These videos give an overview of the various Home and Community-Based Services (HCBS) available in Delaware for providers who want to learn how to start or operate an HCBS agency in the state. Each video explains the service's purpose, provider requirements, licensing process, and how the program operates in Delaware. Use these videos to better understand the responsibilities, standards, and steps involved in becoming or working with approved HCBS providers in Delaware. Explore each section to find the service that best matches your goals or area of interest.
Crisis Intervention
CRISIS INTERVENTION SERVICES PROVIDER IN DELAWARE
PROVIDING IMMEDIATE, SHORT-TERM SUPPORT TO STABILIZE INDIVIDUALS IN BEHAVIORAL OR EMOTIONAL DISTRESS
Crisis Intervention Services in Delaware offer rapid, time-limited support to individuals experiencing acute emotional, behavioral, or psychiatric crises. These services are critical to preventing hospitalization or institutionalization and are authorized under Delaware Medicaid, the Division of Substance Abuse and Mental Health (DSAMH), and certain Home and Community-Based Services (HCBS) Waivers, including the Lifespan Waiver and services overseen by the Division of Developmental Disabilities Services (DDDS).
1. GOVERNING AGENCIES
Agency: Delaware Department of Health and Social Services (DHSS) – Division of Substance Abuse and Mental Health (DSAMH)
Role: Regulates behavioral health crisis services and reimburses Medicaid-eligible interventions
Agency: Delaware Division of Medicaid and Medical Assistance (DMMA)
Role: Authorizes Medicaid billing for approved crisis service providers under state plan and waiver programs
Agency: Delaware Division of Developmental Disabilities Services (DDDS)
Role: Coordinates crisis services for individuals with developmental disabilities under the Lifespan Waiver
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures crisis services meet HCBS and Medicaid standards for community-based, person-centered response
2. CRISIS INTERVENTION SERVICE OVERVIEW
Crisis Intervention Services are designed to de-escalate immediate behavioral or emotional crises and connect individuals with appropriate supports. Services may be mobile, in-home, telephonic, or in a community setting, and must be accessible 24/7.
Approved providers may deliver:
Mobile response and in-home behavioral de-escalation
Crisis stabilization planning and short-term behavioral support
Telephonic or virtual crisis counseling and safety checks
Coordination with emergency services, law enforcement, or psychiatric facilities
Referral to long-term services and wraparound supports
Documentation of intervention, resolution strategies, and outcomes
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Delaware Division of Corporations
Obtain EIN from the IRS and NPI (Type 2)
Employ or contract licensed clinicians (LPC, LCSW, Psychologist, or other approved mental health professionals)
Apply as a Medicaid behavioral health provider through the Delaware Medical Assistance Portal (DMAP)
If serving DDDS participants, complete Lifespan Waiver Crisis Provider Application
Maintain 24/7 availability and a HIPAA-compliant documentation system
Carry liability, malpractice, and general business insurance
4. PROVIDER ENROLLMENT PROCESS
Step 1: Business Setup
Register business, obtain NPI, and ensure licensure for all clinical staff
Step 2: Medicaid Enrollment (DMAP)
Apply via the Delaware Medical Assistance Portal for behavioral health services
Submit licensure, service descriptions, and staff credentials
Step 3: DDDS Lifespan Waiver Application (if applicable)
Apply with supporting documentation on crisis intervention structure and aftercare planning
Step 4: Emergency Systems Coordination
Establish relationships with DSAMH, local police, hospitals, and crisis call centers
5. REQUIRED DOCUMENTATION
Articles of Incorporation or business registration
IRS EIN Letter
NPI confirmation
Staff licensure and background checks
Medicaid approval and/or DDDS contract
Policy & procedure manual including:
Crisis response protocol and triage system
Safety planning and follow-up documentation
Suicide prevention and emergency medical coordination
Client consent, HIPAA forms, and privacy policy
Staff training logs for de-escalation, trauma-informed care, and abuse prevention
Incident reporting and resolution tracking
On-call coverage schedule and mobile response procedures
6. STAFFING REQUIREMENTS
Role: Crisis Clinician / Behavioral Health Professional
Requirements:
Active Delaware license (LPC, LCSW, LMFT, Psychologist, or equivalent)
Crisis response experience and trauma-informed care training
Background check and CPR certification
Role: Crisis Technician / Support Aide (if applicable)
Requirements:
High school diploma or equivalent
Trained and supervised by a licensed clinician
Behavioral health experience and crisis intervention certification preferred
Training Requirements for All Staff:
De-escalation and trauma-informed care
HIPAA and client confidentiality
Suicide prevention and emergency protocols
Mandated reporting and abuse prevention
Documentation and incident tracking
7. MEDICAID WAIVER SERVICES
Crisis Intervention Services are reimbursed under:
Delaware Medicaid State Plan Behavioral Health Services
Lifespan Waiver (for individuals with developmental disabilities)
DSAMH-funded crisis initiatives (for uninsured or dual-eligible individuals)
Approved providers may deliver:
24/7 mobile or telephonic crisis support
In-home or community-based stabilization
Short-term follow-up and referral coordination
Documentation aligned with person-centered safety and recovery plans
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Staff Licensing and Medicaid Enrollment
Timeline: 30–60 days
Phase: Crisis Policy Development and Referral Network Setup
Timeline: 2–4 weeks
Phase: 24/7 Coverage and System Integration
Timeline: Ongoing
9. CONTACT INFORMATION
Delaware Division of Medicaid & Medical Assistance (DMMA)
Phone: (302) 255-9500
Website: https://dhss.delaware.gov/dhss/dmma
Delaware Behavioral Health (DSAMH)
Phone: (302) 255-9399
Website: https://www.dhss.delaware.gov/dsamh
Delaware Medicaid Provider Enrollment (DMAP)
Website: https://www.demap.dhss.delaware.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — DELAWARE CRISIS INTERVENTION SERVICES PROVIDER
We help behavioral health clinicians and agencies launch 24/7 Medicaid-approved Crisis Services under Delaware’s HCBS and behavioral health frameworks.
