Delaware Medicaid Waiver Guide

Delaware Medicaid

Delaware currently has two programs that are open to children. One is an HCBS 1915(c) Medicaid waiver, and one is a TEFRA-like program. Delaware also provides community-based services through an 1115 waiver program, DSHP-Plus. While most of these DSHP-Plus services are for adults, the program recently added pediatric respite and self-directed personal care services for children, including those provided by parents and guardians. The program also provides access to Medicaid for children at a slightly lower level of care than those eligible for TEFRA.

Types of Waivers

Children’s Community Alternative Disability Program

• Description: Provides Medicaid coverage only.
• Online State Information: Children’s Community Alternative Disability Program
• How to Apply: Contact your local Long Term Medicaid Program.

DDDS Lifespan Waiver

• Description from medicaid.gov: Provides day habilitation, personal care, prevocational services, residential habilitation, respite, supported employment – individual, supported employment – small group, assistive technology, behavioral consultation, community transition, home or vehicle accessibility adaptations, nurse consultation, specialized medical equipment and supplies, and supported living services to individuals with autism or intellectual disabilities ages 12 or older who meet an ICF/IID level of care. This waiver operates with a concurrent 1115 authority.
• Online State Information: DDS Home and Community Based Services
• Official Federal Information
• How to Apply: Contact DDS at 302-744-9700 or see the Applicant Services page.

Delaware Diamond State Health Plan (DSHP)

• Description: While most services are for adults, this program does provide access to Medicaid similar to TEFRA for those who have a lower level of care than required by the Children’s Community Alternative Disability Program. This program also covers pediatric respite as a service and self-directed personal care services for children, including those provided by a parent or guardian, as of 6/2023. See pp. 26-9 of this document. Additional info is available here. Money Follows the Person has also been rolled into this program.
• Online State Information: Delaware’s DSHP page
• Official Federal Information
• How to Apply: Apply for Medicaid either via the Children’s Community Alternative Disability Program or the traditional route.
• Waiting List: none

Other online resources for Delaware:

• Autism Delaware 
• Delaware Family Voices 
• The ARC of Delaware 
• Parent Information Center of Delaware

Telephone Resources

Contact information from Developmental Disabilities Services

Ordering Goally with a Medicaid Waiver

Talk with your case manager to see if the waiver program you have will cover Goally. If so, have your case manager email us at: [email protected] to place an order on your behalf.

This post was originally published on 02/16/2021. It was updated on 03/19/2025.