Delaware Medicaid
Finding the right answers and information about a complicated topic like Medicaid can mean searching through hundreds of pages at government and private websites. Our editors have compiled this digest of Delaware Medicaid help and resources to assist in your search.
topics: Delaware Medicaid: Delaware Public Health Insurance: medical coverage, centers for Medicaid; Medicaid In Delaware; Medicaid Assistance information; DE; definition Medicaid Delaware: Delaware Medicaid Eligibility: Applying for Delaware Medicaid: Medicaid: Health Programs for Children: Delaware CHIP:
Topics on this page:
Definitions of Medicaid in Delaware
Medicaid in Delaware*
"Medicaid furnishes medical assistance to eligible low-income families and to eligible aged, blind and/or disabled people whose income is insufficient to meet the cost of necessary medical services. Medicaid pays for: doctor visits, hospital care, labs, prescription drugs, transportation, routine shots for children, mental health and substance abuse services.
..."
*source: Delaware Health and Social Services, Division of Medicaid & Medical Assistance, New Castle, Delaware 19720
Children's Medicaid in Delaware
See the section on this page Health Programs for Children: CHIP: Delaware
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Medicaid in Delaware: How It Works; An Introduction to Delaware Medicaid; What is Delaware Medicaid?
- web page:
Frequently Asked Questions About (Delaware) Medicaid and Medical Assistance
source:Delaware Division of Medicaid & Medical Assistance languages: English from the web page: "...What is Medicaid ...What is Medicare? ...Can I have both Medicaid and Medicare at the same time? ...Who qualifies for Medicaid.... "
- also from Delaware Division of Medicaid & Medical Assistance:
web page: Medicaid languages: English from the web page: "Medicaid furnishes medical assistance to eligible low-income families and to eligible aged, blind and/or disabled people whose income is insufficient to meet the cost of necessary medical services. Medicaid pays for: doctor visits, hospital care, labs, prescription drugs, transportation, routine shots for children, mental health and substance abuse services... "
- web page:
MEDICAID | Delaware
source:healthinsuranceinfo.net - Georgetown University's Health Policy Institute languages: English from the webpage: "...Medicaid... In Delaware you may be eligible for Medicaid if you are an individual, a child, a parent of a child, or pregnant, and your family income meets the Medicaid income standards... "
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- brochure:
Medicaid At-a-Glance
2005
source:Centers for Medicare & Medicaid Services
file size: 12 pg. languages: English
from the brochure:
"The Medicaid Program provides medical benefits to groups of low-income people, some who may have no medical insurance or inadequate medical insurance. Although the Federal government establishes general guidelines for the program, the Medicaid program requirements are actually established by each State...
"
- web page:
Key Medicaid Information for Delaware for 2010
source:Elder Law Answers
languages: English
Explains important basics about Delaware Medicaid. Topics include protections for the community spouse, transfers, income, and estate recovery..."
- brochure:
The Medicaid Program at a Glance
source:The Kaiser Commission on Medicaid and the Uninsured
file size: 2 pg. languages: English
This fact sheet provides an overview of the Medicaid program, the populations that it serves, the services that it covers and the expanded role it will play under the health reform law...
- also from The Kaiser Commission on Medicaid and the Uninsured:
brochure:
Medicaid: A Primer
languages: English
from the brochure:
"This primer provides an overview of the basic components of Medicaid, the nation's largest health coverage program, which covers nearly 60 million low-income individuals, including children and families, people with disabilities and seniors who are also covered by Medicare...
"
- web page:
Delaware & United States State Medicaid Fact Sheets
source:Kaiser Family Foundation
languages: English
- web page:
Delaware Medicaid
source:GovBenefits.gov - Your Benefits Connection
languages: English
from the web page:
" In order to qualify for this benefit program, you must be a resident of the state of Delaware, a US national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income...
"
Delaware Medicaid Eligibility, How to get Medicaid in Delaware, Requirements
- web page:
Medicaid Eligibility
source:Delaware Division of Medicaid & Medical Assistance
languages: English
You can have a car, bank account, and a home and still qualify for Medicaid. DMMA does not look at any of your resources when determining your eligibility for Medicaid... You can work and still qualify for Medicaid. Some persons can have other insurance and still receive Medical Assistance....