Scope of Work:
Business registration (LLC, EIN, NPI)
Medicaid and waiver provider enrollment support
Policy & procedure manual for mobile response, safety, and documentation
Templates for intake, safety plans, follow-up logs, and incident reports
Website, domain, and email setup
Staff credentialing trackers and clinical supervision forms
Client intake packet, HIPAA forms, and referral pathways
On-call scheduling templates and audit preparation tools
Referral networking with hospitals, police, DDDS, and call centers
Community Living Services
COMMUNITY LIVING AND SUPPORT SERVICES PROVIDER IN DELAWARE
SUPPORTING DAILY LIFE, COMMUNITY PARTICIPATION, AND INDEPENDENT LIVING FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES
Community Living and Support (CLS) Services in Delaware provide individualized assistance to people with intellectual and developmental disabilities (IDD) in their own homes or shared living environments. These services are authorized under the Delaware Lifespan Waiver, administered by the Division of Developmental Disabilities Services (DDDS), and are essential for maintaining independence and community involvement.
1. GOVERNING AGENCIES
Agency: Delaware Division of Developmental Disabilities Services (DDDS)
Role: Approves and monitors providers delivering CLS services under the Lifespan Waiver
Agency: Delaware Division of Medicaid and Medical Assistance (DMMA)
Role: Administers Medicaid funding and ensures reimbursement compliance
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures federal HCBS waiver standards are met in the delivery of community living services
2. COMMUNITY LIVING AND SUPPORT SERVICE OVERVIEW
CLS services offer person-centered, hands-on support to help individuals with IDD live safely and meaningfully in their homes and communities. Support is tailored to the unique needs, preferences, and goals outlined in the Individual Service Plan (ISP).
Approved providers may deliver:
Assistance with activities of daily living (ADLs) like bathing, dressing, and hygiene
Help with instrumental activities of daily living (IADLs) such as cooking, cleaning, and shopping
Medication reminders and health monitoring (non-clinical)
Social skill-building and community access activities
Transportation to appointments, day programs, or social outings
Support with self-advocacy and independence
Documentation of services provided, outcomes, and progress
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Delaware Division of Corporations
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Community Living and Support Services Provider with DDDS under the Lifespan Waiver
Carry general liability and workers’ compensation insurance
Maintain HIPAA-compliant systems and documentation procedures
Ensure staff meet training, supervision, and background check requirements
4. PROVIDER ENROLLMENT PROCESS
Step 1: Register your business and obtain an NPI
Step 2: Apply with DDDS to become a CLS provider
Submit organizational chart, service description, staff qualifications, and policies
Step 3: Enroll in Delaware Medicaid (if required) via DMAP for reimbursement
Step 4: Coordinate with DDDS, case managers, and residential teams for service referrals
5. REQUIRED DOCUMENTATION
Articles of Incorporation or business registration
IRS EIN Letter
NPI confirmation
DDDS provider approval documentation
Medicaid enrollment confirmation (if applicable)
Policy & procedure manual including:
Intake and service authorization protocols
ISP-aligned support strategies and daily logs
Participant rights and consent forms
Medication tracking procedures (if reminders provided)
Staff training, supervision, and safety practices
Emergency response plans and incident reporting
Documentation retention and audit readiness policies
6. STAFFING REQUIREMENTS
Role: Direct Support Professional (DSP)
Requirements:
High school diploma or GED
Background check and CPR/First Aid certification
Experience working with individuals with disabilities preferred
Training in person-centered practices, safety, and documentation
Role: Program Supervisor
Requirements:
Background in human services or related field
Oversight of service quality, staff training, and documentation compliance
Training Requirements for All Staff:
HIPAA and participant privacy
Abuse prevention and mandated reporting
Emergency preparedness and client safety
ISP implementation and goal tracking
Ongoing CEUs and supervision
7. MEDICAID WAIVER SERVICES
Community Living and Support Services are reimbursed under:
Delaware Lifespan Waiver (administered by DDDS)
Approved providers may deliver:
In-home and community-based ADL/IADL assistance
Coaching and support in life skill development
Social, recreational, and employment-related participation
Progress monitoring in alignment with the ISP
Coordination with DDDS and interdisciplinary support teams
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: DDDS Provider Application
Timeline: 30–60 days
Phase: Medicaid Enrollment (if applicable)
Timeline: 30–60 days
Phase: Staff Hiring and Referral Activation
Timeline: Ongoing
9. CONTACT INFORMATION
Delaware Division of Developmental Disabilities Services (DDDS)
Phone: (302) 744-9600
Website: https://dhss.delaware.gov/dhss/ddds
Delaware Division of Medicaid and Medical Assistance (DMMA)
Phone: (302) 255-9500
Website: https://dhss.delaware.gov/dhss/dmma
Delaware Medicaid Provider Enrollment (DMAP)
Website: https://www.demap.dhss.delaware.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — DELAWARE COMMUNITY LIVING AND SUPPORT SERVICES PROVIDER
We help human services professionals and caregiving agencies launch fully credentialed CLS programs under Delaware’s Lifespan Waiver.
