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DE Medicaid - HCB Waivers

Home and Community Based Waiver Services

These services provide case management to individuals who are determined to be eligible for supportive home services as an alternative to institutionalization.

There are four such Home and Community Based Waiver programs in Delaware:

The Elderly and Disabled Home and Community Based Waiver Program:

This home and community based waiver program, which is available statewide, is administered by the Division of Services for Aging and Adults with Physical Disabilities (DSAAPD).

Services offered include all regularly covered Medicaid services (such as hospital, physician, lab, prescriptions) plus the following special waiver services:

·      Personal Care

·      Adult Day Services

·      Emergency Response System

·      Institutional or In-home Respite Care

Eligibility: Individuals aged 18 and over who are financially eligible and medically eligible for the Medicaid Nursing Facility program.

For more information: Program information is available at:
http://www.dhss.delaware.gov/dhss/dsaapd/medwaiver.html
Or contact DSAAPD. Contact information is available at:
http://www.dhss.delaware.gov/dhss/dsaapd/contact.html

The Assisted Living Waiver Program:

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 (such as hospital, physician, lab, prescriptions) plus the services provided in a DSAAPD-approved and appropriately licensed Delaware Assisted Living Facility.

Eligibility: Individuals must meet the financial eligibility and medical criteria for DSS Long Term Care Institutionalized Services and program criteria determined by DSAAPD.

For more information: Program information is available at:
http://www.dhss.delaware.gov/dhss/dsaapd/assistliv.html
Or contact DSAAPD. Contact information is available at:
http://www.dhss.delaware.gov/dhss/dsaapd/contact.html

The AIDS/HIV Home and Community Based Waiver Program:

This home and community based waiver program is administered by the Division of Social Services. Services offered include all regularly covered Medicaid services (such as hospital, physician, lab, prescriptions) plus the following special waiver services:

·      Case Management

·      Personal Care services

·      Respite Care

·      Supplemental Nutrition

Eligibility: Diagnosis of AIDS or HIV with at least two or more chronic related medical conditions that would contribute to increased hospitalizations. Financial eligibility for DSS Long Term Care.

For more information: Contact DSS.

The Mental Retardation/Developmental Disability Home and Community Based Waiver Program:

This home and community based waiver program is administered by the Division of Developmental Disabilities Services (DDDS). Services offered include all regularly covered Medicaid services (hospital, physician, lab, prescriptions) plus the following special waiver services:

·      Case Management

·      Day Habilitation

·      Institutional or In-home Respite Care

·      Residential Habilitation

Eligibility: Only individuals who are being served by DDDS are eligible. If they are not already Medicaid eligible as SSI recipients, DDDS determines eligibility by using financial criteria applied to those institutionalized and receiving Medicaid.

For more information: Contact DDDS by going to
http://www.dhss.delaware.gov/dhss/ddds/contact.html

See also:

DE Medicaid - Covered Groups

DE Medicaid - Eligibility

DE Medicaid - Application Procedures

DE DSS - Change Reporting Requirements

DE DSS - Contact Information

Source:

DSS Policy Manual (Sect. 20700) and:
http://www.dhss.delaware.gov/dhss/dss/homeandc.html

Back to:

DE Medicaid - Overview

DE Division of Social Services - Overview

DE Benefit Information System Overview

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