- also from Delaware Division of Medicaid & Medical Assistance:
web page:
Delaware Healthy Children Program: Who Qualifies?
languages: English
from the web page: "Your children may qualify if they... Do not have comprehensive health insurance, Are under the age of 19 and reside in the State of Delaware, Are U.S. citizens or legally-residing noncitizens..."
- web page:
What are the income limits for applying for DMMA programs?
languages: English
from the web page: "Financial eligibility criteria vary from program to program. However, the two most common benchmarks by which DMMA sets income criteria are the..."
- web page:
2011 HHS Poverty Guidelines
source: Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services
languages: English
from the web page:
"...The poverty thresholds are the original version of the federal poverty measure... The poverty guidelines are the other version of the federal poverty measure.
- web page:
Medicaid Eligibility
source: Centers for Medicare & Medicaid Services
languages: English
Many groups of people are covered by Medicaid. Even within these groups, though, certain requirements must be met. These may include your age, whether you are pregnant, disabled, blind, or aged; your income and resources (like bank accounts, real property, or other items that can be sold for cash); and whether you are a U.S. citizen or a lawfully admitted immigrant. The rules for counting your income and resources vary from state to state and from group to group. There are special rules for those who live in nursing homes and for disabled children living at home.
Delaware Medicaid Citizenship Requirements
- brochure:
Citizenship Documentation Requirements in Medicaid
source:Kaiser Family Foundation
3 pages; languages: English
from the publication:
"Medicaid citizenship requirements
Under federal law, all U.S. citizens and certain legal immigrants who meet Medicaid’s financial and non-financial eligibility criteria are entitled to Medicaid. The Medicaid program has long required states to establish that individuals applying for Medicaid are U.S. citizens or satisfy the immigration restrictions.... "
- brochure:
Medicaid Citizenship Verification Requirement
source:American Public Human Services Association
5 pages; languages: English
from the publication:
"What has changed? In the Deficit Reduction Act of 2005, a new requirement was established with respect to citizenship verification of current and new Medicaid applicants. Citizen applicants were previously able to self-attest their citizenship and identity under penalty of perjury to qualify for Medicaid..... "
Applying for Delaware Medicaid
- web page:
Welcome to ASSIST
source:Delaware Assist - Aplication for Social Services and Internet Screening Tool
languages: English
from the web page:
"ASSIST is the State of Delaware's Application for Social Service Programs. Here is how ASSIST can help you. The self-screening questionnaire can tell you which Social Service Programs you and the members of your household may be eligible to receive. The application lets you apply online for Social Service Programs offered by the State of Delaware...
"
Delaware Medicaid Offices
- web page:
Office Locations
source:Delaware Division of Medicaid & Medical Assistance
languages: English
from the web page:
"Hours of Operation for all office locations are 8:00 a.m. to 4:30 p.m. Monday through Friday, except State holidays. Choose the name of any office for driving directions and more information about the services provided...
"
- hotline:
Delaware Medicaid Helpline
Delaware Medicaid Health Plans, HMO, Delaware Managed Care
Children's Medicaid: Health Programs for Children: Delaware CHIP:
What is Medicaid for children in Delaware?
Children's Medicaid in Delaware; Children's Health Care: Delaware Healthy Children Program
-
Delaware Medicaid provides health care coverage for children who meet the requirements based on income, residence, and other criteria. Certain children living with stepparents, grandparents, or siblings with income may receive Medicaid.
Children (and others) whose family income exceeds the established income limit may be eligible under the Medically Needy program.
There is also the Delaware Healthy Children Program:
"The Delaware Healthy Children Program (CHIP) is targeted to children under age 19 whose family income is at or below 200% of the Federal Poverty Level (FPL) and who do not qualify for Medicaid. Eligible children receive hospital services, physicians services, lab, x-ray, prescription drugs, and mental health and substance abuse services.
"
*source: GovBenefits.gov - Your Benefits Connection
What is CHIP?