Scope of Work:
Business registration (LLC, EIN, NPI)
DDDS waiver enrollment and Medicaid setup (if applicable)
Policy & procedure manual for ADL support, supervision, and compliance
Templates for daily notes, service plans, and staff training logs
Website, domain, and email setup
Staff credentialing trackers and incident reporting tools
Client intake packet, consent forms, and support protocols
Incident reporting systems and audit preparation tools
Referral networking with DDDS, day programs, and community partners
Supported Employment
SUPPORTED EMPLOYMENT SERVICES PROVIDER IN DELAWARE
HELPING INDIVIDUALS WITH DISABILITIES OBTAIN AND MAINTAIN MEANINGFUL EMPLOYMENT IN THE COMMUNITY
Supported Employment Services in Delaware assist individuals with intellectual and developmental disabilities (IDD) in preparing for, finding, and keeping competitive jobs within integrated work environments. These services are authorized under the Delaware Lifespan Waiver, administered by the Division of Developmental Disabilities Services (DDDS), and are aligned with Delaware’s Employment First initiative.
1. GOVERNING AGENCIES
Agency: Delaware Division of Developmental Disabilities Services (DDDS)
Role: Oversees Supported Employment under the Lifespan Waiver and ensures provider accountability and employment outcomes
Agency: Delaware Division of Medicaid and Medical Assistance (DMMA)
Role: Funds and reimburses waiver-authorized employment services
Agency: Delaware Division of Vocational Rehabilitation (DVR)
Role: May provide initial job placement services prior to transition to waiver-funded supports
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures Supported Employment meets federal HCBS person-centered and community integration requirements
2. SUPPORTED EMPLOYMENT SERVICE OVERVIEW
Supported Employment Services provide individualized, on-site and off-site support for participants seeking to gain and retain employment. Services focus on building skills, connecting to employers, and delivering job coaching or follow-along supports based on the participant’s Individual Service Plan (ISP).
Approved providers may deliver:
Vocational assessments and employment goal planning
Job development and matching with community employers
Interview preparation and application assistance
On-the-job coaching and skills training
Ongoing follow-along support to ensure job retention
Travel training or support with work-related transportation
Documentation of hours, outcomes, and employer feedback
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Delaware Division of Corporations
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Supported Employment Provider through the DDDS Lifespan Waiver
Employ job coaches or employment specialists with relevant experience
Carry general liability and workers’ compensation insurance
Maintain HIPAA-compliant systems for case notes and employer communication
Have policies in place for participant rights, confidentiality, and worksite safety
4. PROVIDER ENROLLMENT PROCESS
Step 1: Register your business and obtain NPI
Step 2: Apply with DDDS as a Supported Employment Services provider
Submit resumes, staff training protocols, service delivery model, and organizational capacity
Step 3: Coordinate with DDDS support coordinators and DVR staff for referrals
Step 4: If billing Medicaid directly, complete enrollment through Delaware Medicaid (DMAP)
5. REQUIRED DOCUMENTATION
Articles of Incorporation or business registration
IRS EIN Letter
NPI confirmation
DDDS provider agreement
Staff credentials and job coach training documentation
Policy & procedure manual including:
Vocational intake and service planning templates
Job coaching protocols and employer communication tools
Daily or weekly service logs and progress tracking forms
Incident reporting and job site safety guidelines
Participant rights, grievance policy, and HIPAA forms
Employment outcome reporting and quality assurance systems
6. STAFFING REQUIREMENTS
Role: Job Coach / Employment Specialist
Requirements:
High school diploma or higher (associate or bachelor’s preferred)
Background check and CPR/First Aid certification
Training in job development, workplace accommodations, and documentation
Experience supporting individuals with disabilities in work settings
Role: Employment Services Supervisor
Requirements:
Experience in supported employment or vocational rehabilitation
Oversight of job coaching activities and employer relationships
Training Requirements for All Staff:
Employment First principles and HCBS compliance
HIPAA and participant confidentiality
Safety protocols for community job sites
Person-centered planning and ISP alignment
Documentation and billing practices
7. MEDICAID WAIVER SERVICES
Supported Employment is reimbursed under:
Delaware Lifespan Waiver (administered by DDDS)
May also be supported initially by Delaware DVR with transition to waiver-funded supports
Approved providers may deliver:
Job search and placement services
Job coaching and training supports at the worksite
Follow-along services to maintain employment
Documentation of employment milestones and participant progress
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: DDDS Waiver Provider Enrollment
Timeline: 30–60 days
Phase: Staff Hiring and Training
Timeline: 2–4 weeks
Phase: Employer Outreach and Service Launch
Timeline: Ongoing
9. CONTACT INFORMATION
Delaware Division of Developmental Disabilities Services (DDDS)
Phone: (302) 744-9600
Website: https://dhss.delaware.gov/dhss/ddds
Delaware Division of Medicaid and Medical Assistance (DMMA)
Phone: (302) 255-9500
Website: https://dhss.delaware.gov/dhss/dmma
Delaware Division of Vocational Rehabilitation (DVR)
Phone: (302) 761-8275
Website: https://labor.delaware.gov/divisions/dvr
Delaware Medicaid Provider Enrollment (DMAP)
Website: https://www.demap.dhss.delaware.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — DELAWARE SUPPORTED EMPLOYMENT SERVICES PROVIDER
We support employment agencies, job coaches, and workforce developers in launching fully compliant Supported Employment Services under Delaware’s Lifespan Waiver.
