{"id":504,"date":"2025-02-25T17:21:55","date_gmt":"2025-02-25T17:21:55","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dss\/medicaid\/"},"modified":"2025-02-25T17:21:55","modified_gmt":"2025-02-25T17:21:55","slug":"medicaid","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dss\/medicaid\/","title":{"rendered":"medicaid ~  DSS Medical Assistance Services: Medicaid  &#8211; Delaware Health and Social Services &#8211; State of Delaware"},"content":{"rendered":"<div data-swiftype-index=\"true\">\n\n\n\n  <br>\n\n  \n\n  <div class=\"container\" id=\"main_header\">\n\n     <!-- BEGIN readspeaker div -->\n\n    <div class=\"rs_skip rsbtn rs_preserve\" id=\"readspeaker_button1\">\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\/dss\/medicaid.html\" title=\"Listen to this page using ReadSpeaker\">\n\n        <span class=\"rsbtn_left rsimg rspart\"><span class=\"rsbtn_text\"><span>Listen<\/span><\/span><\/span>\n\n        <span class=\"rsbtn_right rsimg rsplay rspart\"><\/span>\n\n      <\/a>\n\n    <\/div>\n\n    <!-- END readspeaker div -->\n\n\n\n    \n\n    <header class=\"pull-left\">\n\n      <h1><!--[type=EDIT name=\"Page Title\"]-->Medicaid<!--[END]--><\/h1>\n\n    <\/header>\n\n  <\/div><br>\n\n \n\n  <div class=\"container\">\n\n    <div class=\"row\">\n\n      <div class=\"col-md-3\" id=\"leftCol\">\n\n        <div class=\"panel-group\" id=\"accordion\">\n\n          <div class=\"panel sectionmenu_panel\">\n\n            <div class=\"panel-heading\">\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> Social Services  Menu<\/strong><\/a><\/p>\n\n            <\/div>\n\n\n\n            <div class=\"panel-collapse collapse in\" id=\"collapseOne\">\n\n              <div class=\"panel-body\" id=\"clf_nav\">\n\n                  <ul class=\"nav nav-stacked nav-pills-clf\" id=\"agency_sidebar\">\n    <li><a href=\"\/dss\/\"><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=\"\/dss\/about.html\">About DSS<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dss\/sections.html\">Sections &#038; Programs<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dss\/faq.html\">FAQs<\/a>\n    <\/li>\n  \n    <li>\n      <a href=\"\/dss\/contact.html\">Contact Information<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dss\/ofclocations.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=\"https:\/\/assist.dhss.delaware.gov\/\">ASSIST<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dss\/cashast.html\">Cash Assistance<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dss\/genast.html\">General Assistance<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dss\/refast.html\">Refugee Cash Assistance<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dss\/tanf.html\">Temporary Assistance (TANF)<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dss\/foodstamps.html\">Food Supplement Program<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dss\/childcr.html\">Child Care<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dss\/fpl.html\">Income and Eligibility<\/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=\"\/dss\/regs.html\">Regulations<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dss\/pubs.html\">Publications &#038; Forms<\/a>\n    <\/li>\n    <li>\n      <a href=\"\/dss\/repstats.html\">Reports &#038; Statistics<\/a>\n    <\/li>\n  <\/ul><\/li>\n<\/ul>\n\n\n\n              <\/div>\n\n            <\/div>\n\n          <\/div>\n\n        <\/div><br>\n\n      <\/div>\n\n\n\n      <div class=\"col-md-9\" id=\"main_content\"> \n\n  <!--[type=HTMLEDIT name=\"Content\"]-->\n\n\n\n\n\n\n\n\n\n\n\n<p>\n\n\n\n  Medicaid furnishes medical assistance to eligible low-income families and to eligible aged, blind and\/or disabled people whose income is\n\n\n\n  insufficient to meet the cost of necessary medical services. Medicaid pays for: doctor visits, hospital care, labs, prescription drugs,\n\n\n\n  transportation, routine shots for children, mental health and substance abuse services.