\"><strong>MAGI Eligibility and Benefits State Plan Amendments<\/strong><\/a><\/p>\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n<p>Describes Medicaid program client coverage and conditions of eligibility; Application forms and methods for individuals to apply for and renew Medicaid coverage<\/p>\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n<ul>\r\n\r\n\r\n\r\n\r\n <li>MAGI-Based Eligibility Groups<\/li>\r\n\r\n\r\n\r\n\r\n <li>S94\u00a0 General Eligibility Requirements, Eligibility Process<\/li>\r\n\r\n\r\n\r\n\r\n <li>S10\u00a0 MAGI-Based Income Methodologies<\/li>\r\n\r\n\r\n\r\n\r\n <li>A1, A2, &#038; A3\u00a0 Addresses single state agencies delegation of appeals and determinations<\/li>\r\n\r\n\r\n\r\n\r\n <li>S88\u00a0 Residency<\/li>\r\n\r\n\r\n\r\n\r\n <li>S89\u00a0 Non-Financial Eligibility Citizenship &#038; Non-Citizen<\/li>\r\n\r\n\r\n\r\n\r\n <li>S21\u00a0 Hospital Presumptive Eligibility<\/li>\r\n\r\n\r\n\r\n\r\n<\/ul>\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n<p><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/sp_attachment_2_1_to_2_a_revised_20230614.pdf\"><strong>Attachment 2.1-A Definition of an HMO to 2.2-A Eligibility Groups<\/strong><\/a><\/p>\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n<p>Describes Medicaid program client coverage and conditions of eligibility<\/p>\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n<ul>\r\n\r\n\r\n\r\n\r\n <li>Mandatory Coverage &#8211; Categorically Needy and Other Required Special Groups<\/li>\r\n\r\n\r\n\r\n\r\n <li>Optional Groups Other Than the Medically Needy<\/li>\r\n\r\n\r\n\r\n\r\n <li>Optional Coverage of the Medically Needy<\/li>\r\n\r\n\r\n\r\n\r\n <li>Requirements Relating to Determining Eligibility for Medicare Prescription Drug Low-Income Subsidies<\/li>\r\n\r\n\r\n\r\n\r\n <li>Method for Determining Cost Effectiveness of Caring for Certain Disabled Children at Home<\/li>\r\n\r\n\r\n\r\n\r\n<\/ul>\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n<p><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/sp_attachment_2_6.pdf\"><strong>Attachment 2.6-A Income and Resource Eligibility<\/strong><\/a><\/p>\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n<p>Describes Medicaid program client coverage and conditions of income and resource eligibility<\/p>\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n<ul>\r\n\r\n\r\n\r\n\r\n <li>2.6-A\u00a0 Eligibility Conditions and Requirements, Pages 1-26<\/li>\r\n\r\n\r\n\r\n\r\n <li>2.6-A\u00a0 Supplements 1-18<\/li>\r\n\r\n\r\n\r\n\r\n<\/ul>\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n<ol>\r\n\r\n\r\n\r\n\r\n <li style=\"margin-left: 49.5pt;\">Income Eligibility Levels<\/li>\r\n\r\n\r\n\r\n\r\n <li style=\"margin-left: 49.5pt;\">Resource Levels<\/li>\r\n\r\n\r\n\r\n\r\n <li style=\"margin-left: 49.5pt;\">Reasonable Limits on Amounts for Necessary Medical or Remedial Care Not Covered Under Medicaid<\/li>\r\n\r\n\r\n\r\n\r\n <li style=\"margin-left: 49.5pt;\">Methods for Treatment of Income That Differ From Those of The SSI Program<\/li>\r\n\r\n\r\n\r\n\r\n <li style=\"margin-left: 49.5pt;\">More Restrictive Methods of Treating Resources Than Those of The SSI Program &#8211; Section 1902(f) States Only<\/li>\r\n\r\n\r\n\r\n\r\n <li style=\"margin-left: 49.5pt;\">Standards for Optional State Supplementary Payments<\/li>\r\n\r\n\r\n\r\n\r\n <li style=\"margin-left: 49.5pt;\">Income Levels for 1902(f) States &#8211; Categorically Needy Who are Covered Under Requirements More Restrictive Than SSI<\/li>\r\n\r\n\r\n\r\n\r\n <li style=\"margin-left: 49.5pt;\">Resource Standards for 1902(f) States &#8211; Categorically Needy<\/li>\r\n\r\n\r\n\r\n\r\n <li style=\"margin-left: 49.5pt;\">Transfer of Resources<\/li>\r\n\r\n\r\n\r\n\r\n <li style=\"margin-left: 49.5pt;\">The agency does not apply the trust provisions in any case in which the agency determines that such application would work an undue hardship.