Scope of Work:
Business registration (LLC, EIN, NPI)
DDDS waiver enrollment and Medicaid credentialing support
Policy & procedure manual for job placement, coaching, and reporting
Templates for service logs, employer communication, and outcome tracking
Website, domain, and email setup
Staff credentialing trackers and training materials
Client intake packet, consent forms, and worksite safety policies
Incident reporting systems and audit readiness tools
Referral networking with DDDS, DVR, and local employers
Personal Assistance
PERSONAL ASSISTANCE SERVICES PROVIDER IN DELAWARE
DELIVERING HANDS-ON SUPPORT TO HELP INDIVIDUALS WITH DISABILITIES LIVE SAFELY AND INDEPENDENTLY IN THEIR HOMES AND COMMUNITIES
Personal Assistance Services (PAS) in Delaware provide individualized, hands-on support for people with disabilities or chronic conditions who need help with daily living tasks. These services are authorized through the Delaware Lifespan Waiver, administered by the Division of Developmental Disabilities Services (DDDS), and are delivered in home and community-based settings according to each participant’s Individual Service Plan (ISP).
1. GOVERNING AGENCIES
Agency: Delaware Division of Developmental Disabilities Services (DDDS)
Role: Oversees waiver-approved PAS providers and ensures alignment with ISP goals
Agency: Delaware Division of Medicaid and Medical Assistance (DMMA)
Role: Provides funding and reimbursement through Medicaid waiver programs
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Regulates HCBS programs and ensures that PAS delivery meets federal person-centered care standards
2. PERSONAL ASSISTANCE SERVICE OVERVIEW
Personal Assistance Services support individuals in performing Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs) they cannot complete independently. Services are non-medical and are provided in a participant’s home or the community.
Approved providers may deliver:
Assistance with bathing, grooming, dressing, and hygiene
Help with mobility, transferring, and positioning
Meal preparation and feeding support
Light housekeeping, laundry, and home tidiness
Medication reminders (non-administration)
Shopping and transportation support
Documentation of tasks completed and time spent per visit
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Delaware Division of Corporations
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Personal Assistance Services Provider under the Lifespan Waiver (DDDS)
Hire trained Direct Support Professionals (DSPs) or Home Care Aides
Carry liability insurance and workers’ compensation
Maintain HIPAA-compliant documentation systems
Follow DDDS standards for personal support service delivery
4. PROVIDER ENROLLMENT PROCESS
Step 1: Register your business and obtain an NPI
Step 2: Apply to become a PAS provider through the DDDS Lifespan Waiver
Submit your service model, staff qualifications, documentation templates, and policies
Step 3: Enroll with Delaware Medicaid (DMAP) for billing setup if applicable
Step 4: Coordinate with Support Coordinators to receive referrals and ISP authorizations
5. REQUIRED DOCUMENTATION
Articles of Incorporation or business registration
IRS EIN Letter
NPI confirmation
Liability insurance certificate
DDDS provider approval
Policy & procedure manual including:
Client intake and needs verification
ADL/IADL support procedures
Staff scheduling and supervision models
Incident reporting and grievance policies
HIPAA compliance and participant confidentiality
Service log templates and billing documentation
Emergency protocols and safety procedures
6. STAFFING REQUIREMENTS
Role: Personal Assistant / Direct Support Professional (DSP)
Requirements:
High school diploma or equivalent
Background check and CPR/First Aid certification
Experience with ADL/IADL assistance preferred
Strong interpersonal and communication skills
Role: Supervisor / Service Coordinator
Requirements:
Oversight of service delivery, documentation review, and staff performance
Experience in HCBS service management or direct support supervision
Training Requirements for All Staff:
HIPAA and client confidentiality
Abuse prevention and mandated reporting
Personal care support techniques and safety
Documentation and ISP goal alignment
Emergency response and infection control
7. MEDICAID WAIVER SERVICES
Personal Assistance Services are reimbursed under:
Delaware Lifespan Waiver (administered by DDDS)
Approved providers may deliver:
Scheduled or as-needed support based on ISP
One-on-one, person-centered care in home or community
Time-documented service sessions with activity summaries
Communication with case managers and caregivers for continuity
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: DDDS Waiver Enrollment
Timeline: 30–60 days
Phase: Staff Hiring and Training
Timeline: 2–4 weeks
Phase: Referral Activation and Service Start
Timeline: Ongoing
9. CONTACT INFORMATION
Delaware Division of Developmental Disabilities Services (DDDS)
Phone: (302) 744-9600
Website: https://dhss.delaware.gov/dhss/ddds
Delaware Division of Medicaid and Medical Assistance (DMMA)
Phone: (302) 255-9500
Website: https://dhss.delaware.gov/dhss/dmma
Delaware Medicaid Provider Enrollment (DMAP)
Website: https://www.demap.dhss.delaware.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — DELAWARE PERSONAL ASSISTANCE SERVICES PROVIDER
We help caregivers, home care professionals, and support agencies launch Personal Assistance Services that meet all DDDS and Medicaid requirements in Delaware.