\n\n\n\n<\/p>\n\n\n\n<ul>\n\n\n\n  <li>Delaware Medicaid providers may access the Delaware Medical Assistance Provider manual at: <a href=\"https:\/\/medicaid.dhss.delaware.gov\/\" title=\"Delaware Medical Assistance Provider manual\">http:\/\/www.dmap.state.de.us\/index.html<\/a>\n\n\n\n  <\/li>\n\n\n\n<\/ul>\n\n\n\n<h2>\n\n\n\n  Eligibility\n\n\n\n<\/h2>\n\n\n\n<ul>\n\n\n\n  <li>You can have a car, bank account, and a home and still qualify for Medicaid. DSS does not look at any of your resources when\n\n\n\n  determining your eligibility for Medicaid.\n\n\n\n  <\/li>\n\n\n\n  <li>You can work and still qualify for Medicaid.\n\n\n\n  <\/li>\n\n\n\n  <li>Some persons can have other insurance and still receive Medical Assistance.\n\n\n\n  <\/li>\n\n\n\n  <li>Low-income uninsured adults between the ages of 19 and 65 may qualify for Medicaid.\n\n\n\n  <\/li>\n\n\n\n  <li>Certain children living with stepparents, grandparents, or siblings with income may receive Medicaid.\n\n\n\n  <\/li>\n\n\n\n  <li>Needy families with children may be eligible for Medicaid if they are part of Temporary Assistance for Needy Families.\n\n\n\n  <\/li>\n\n\n\n  <li>When a family getting a welfare check starts working and leaves welfare they still may receive Medicaid.\n\n\n\n  <\/li>\n\n\n\n  <li>Low-income pregnant women and children under age 19 may qualify for Medicaid.\n\n\n\n  <\/li>\n\n\n\n  <li>Most women of child bearing age may be eligible for birth control and family planning services for up to 24 months after their\n\n\n\n  regular Medicaid stops.\n\n\n\n  <\/li>\n\n\n\n<\/ul>\n\n\n\n<p>\n\n\n\n  Most people receiving Medicaid are enrolled with one of the managed care plans under the Diamond State Health Plan.\n\n\n\n<\/p>\n\n\n\n<p>To apply for Delaware Healthy Children&#8217;s Program    <a href=\"https:\/\/assist.dhss.delaware.gov\/\">click here<\/a><\/p>\n\n\n\n<h2>\n\n\n\n  Diamond State Health Plan &#8211; Delaware&#8217;s Medicaid Managed Care Program\n\n\n\n<\/h2>\n\n\n\n<p>\n\n\n\n  The majority of people receiving Medicaid must choose a family doctor who, along with a managed care organization (MCO), will provide or\n\n\n\n  arrange for all your preventive care and medical needs.\u00a0 The following individuals are not enrolled with a MCO:\n\n\n\n<\/p>\n\n\n\n<ul>\n\n\n\n  <li>Individuals entitled to or eligible to enroll in Medicare\n\n\n\n  <\/li>\n\n\n\n  <li>Individuals residing in a nursing facility or intermediate care facility for the mentally retarded (ICF\/MR).\n\n\n\n  <\/li>\n\n\n\n  <li>Individuals covered under the Medicaid home and community based waiver programs.\n\n\n\n  <\/li>\n\n\n\n  <li>Non lawful and non qualified non citizens (aliens).\n\n\n\n  <\/li>\n\n\n\n  <li>Individuals who have military health insurance for active duty, retired military, and their dependents.\n\n\n\n  <\/li>\n\n\n\n  <li>Individuals eligible for the Medicaid Breast and Cervical Cancer program.\n\n\n\n  <\/li>\n\n\n\n  <li>Presumptively eligible pregnant women.\n\n\n\n  <\/li>\n\n\n\n<\/ul>  <!--[END]-->\n\n  \n\n      <\/div>\n\n    <\/div>\n\n  <\/div><!-- \/container -->\n\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Listen Medicaid Social Services Menu Home About About DSS Sections &#038; Programs FAQs Contact Information Office Locations Services ASSIST Cash Assistance General Assistance Refugee Cash Assistance Temporary Assistance (TANF) Food Supplement Program Child Care Income and Eligibility Information Regulations Publications &#038; Forms Reports &#038; Statistics Medicaid furnishes medical assistance to eligible low-income families and to [&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-504","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dss\/wp-json\/wp\/v2\/pages\/504","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dhss.delaware.gov\/dss\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dhss.delaware.gov\/dss\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dss\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dss\/wp-json\/wp\/v2\/comments?post=504"}],"version-history":[{"count":0,"href":"https:\/\/dhss.delaware.gov\/dss\/wp-json\/wp\/v2\/pages\/504\/revisions"}],"wp:attachment":[{"href":"https:\/\/dhss.delaware.gov\/dss\/wp-json\/wp\/v2\/media?parent=504"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}