- "
Originally created in 1997, the Children's Health Insurance Program (CHIP) is a state and federal partnership that provides low-cost health insurance coverage for children in families who earn too much income to qualify for Medicaid but cannot afford to purchase private health insurance coverage. States have considerable flexibility to establish income eligibility rules for CHIP, but children enrolling in the program must be otherwise uninsured.
"
source: InsureKidsNow.gov - Sponsored by the U.S. Department of Health and Human Services.
, Washington, DC
- web page:
Delaware Healthy Children Program: Who Qualifies?
source:Delaware Division of Medicaid & Medical Assistance
languages: English
YYour children may qualify if they... Do not have comprehensive health insurance, Are under the age of 19 and reside in the State of Delaware, Are U.S. citizens or legally-residing noncitizens...
- also from Delaware Division of Medicaid & Medical Assistance:
web page:
Delaware Healthy Children Program - How to Apply
languages: English
from the web page: "It's easy and convenient. Parents or caregivers can fill out and mail an application form on paper, or complete and submit an application on the internet. A paper application form may be obtained either by calling the Delaware Healthy Children Program (DHCP) at..."
- web page:
Delaware Healthy Children Program - Benefit Package
languages: English
from the web page: "The Delaware Healthy Children Program covers everything from routine checkups to eye exams to doctor and hospital services. Families covered by the Delaware Healthy Children Program enjoy an extensive list of services for a single low monthly rate and no co-payments. Services covered include..."
- web page:
Children's Community Alternative Disability Program
source:Delaware Division of Medicaid & Medical Assistance
languages: English
from the web page:
"This program is operated by the Division of Medicaid & Medical Assistance. It provides Medicaid coverage to severely disabled children who do not qualify for Supplemental Security Income (SSI) or other Medicaid qualifying programs because of their parents' income and/or resources...
"
- web page:
Delaware Healthy Children Program
source:healthinsuranceinfo.net - Georgetown University's Health Policy Institute
languages: English
from the webpage:
"...The Delaware Healthy Children Program (Healthy Children) is a Medicaid expansion program that provides health coverage to low-income children under the age of 19 who are not eligible for Medicaid and who have no health insurance and pregnant women ineligible for Medicaid...
"
- publication / brochure:
Health Coverage for All Children: Delaware
source:Children's Defense Fund
2 pages; languages: English
from the web page: "Health Coverage for Delaware’s Children:... How affordable is health coverage for Delaware’s children? ... How simple are enrollment procedures in CHIP and Medicaid for Delaware’s children..."
- brochure or publication:
Delaware MEDICAID FACTS
source:AMERICAN ACADEMY OF PEDIATRICS
languages: English
from the web page:
"How does Medicaid help children in Delaware? Children make up 47% of Delaware’s Medicaid population, but are of very low cost, accounting for only 27%
of the state’s Medicaid spending. In general, Delaware children who...
"
- Medicaid brochure:
Delaware Public Health Insurance for Children
source:National Center for Children in Poverty (NCCP)
languages: English, Spanish
from the brochure:
"...The two major federal funding sources for low-income children’s public health insurance are Medicaid and the State Children’s Health Insurance Program (SCHIP). States enjoy some flexibility in their Medicaid programs for children,...
"
- also from National Center for Children in Poverty (NCCP):
web page:
Delaware Public Health Insurance for Parents
languages: English
from the web page:
"Most family plans are funded through Medicaid, but a handful of states have waivers to use State Children’s Health Insurance Program (SCHIP) funds to cover parents. ...
"
- web page:
Delaware Demographics of Low-Income Children
languages: English
from the brochure:
"In Delaware, there are 120,797 families, with 204,004 children.
Low-Income Children: 33% (68,226) of children live in low-income families (National: 41%), defined as income below 200% of the federal poverty level...."
- web page:
Delaware: CHIP Program Name and Type
source:Kaiser Family Foundation statehealthfacts.org
languages: English, Spanish
from the web page:
"Individual state profiles...