Scope of Work:
Business registration (LLC, EIN, NPI)
DDDS waiver enrollment and Medicaid billing setup
Policy & procedure manual for personal care, safety, and reporting
Templates for service logs, consent forms, and incident reports
Website, domain, and email setup
Staff credentialing trackers and supervision documentation
Client intake packet, ADL support plans, and HIPAA tools
Incident reporting systems and audit preparation checklists
Referral networking with DDDS, families, and support coordinators
Adaptive Equipment
ADAPTIVE EQUIPMENT SERVICES PROVIDER IN DELAWARE
ENHANCING DAILY FUNCTION AND INDEPENDENCE THROUGH CUSTOMIZED TOOLS, DEVICES, AND SUPPORTIVE TECHNOLOGY
Adaptive Equipment Services in Delaware provide individuals with intellectual, developmental, or physical disabilities access to equipment that supports mobility, communication, safety, and independence. These services are funded through the Delaware Lifespan Waiver, administered by the Division of Developmental Disabilities Services (DDDS), and must align with the participant’s Individual Service Plan (ISP).
1. GOVERNING AGENCIES
Agency: Delaware Division of Developmental Disabilities Services (DDDS)
Role: Authorizes, monitors, and reimburses adaptive equipment services under the Lifespan Waiver
Agency: Delaware Division of Medicaid and Medical Assistance (DMMA)
Role: Oversees Medicaid reimbursement and program integrity
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure Medicaid HCBS waiver rules are met
2. ADAPTIVE EQUIPMENT SERVICE OVERVIEW
Adaptive Equipment Services provide assessment, procurement, delivery, and training for devices designed to meet specific functional needs outlined in the participant’s ISP. These devices improve safety, increase independence, and reduce reliance on caregivers.
Approved providers may deliver:
Mobility aids (e.g., gait trainers, walkers, adapted wheelchairs)
Sensory items and therapeutic equipment
Adaptive utensils, toileting systems, or dressing aids
Communication supports (non-AAC devices)
Specialized beds, supports, or seating systems
Equipment modifications or customization
Setup, training, usage documentation, and repairs (as authorized)
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Delaware Division of Corporations
Obtain EIN from the IRS and NPI (Type 2)
Apply to become an Adaptive Equipment provider through DDDS
Provide proof of vendor or technician expertise (e.g., ATP certification, DME experience, vendor contracts)
Carry liability and product insurance
Maintain a system for service authorization tracking and delivery verification
Comply with HIPAA and secure documentation requirements
4. PROVIDER ENROLLMENT PROCESS
Step 1: Register your business and obtain an NPI
Step 2: Submit a provider application to DDDS for Adaptive Equipment services
Include service descriptions, delivery protocols, and staff qualifications
Step 3: Complete Medicaid provider enrollment via DMAP (if directly billing Medicaid)
Step 4: Coordinate with support coordinators for equipment referrals and ISP alignment
Step 5: Deliver equipment, provide training (if applicable), and submit documentation of use and effectiveness
5. REQUIRED DOCUMENTATION
Articles of Incorporation or business registration
IRS EIN Letter
NPI confirmation
Liability and product insurance
DDDS provider approval
Policy & procedure manual including:
Intake, assessment, and ordering process
Delivery and training verification forms
Safety protocols and return/replacement procedures
HIPAA compliance and participant confidentiality
Consent forms and incident reporting procedures
Tracking logs for equipment usage and maintenance
Staff and subcontractor credentials (if applicable)
6. STAFFING REQUIREMENTS
Role: Adaptive Equipment Specialist / Technician
Requirements:
Experience with assistive technology or DME
Knowledge of device customization, delivery, and participant training
Background check and training in HIPAA and participant interaction
Role: Program Coordinator / Service Liaison
Requirements:
Handles referrals, ISP coordination, and customer service
Ensures equipment aligns with waiver-authorized services
Training Requirements for All Staff:
HIPAA and client confidentiality
Safe equipment handling and setup
Cultural sensitivity and person-centered communication
Documentation and DDDS reporting compliance
7. MEDICAID WAIVER SERVICES
Adaptive Equipment is reimbursed under:
Delaware Lifespan Waiver (administered by DDDS)
May also be covered under State Plan DME if prescribed and medically necessary
Approved providers may deliver:
Evaluated and authorized devices
In-home delivery, setup, and training
Documentation of usage and benefit
Equipment repairs or replacement (when authorized by DDDS)
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: DDDS Enrollment
Timeline: 30–60 days
Phase: Medicaid Enrollment (if applicable)
Timeline: 30–60 days
Phase: Referral Setup and Service Delivery
Timeline: Ongoing
9. CONTACT INFORMATION
Delaware Division of Developmental Disabilities Services (DDDS)
Phone: (302) 744-9600
Website: https://dhss.delaware.gov/dhss/ddds
Delaware Division of Medicaid and Medical Assistance (DMMA)
Phone: (302) 255-9500
Website: https://dhss.delaware.gov/dhss/dmma
Delaware Medicaid Provider Enrollment (DMAP)
Website: https://www.demap.dhss.delaware.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — DELAWARE ADAPTIVE EQUIPMENT SERVICES PROVIDER
We help suppliers, assistive technology professionals, and equipment vendors launch fully compliant Adaptive Equipment services through Delaware’s Lifespan Waiver.