<\/li>\r\n\r\n\r\n\r\n\r\n <li style=\"margin-left: 49.5pt;\">More Liberal Policy Under Section 1902(r) of the Social Security Act<\/li>\r\n\r\n\r\n\r\n\r\n <li style=\"margin-left: 49.5pt;\">Eligibility Under Section 1931 of the Act<\/li>\r\n\r\n\r\n\r\n\r\n <li style=\"margin-left: 49.5pt;\">Section 1924 provisions<\/li>\r\n\r\n\r\n\r\n\r\n <li style=\"margin-left: 49.5pt;\">Income and Resource Requirements for Tuberculosis (TB) Infected Individuals<\/li>\r\n\r\n\r\n\r\n\r\n <li style=\"margin-left: 49.5pt;\">Asset Verification System<\/li>\r\n\r\n\r\n\r\n\r\n <li style=\"margin-left: 49.5pt;\">Disqualification for Long-Term Care Assistance for Individuals with Substantial Home Equity<\/li>\r\n\r\n\r\n\r\n\r\n <li style=\"margin-left: 49.5pt;\">Methodology for Identification of Applicable FMAP Rates<\/li>\r\n\r\n\r\n\r\n\r\n<\/ol>\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n<p><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/sp_attachment_3_1_a_to_3_1_i.pdf\"><strong>Attachment 3.1-A to Attachment 3.1-I Services<\/strong><\/a><\/p>\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n<p>Describes amount, duration, scope, and types of covered services<\/p>\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n<ul>\r\n\r\n\r\n\r\n\r\n <li>3.1-A\u00a0 Amount, Duration, and Scope of Medical and Remedial Care and Services Provided to the Categorically Needy<\/li>\r\n\r\n\r\n\r\n\r\n <li>3.1-B\u00a0 Amount, Duration, and Scope of Services Provided Medically Needy Group(s)<\/li>\r\n\r\n\r\n\r\n\r\n <li>3.1-C\u00a0 Standards and Methods of Assuring High Quality Care<\/li>\r\n\r\n\r\n\r\n\r\n <li>3.1-D\u00a0 Methods of Providing Transportation<\/li>\r\n\r\n\r\n\r\n\r\n <li>3.1-E\u00a0 Standards for the Coverage of Organ and Tissue Transplant Services<\/li>\r\n\r\n\r\n\r\n\r\n <li>3.1-I\u00a0 1915(i) State Plan Home and Community Based Services Administration and Operation<\/li>\r\n\r\n\r\n\r\n\r\n<\/ul>\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n<p><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/sp_attachment_3_1_L.pdf\"><strong>Attachment 3.1-L Delaware Alternative Benefit Plan<\/strong><\/a><\/p>\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n<p>Identifies and defines the Adult eligibility group that receives their Medicaid coverage through an Alternative Benefit Plan (ABP)<\/p>\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n<ul>\r\n\r\n\r\n\r\n\r\n <li>ABP1 &#8211; Alternative Benefit Plan Populations<\/li>\r\n\r\n\r\n\r\n\r\n <li>ABP2a &#8211; Voluntary Benefit Package Selection Assurances &#8211; Eligibility Group Under Section 1902(a)(10)(A)(i)(VIII) of the Act<\/li>\r\n\r\n\r\n\r\n\r\n <li>ABP3 &#8211; Selection of Benchmark Benefit Package or Benchmark-Equivalent Benefit Package<\/li>\r\n\r\n\r\n\r\n\r\n <li>ABP4 &#8211; Alternative Benefit Plan Cost-Sharing<\/li>\r\n\r\n\r\n\r\n\r\n <li>ABP5 &#8211; Benefits Description<\/li>\r\n\r\n\r\n\r\n\r\n <li>ABP7 &#8211; Benefits Assurances<\/li>\r\n\r\n\r\n\r\n\r\n <li>ABP8 &#8211; Service Delivery Systems<\/li>\r\n\r\n\r\n\r\n\r\n <li>ABP10 \u2013 General Assurances<\/li>\r\n\r\n\r\n\r\n\r\n <li>ABP11 \u2013 Payment Methodology<\/li>\r\n\r\n\r\n\r\n\r\n<\/ul>\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n<p><a href=\"\/wp-content\/uploads\/sites\/9\/dmma\/pdf\/sp_attachment_4_11_a_to_7_7_c.pdf\"><strong>Attachment 4.11-A to Attachment 7.7.C COVID-19 Treatment at section 1905(a)(4)(F)<br>\r\n\r\n\r\n\r\n\r\nof the Social Security Act<\/strong><\/a><\/p>\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n<p>Describes reimbursement, quality control and Title VI Civil Rights<\/p>\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n<ul>\r\n\r\n\r\n\r\n\r\n <li>4.11-A\u00a0 Standards for Institutions<\/li>\r\n\r\n\r\n\r\n\r\n <li>4.14-B\u00a0 Methods for Control of the Utilization of Intermediate Care Facility (ICF) Services<\/li>\r\n\r\n\r\n\r\n\r\n <li>4.16-A\u00a0 Cooperative Arrangements