"
- web page:
Delaware Healthy Children Program (SCHIP)
source:GovBenefits.gov - Your Benefits Connection
languages: English
from the webpage:
"...The Delaware Healthy Children Program (DHCP) is targeted to children under age 19 whose family income is at or below 200% of the Federal Poverty Level (FPL) and who do not qualify for Medicaid. Eligible children receive hospital services, physicians services, lab, x-ray, prescription drugs, and mental health and substance abuse services...
"
- web page:
Delaware Medicaid, SCHIP, & Federal Authority
source:State Coverage Initiatives
languages: English
Delaware Medicaid Benefits and Coverage: Medicaid Services
Medicaid Prescription Drugs; Preferred Drug List
- web page:
Delaware Prescription Assistance Program
source:Delaware Division of Medicaid & Medical Assistance
languages: English
from the web page: "The goal of the Delaware Prescription Assistance Program (DPAP) is to help pay for prescription medications for elderly and/or disabled individuals who cannot afford the full cost of filling their doctor's prescriptions. The program is designed to aid eligible individuals who have no prescription insurance other than Medicare Part D, and whose income is at or below 200% of the Federal Poverty Level (FPL), or whose prescription costs exceed 40% of their income...
"
Delaware Medicaid Dental Services; Dentist
- web page:
Dental Clinics - Adults & Children
source:Delaware State Dental Society
languages: English
- web page:
Find an Oral Health Provider: Delaware Dental Providers
source:InsureKidsNow.gov
languages: English
- also from InsureKidsNow.gov:
web page:
Delaware (Dental) Benefits Description
languages: English
from the web page:
"Under the Medicaid State Plan dental benefits are provided to eligible individuals under the age of 21 in compliance with the requirements of Early and Periodic Screening, Diagnostic and Treatment (EPSDT) services...
"
- brochure or publication:
Guide to Children's Dental Care in Medicaid
source:Centers for Medicare & Medicaid Services
52 pages; languages: English
from the brochure: "The Guide is intended to serve as a resource of current information on clinical practice, evolving technologies and recommendations in dental care. The guide is not intended to change current Medicaid policies, nor is it intended to impose any new requirements on states..."
- also from Centers for Medicare & Medicaid Services:
web page:
Medicaid Dental Coverage - Overview
languages: English
from the web page:
"Dental services under Title XIX of the Social Security Act, the Medicaid program, are an optional service for the adult population, individuals age 21 and older. However, dental services are a required service for most Medicaid-eligible individuals under the age of 21, as a required component of the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit...
"
Other Health Coverage Options in Delaware
- brochure:
Healthy Delawareans Today & Tomorrow Uninsured Resource Guide
source:Delaware Helpline 2-1-1
8 pages; languages: English, Spanish
from the brochure: "...If you or someone you care about is one of the more than 105,000 uninsured Delawareans, you know that sometimes access to the healthcare system seems complicated. But, healthcare should never be beyond the reach of those who need it. This resource guide was created to...
- web page:
HRSA - Find a Health Center - Search Page
source:U.S. Department of Health & Human Services
languages: English
from the brochure:"Federally-funded health centers care for you, even if you have no health insurance. You pay what you can afford, based on your income. Health centers provide
•checkups when you're well
•treatment when you're sick
•complete care when you're pregnant
•immunizations and checkups for your children
•dental care and prescription drugs for your family
•mental health and substance abuse care if you need it..."
- brochure:
Delaware Health Center Fact Sheett
source: National Association of Community Health Centers (NACHC)
languages: English
from the brochure:"Delaware Federally-Supported Health Centers, 2008"
- also from National Association of Community Health Centers (NACHC):
web page:
Find a Health Center
languages: English
from the web page:
"If you need affordable health care, a Community Health Center may be what you're looking for... Click here to find the health center closest to your address or to see a list of health centers in your state or county/parish...
"
- brochure:
Delaware Health Care Options Matrix™ Guide
source:Foundation for Health Coverage Education
2 pages; languages: English, Spanish
from the brochure: "...hand-held guide available that outlines your state’s (Delaware) public and private health care choices for individuals and groups in almost every demographic profile, as well as offers a reference list of phone numbers and Web sites...