Scope of Work:
Business registration (LLC, EIN, NPI)
DDDS provider application and Medicaid enrollment support
Policy & procedure manual for ordering, delivery, and compliance
Templates for intake forms, delivery receipts, and usage verification
Website, domain, and email setup
Staff credentialing trackers and documentation systems
Client intake packet, consent forms, and HIPAA compliance documents
Incident reporting systems and audit preparation tools
Referral networking with DDDS, therapists, and case managers
Skilled Nursing
SKILLED NURSING SERVICES PROVIDER IN DELAWARE
DELIVERING LICENSED MEDICAL CARE IN THE HOME TO SUPPORT HEALTH, SAFETY, AND INDEPENDENT LIVING FOR INDIVIDUALS WITH COMPLEX NEEDS
Skilled Nursing Services in Delaware provide medically necessary, physician-directed care in the home for individuals with chronic or acute medical needs. These services are covered under Delaware Medicaid, including the Lifespan Waiver, and are overseen by the Division of Developmental Disabilities Services (DDDS) and the Division of Medicaid and Medical Assistance (DMMA).
1. GOVERNING AGENCIES
Agency: Delaware Division of Developmental Disabilities Services (DDDS)
Role: Authorizes waiver-funded skilled nursing services for individuals with developmental disabilities
Agency: Delaware Division of Medicaid and Medical Assistance (DMMA)
Role: Administers Medicaid State Plan and waiver reimbursements for skilled care
Agency: Delaware Division of Health Care Quality
Role: Licenses Home Health Agencies and oversees nursing practice standards
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures federal compliance for Medicaid-funded home health services
2. SKILLED NURSING SERVICE OVERVIEW
Skilled Nursing Services consist of clinical care provided by a Registered Nurse (RN) or Licensed Practical Nurse (LPN) based on a written physician’s order. These services help manage complex medical conditions in the home, preventing hospitalizations or nursing facility placement.
Approved providers may deliver:
Medication administration and injections
Wound care and catheter maintenance
Tracheostomy or ventilator monitoring
Tube feeding and nutritional support
Health assessments and documentation
Monitoring of chronic conditions (e.g., diabetes, seizure disorders)
Coordination with caregivers and primary care physicians
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Delaware Division of Corporations
Obtain EIN from the IRS and NPI (Type 2)
Obtain licensure as a Home Health Agency (HHA) through the Division of Health Care Quality
Enroll as a Medicaid provider through DMAP for skilled nursing reimbursement
Carry malpractice, liability, and workers’ compensation insurance
Hire and supervise licensed nurses (RN/LPN) with valid Delaware licensure
Maintain HIPAA-compliant documentation systems and quality assurance procedures
4. PROVIDER ENROLLMENT PROCESS
Step 1: Register your business and obtain NPI
Step 2: Apply for HHA licensure from the Division of Health Care Quality
Submit operations plan, staffing chart, nursing protocols, and emergency policies
Complete on-site survey and compliance checks
Step 3: Enroll in Delaware Medicaid (DMAP) for billing authorization
Step 4: Apply to DDDS for approval to serve individuals under the Lifespan Waiver
Step 5: Begin accepting referrals from physicians, DDDS teams, and case managers
5. REQUIRED DOCUMENTATION
Articles of Incorporation or business registration
IRS EIN Letter
NPI confirmation
HHA license from Delaware Division of Health Care Quality
Medicaid provider approval and waiver authorization
Policy & procedure manual including:
Physician orders and care plan procedures
Medication administration and nursing documentation logs
Infection control and safety guidelines
Incident reporting and emergency protocols
Staff credentialing and supervision plan
HIPAA compliance and patient rights policy
Quality assurance and service audit tracking forms
6. STAFFING REQUIREMENTS
Role: Registered Nurse (RN)
Requirements:
Delaware RN license
Experience in home health or skilled nursing
CPR certification, TB test, and background check
Role: Licensed Practical Nurse (LPN)
Requirements:
Delaware LPN license
Works under RN supervision
Clinical experience and Medicaid documentation familiarity
Role: Director of Nursing / Clinical Supervisor
Requirements:
Active RN license
Responsible for care oversight, staff supervision, and compliance
Training Requirements for All Staff:
HIPAA and documentation training
Emergency preparedness and infection control
Abuse prevention and mandated reporting
Annual skills verification and CEU tracking
7. MEDICAID WAIVER SERVICES
Skilled Nursing is reimbursed under:
Delaware Lifespan Waiver (administered by DDDS)
Delaware Medicaid State Plan
Approved providers may deliver:
Short-term or long-term skilled nursing services as medically necessary
Home-based care that aligns with the participant’s service plan
Documentation for service delivery and coordination with care teams
Clinical oversight and quality assurance under state and federal guidelines
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Home Health Agency Licensure
Timeline: 60–90 days
Phase: Medicaid Enrollment (DMAP)
Timeline: 30–60 days
Phase: DDDS Waiver Authorization
Timeline: 30–60 days
9. CONTACT INFORMATION
Delaware Division of Health Care Quality – HHA Licensing
Phone: (302) 421-7400
Website: https://www.dhss.delaware.gov/dhss/dhcq
Delaware Division of Developmental Disabilities Services (DDDS)
Phone: (302) 744-9600
Website: https://dhss.delaware.gov/dhss/ddds
Delaware Division of Medicaid and Medical Assistance (DMMA)
Phone: (302) 255-9500
Website: https://dhss.delaware.gov/dhss/dmma
Delaware Medicaid Provider Enrollment (DMAP)
Website: https://www.demap.dhss.delaware.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — DELAWARE SKILLED NURSING SERVICES PROVIDER
We help healthcare professionals and home health organizations become fully licensed and Medicaid-compliant Skilled Nursing providers under Delaware’s waiver and State Plan programs.