with State Health and State Vocational Rehabilitation Agencies and Title V Grantees<\/li>\r\n\r\n\r\n\r\n\r\n <li>4.17-1\u00a0 Liens and Adjustments or Recoveries<\/li>\r\n\r\n\r\n\r\n\r\n <li>4.18-A\u00a0 Charges Imposed on Categorically Needy<\/li>\r\n\r\n\r\n\r\n\r\n <li>4.18-C\u00a0 Charges Impose on the Medically Needy<\/li>\r\n\r\n\r\n\r\n\r\n <li>4.18-D\u00a0 Premiums Imposed on Low Income Pregnant Women and Infants<\/li>\r\n\r\n\r\n\r\n\r\n <li>4.18-E\u00a0 Optional Sliding Scale Premiums Imposed on Qualified Disabled and Working Individuals<\/li>\r\n\r\n\r\n\r\n\r\n <li>4.19-A\u00a0 Payment Adjustment for Provider preventable Conditions<\/li>\r\n\r\n\r\n\r\n\r\n <li>4.19-A \u00a0Methods and Standards for Establishing Payment Rates \u2013 Inpatient Hospital Care<\/li>\r\n\r\n\r\n\r\n\r\n <li>4.19-A.1\u00a0 Methods and Standards for Establishing payment Rates Inpatient Psychiatric Hospital Care<\/li>\r\n\r\n\r\n\r\n\r\n <li>4.19-A.2 \u00a0Methods and Standards for Establishing Payment Rates for Freestanding Inpatient Rehabilitation Hospital Services<\/li>\r\n\r\n\r\n\r\n\r\n <li>4.19-B \u00a0Methods and Standards for Establishing Payment Rates Other Types of Care<\/li>\r\n\r\n\r\n\r\n\r\n <li>4.19-C \u00a0Standards for Payment of Reserved Beds During Absence from Long-Term Care Facilities<\/li>\r\n\r\n\r\n\r\n\r\n <li>4.19-D \u00a0Methods and Standards for Establishing Payment Rates Prospective Reimbursement System for Long-Term Care Facilities<\/li>\r\n\r\n\r\n\r\n\r\n <li>4.19-E \u00a0Definition of a &#8220;claim&#8221;<\/li>\r\n\r\n\r\n\r\n\r\n <li>4.22-A through 4.22-C \u00a0Requirements for Third Party Liability (TPL)<\/li>\r\n\r\n\r\n\r\n\r\n <li>4.30 Sanctions for Psychiatric Hospitals<\/li>\r\n\r\n\r\n\r\n\r\n <li>4.32-A \u00a0Income and Eligibility Verification System Procedures Requests to Other State Agencies<\/li>\r\n\r\n\r\n\r\n\r\n <li>4.33-A \u00a0Method for Issuance of Medicaid Eligibility Cards to Homeless Individuals<\/li>\r\n\r\n\r\n\r\n\r\n <li>4.34-A \u00a0Requirements for Advance Directives Under State Plans for Medical Assistance<\/li>\r\n\r\n\r\n\r\n\r\n <li>4.35-A through 4.35-H \u00a0Enforcement of Compliance for Nursing Facilities<\/li>\r\n\r\n\r\n\r\n\r\n <li>4.38 \u00a0Disclosure of Additional Registry Information<\/li>\r\n\r\n\r\n\r\n\r\n <li>4.39 \u00a0Definition of Specialized Services<\/li>\r\n\r\n\r\n\r\n\r\n <li>4.39-A \u00a0Categorical Determinations<\/li>\r\n\r\n\r\n\r\n\r\n <li>4.40-A through 4.40-E \u00a0Eligibility Conditions and Requirements<\/li>\r\n\r\n\r\n\r\n\r\n <li>4.42-A \u00a0False Claims Act Attachment<\/li>\r\n\r\n\r\n\r\n\r\n <li>7.2-A \u00a0Methods of Administration-Civil Rights<\/li>\r\n\r\n\r\n\r\n\r\n <li>7.7-A Vaccine and Vaccine Administration at Section 1905(a)(4)(E) of the Social Security Act<\/li>\r\n\r\n\r\n\r\n\r\n <li>7.7-B COVID-19 Testing at section 1905(a)(4)(F) of the Social Security Act<\/li>\r\n\r\n\r\n\r\n\r\n <li>7.7-C COVID-19 Treatment at section 1905(a)(4)(F) of the Social Security Act<\/li>\r\n\r\n\r\n\r\n\r\n<\/ul>\r\n\r\n\r\n\r\n\r\n  <!--[END]-->\r\n\r\n\r\n  \r\n\r\n\r\n      <\/div>\r\n\r\n\r\n    <\/div>\r\n\r\n\r\n  <\/div><!-- \/container -->\r\n\r\n\r\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Listen Delaware Medicaid State Plan 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) Long Term [&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-636","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dmma\/wp-json\/wp\/v2\/pages\/636","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=636"}],"version-history":[{"count":2,"href":"https:\/\/dhss.delaware.gov\/dmma\/wp-json\/wp\/v2\/pages\/636\/revisions"}],"predecessor-version":[{"id":803,"href":"https:\/\/dhss.delaware.gov\/dmma\/wp-json\/wp\/v2\/pages\/636\/revisions\/803"}],"wp:attachment":[{"href":"https:\/\/dhss.delaware.gov\/dmma\/wp-json\/wp\/v2\/media?parent=636"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}