"
- brochure:
Consumer Guide for Getting and Keeping Health Insurance in Delaware
source:Georgetown University Health Policy Institute
file size: 38 pg.; languages: English
from the brochure:
"...As a Delaware resident, you have rights under federal and state law that will protect you when you seek to buy, keep, or switch your health insurance, even if you have a serious health condition.....
"
Delaware Medicaid and Nursing Homes, Assisted Living, Home Health Care
- web page:
Long Term Care Medicaid Programs
source:Delaware Division of Medicaid & Medical Assistance
languages: English
from the web page:
" Nursing Facility Program
...
"
- also from Delaware Division of Medicaid & Medical Assistance:
web page:
Long Term Care Guide
languages: English
from the web page:
"Many people know virtually nothing about Medicaid policy for nursing home care until the need arises. This guide is a good starting point to become knowledgeable about Medicaid policy and program requirements. It should be used in conjunction with visits to nursing homes and, where necessary, consultations with a qualified attorney...
"
-
web site:The Delaware Long Term Care Care Project
Delaware Medicare Medicaid Nursing Homes Directory
languages: English
from the web page:
"These are Delaware Nursing Homes in cities A - Z.
" In addition to the state directory described above, there are nursing home directories for principal Delaware cities. A few examples:
Delaware Assisted Living
languages: English
from the web page:
"A consumer's guide to information and help about assisted living in Delaware, with a directory of assisted living facilities...
"
Delaware Medicare / Medicaid Dual Eligibles - Delaware Medicare Savings Programs
Delaware Medicaid Waiver Programs
Medicaid Community Waivers in Delaware
"A Medicaid Waiver is money that can pay for services for people with developmental disabilities. These services can take place in the person’s home or in the community. Both children and adults can be supported by Medicaid Waiver services.
Medicaid usually pays for doctor appointments, hospital expenses, medicine, therapy, and some adaptive equipment. The Medicaid Waiver allows for Medicaid to be used to pay for additional services. The state writes a plan that tells what kind of services will be provided under their Medicaid Waiver program. The federal government has to approve the Medicaid Waiver plan. The Medicaid Waiver dollars are part state and part federal money.
"
*source: Unlock The Waiting Lists! Campaign
, Atlanta, GA 30303
More resources about Delaware Medicaid Waiver Programs:
- web page:
The Elderly & Disabled Home and Community Based Waiver Program
source:Delaware Division of Medicaid & Medical Assistance
languages: English
from the web page:
" This home and community based waiver program is administered by the Division of Services for Aging and Adults with Physical Disabilities (DSAAPD) . Services offered include all regularly covered Medicaid services (hospital, physician, lab, prescriptions) plus the following special waiver services...
"
- also from Delaware Division of Medicaid & Medical Assistance:
web page:
Adult Day Services
languages: English
from the web page:
"Adult Day Services provides activities and assistance for people with physical and/or mental impairments. This service is for people who cannot be left alone for long periods of time. ...
"
- web page:
Personal Care
languages: English
from the web page:
"Under the Medicaid Waiver for the Elderly and Disabled individuals can choose to receive agency-based personal care services or self-directed personal care services. Agency-based personal care services are provided by aides from home health or personal assistance services agencies...
"
- web page:
(Delaware) Medicaid Waivers and Demonstrations List
source:Centers for Medicare & Medicaid Services
languages: English
from the web page:
"...This list contains information about state-specific Medicaid waiver and demonstration programs. Users can access fact sheets, copies of proposals, approval letters, and other documents related to specific programs...
"
Report Medicaid Fraud in Delaware
- web page:
Medicaid Fraud
source:Delaware Department of Justice
languages: English
from the web page: "The State of Delaware and the Federal Government have designated the Medicaid Fraud Control Unit (MFCU) to investigate and prosecute illegal acts relating to Medicaid funds. Created in 1980, the MFCU, which is housed within the Delaware Department of Justice, is designed to protect the Delaware residents who receive Medicaid and the taxpayers who support the program..."
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DE: Delaware Medicaid: The Medicaid Project, Eligibility, Delaware Medicaid Rules, Application
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