Scope of Work:
Business registration (LLC, EIN, NPI)
Home Health Agency licensing support and Medicaid enrollment
Policy & procedure manual for clinical care, HIPAA, and documentation
Templates for care plans, physician orders, medication logs, and incident forms
Website, domain, and email setup
Staff credentialing trackers and CEU compliance tools
Client intake packet, consent forms, and emergency contact records
Incident reporting systems and audit readiness tools
Referral networking with hospitals, DDDS, and physicians
Day Habilitation
DAY HABILITATION SERVICES PROVIDER IN DELAWARE
ENGAGING INDIVIDUALS WITH MEANINGFUL DAYTIME ACTIVITIES TO BUILD SKILLS, PROMOTE SOCIALIZATION, AND SUPPORT INDEPENDENT LIVING
Day Habilitation Services in Delaware provide structured, goal-oriented support for individuals with intellectual and developmental disabilities (IDD) during daytime hours. These services are funded through the Delaware Lifespan Waiver, administered by the Division of Developmental Disabilities Services (DDDS), and are designed to promote community inclusion, life skill development, and personal growth.
1. GOVERNING AGENCIES
Agency: Delaware Division of Developmental Disabilities Services (DDDS)
Role: Approves Day Habilitation providers, monitors service quality, and ensures services align with person-centered goals
Agency: Delaware Division of Medicaid and Medical Assistance (DMMA)
Role: Administers waiver reimbursement for eligible Day Habilitation services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures services meet federal HCBS standards for non-institutional, community-based support
2. DAY HABILITATION SERVICE OVERVIEW
Day Habilitation Services are designed to support individuals who are not employed during the day by offering meaningful activities in a group or individual setting. Services focus on developing and maintaining life skills, social engagement, and access to the community.
Approved providers may deliver:
Skills training (e.g., communication, safety, cooking, hygiene, money management)
Social and recreational activities
Volunteer experiences and community integration outings
Self-advocacy and personal goal-setting support
Supervision and assistance in a safe, structured environment
Documentation of attendance, progress, and outcomes tied to the ISP
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Delaware Division of Corporations
Obtain EIN from the IRS and NPI (Type 2)
Apply to become a Day Habilitation Provider under the DDDS Lifespan Waiver
Secure a safe, accessible facility that meets ADA standards
Carry general liability and workers’ compensation insurance
Hire and train staff in accordance with DDDS requirements
Maintain HIPAA-compliant documentation systems and staff supervision protocols
4. PROVIDER ENROLLMENT PROCESS
Step 1: Register your business and obtain your NPI
Step 2: Apply to DDDS as a Day Habilitation Services provider
Submit facility address, staff roster, daily schedules, and sample documentation templates
Step 3: Participate in provider orientation and meet DDDS waiver criteria
Step 4: Establish referral pathways with Support Coordinators and ISP teams
5. REQUIRED DOCUMENTATION
Articles of Incorporation or business registration
IRS EIN Letter
NPI confirmation
Facility lease or ownership documents
DDDS provider approval letter
Policy & procedure manual including:
Intake procedures and activity planning
Participant rights, grievance policy, and HIPAA compliance
Community outing procedures and risk management
Daily attendance logs and progress note templates
Incident reporting and supervision ratios
Staff onboarding and training logs
Fire drills, emergency preparedness, and health safety protocols
6. STAFFING REQUIREMENTS
Role: Day Habilitation Specialist / Direct Support Professional (DSP)
Requirements:
High school diploma or equivalent
Background check and CPR/First Aid certification
Training in ADL/IADL support, person-centered service delivery, and behavior management
Role: Program Supervisor / Day Services Manager
Requirements:
Human services or program management experience
Oversight of day program planning, staffing, and documentation compliance
Training Requirements for All Staff:
Abuse prevention and mandated reporting
Emergency protocols and community safety
Documentation and ISP goal tracking
HIPAA and confidentiality
Ongoing annual training and CEU tracking
7. MEDICAID WAIVER SERVICES
Day Habilitation Services are reimbursed under:
Delaware Lifespan Waiver (administered by DDDS)
Approved providers may deliver:
Daily or part-time services aligned with the ISP
On-site and off-site activities that promote community inclusion
Life skill development and individualized support
Progress documentation for Medicaid compliance and DDDS reporting
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Facility Setup and Licensing Readiness
Timeline: 2–4 weeks
Phase: DDDS Provider Enrollment
Timeline: 30–60 days
Phase: Staff Hiring and Participant Onboarding
Timeline: Ongoing
9. CONTACT INFORMATION
Delaware Division of Developmental Disabilities Services (DDDS)
Phone: (302) 744-9600
Website: https://dhss.delaware.gov/dhss/ddds
Delaware Division of Medicaid and Medical Assistance (DMMA)
Phone: (302) 255-9500
Website: https://dhss.delaware.gov/dhss/dmma
Delaware Medicaid Provider Enrollment (DMAP)
Website: https://www.demap.dhss.delaware.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — DELAWARE DAY HABILITATION SERVICES PROVIDER
We help day program founders and human service agencies launch fully compliant Day Habilitation Services under Delaware’s Lifespan Waiver.
