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Delaware State Medicaid Waiver Program Application Guide

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  • Delaware State Medicaid Waiver Program Application Guide




    Waiver #1: Developmental Disabilities Services (DDS) Lifespan Waiver


    Who Can Apply?

    Circumstance/Diagnosis: Children and adults older than 12 who are diagnosed with either an intellectual and/or developmental disability (this includes autism). The state requires that individuals need an intermediate care facility level of care to qualify. This just means that the individual is unable to get through their day without a lot of supervision. Click Here for DDDS Eligibility Criteria

    Income: Income eligibility is only based on the child’s income and not the parents income. This means that your child is financially eligible for the waiver if they earn under $2,313 a month.

    What do I get?

    Day Habilitation, Prevocational Services, Supported Employment - Individual, Supported Employment - Group, Personal Care, Respite, Assistive Technology (not otherwise covered by Medicaid), Behavioral Consultation, Nursing Consultation, Community Transition Home, Vehicle Adaptations, Specialized Medical Equipment and Supplies (not otherwise covered by Medicaid), Residential Services, Supported Living

    How do I apply?

    Contact the Developmental Disabilities Services at 1-866-552-5758

    Waiver #2: Children’s Community Alternative Disability Program (also known as TEFRA)

    Who Can Apply?

    Circumstances/Diagnosis: Any child under 19 who is diagnosed with any type of disability. This includes intellectual and/or developmental disability like autism. The state requires that individuals need at least an intermediate care facility level of care to qualify. This has a technical definition but essentially just means that the individual is unable to get through their day without a lot of supervision.

    Income: Income eligibility is only based on the child’s income and not the parents income. This means that your child is financially eligible for the waiver if they earn under $2,313 a month.

    What do I get?

    The way TEFRA waivers work is that they allow families with higher incomes to receive medicaid benefits for their child because eligibility is based on the child income. This means that you will be able to receive dental care, emergency and non-emergency transportation, inpatient and outpatient treatment, medical equipment, occupational therapy, pharmacy, physical therapy, vision and in some states ABA therapy.

    How do I apply?

    Contact your local Long Term Care Medicaid Program at the bottom of the page to get more information and application materials.

    What does the Goally Team Think?

    Finding actual information about these waivers on Delaware’s website is elusive. That seems to be because Developmental Disabilities Services offers a wider range of services than just these waivers so they want you to call your local Community Service Office. We recommend that you call just to get a better understanding of your available services. Delaware is also exceptional because they have no waitlist for services which is something that 80% of states tend to struggle with.

    Goally Waiver Scorecard

    Website clarity and ease of navigation: 1/5
    Access and requirements of qualification: 5/5
    Healthcare coverage: 4/5

    Other online resources for Delaware:

    Autism Delaware can help you navigate through Delaware’s available services.
    Delaware Family Voices provides advice and information by families for families.
    The ARC of Delaware can help you with all things related to autism from advocacy to employment and they have community events.

    Telephone Resources

    Contact information from Developmental Disabilities Services
    Last edited by Nate; 07-14-2020, 11:59 PM.
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