Get Latest WorkWORLD

DE Medicaid - Long Term Care

If an individual who is a resident of Delaware meets the medical and financial eligibility requirements, the Delaware Division of Social Services (DSS) can pay for long-term care through three Medicaid programs:

Nursing Facility Program

This program pays for the cost of care in nursing facilities in Delaware that have contracts with Medicaid. These nursing facilities provide room, board, and nursing services to persons who are elderly or disabled. To apply for the Nursing Facility Program you must be in need of nursing facility level of care as defined by Delaware Medicaid criteria. In other words, you must require the level of care provided by a nursing facility.

Patient Pay: If you are in a nursing facility as a Medicaid resident, you may keep $44.00 of your monthly income. The rest of your income must be paid to the facility unless an amount has been protected for:

·      health insurance premiums,

·      medically necessary medical equipment and services not covered by Medicaid (e.g. eye glasses, dentures, hearing aids..) and/or

·      the needs of a community spouse under the Spousal Impoverishment provision

·      a family allowance if the individual was institutionalized prior to 9/30/89 and individual has dependents living in the community. (For details, see Section 20620.4 of the DSS Policy Manual.)

For more information about the Nursing Facility Program, go to:
http://www.dhss.delaware.gov/dhss/dss/ltcnursingprogram.html

Long Term Acute Care Program

To be medically eligible, you must have required the level of care provided by a hospital during the time of your hospitalization. You may also be found eligible based on age alone (age 65 or older) or if you are statutorily blind and in the need of acute care services. Anyone 65 or statutorily blind and hospitalized for 30 consecutive days, and in need of acute care services would be medically eligible.

Home and Community Based Waivers

Home and Community Based Waivers are a long-term care alternative to nursing homes. Individuals who would otherwise be institutionalized can be cared for in the community. See HCB Waivers for more information.

See also:

DE Medicaid - Covered Groups

DE Medicaid - Eligibility

DE Medicaid - Application Procedures

DE DSS - Change Reporting Requirements

DE DSS - Contact Information

Source:

http://www.dhss.delaware.gov/dhss/dss/introductionltc.html

Back to:

DE Medicaid - Overview

DE Division of Social Services - Overview

DE Benefit Information System Overview

WorkWORLD™ Help/Information System

   Share/Save: Click the button or link at left to select your favorite bookmark service and add this page.

This is one topic from the thousands available in the WorkWORLD™ software Help/Information System.
Complete information about the software is available at: http://www.WorkWORLD.org