Scope of Work:
Business registration (LLC, EIN, NPI)
DDDS provider enrollment and compliance guidance
Policy & procedure manual for daily operations, community outings, and ISP tracking
Templates for activity logs, progress notes, and incident reports
Website, domain, and email setup
Staff credentialing trackers and training records
Client intake packet, consent forms, and community participation guidelines
Incident reporting systems and audit readiness tools
Referral networking with DDDS, families, and local organizations
Specialized Therapy
SPECIALIZED THERAPIES PROVIDER IN DELAWARE
DELIVERING INDIVIDUALIZED CLINICAL SUPPORTS TO PROMOTE FUNCTIONAL SKILLS, HEALTH, AND INDEPENDENCE
Specialized Therapies in Delaware include services such as physical therapy (PT), occupational therapy (OT), speech-language pathology (SLP), and other clinician-directed supports for individuals with developmental disabilities or complex medical needs. These services are covered under Delaware Medicaid, the Lifespan Waiver, and other Home and Community-Based Services (HCBS) programs administered by the Division of Developmental Disabilities Services (DDDS) and the Division of Medicaid & Medical Assistance (DMMA).
1. GOVERNING AGENCIES
Agency: Delaware Division of Medicaid & Medical Assistance (DMMA)
Role: Oversees Medicaid funding and provider reimbursement for therapy services
Agency: Delaware Division of Developmental Disabilities Services (DDDS)
Role: Authorizes Specialized Therapies through person-centered planning under the Lifespan Waiver
Agency: Delaware Division of Professional Regulation (DPR)
Role: Licenses PTs, OTs, SLPs, and other therapy professionals
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure therapy services meet HCBS and medical necessity standards
2. SPECIALIZED THERAPY SERVICE OVERVIEW
Specialized Therapies help individuals improve or maintain physical, communicative, or daily living skills necessary for functioning in home or community settings. Services must be included in the participant’s Individual Service Plan (ISP) and prescribed when medically necessary.
Approved providers may deliver:
Physical therapy: Mobility training, strength-building, fall prevention
Occupational therapy: Daily living skill development, sensory integration, adaptive strategies
Speech-language pathology: Communication skills, swallowing evaluations, AAC device support
Behavioral feeding therapies, sensory motor integration, or other habilitative therapies
Evaluation, progress monitoring, and documentation for each authorized service
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Delaware Division of Corporations
Obtain EIN from the IRS and NPI (Type 2)
Maintain Delaware professional licenses for each clinician through DPR
Enroll as a Delaware Medicaid therapy provider through the DMAP portal
If serving waiver participants, become an approved DDDS Lifespan Waiver provider
Carry malpractice and liability insurance
Use HIPAA-compliant documentation systems
4. PROVIDER ENROLLMENT PROCESS
Step 1: Register business and obtain NPI
Step 2: Apply for therapist licensure (PT, OT, SLP, etc.) through the Delaware Division of Professional Regulation
Step 3: Enroll as a Medicaid therapy provider through the Delaware Medical Assistance Portal (DMAP)
Step 4: Apply with DDDS to provide Specialized Therapies under the Lifespan Waiver
Step 5: Connect with CMAs and DDDS service coordinators for referrals
5. REQUIRED DOCUMENTATION
Articles of Incorporation or proof of business registration
IRS EIN Letter
NPI confirmation
Active therapist licenses (PT, OT, SLP, etc.)
Medicaid provider enrollment confirmation
DDDS provider agreement (if applicable)
Policy & procedure manual including:
Intake and assessment procedures
Treatment plan templates and progress notes
Documentation of frequency, duration, and goals
HIPAA compliance and client confidentiality protocols
Consent forms and participant rights
Emergency response and incident reporting procedures
Therapist supervision and CEU tracking
6. STAFFING REQUIREMENTS
Role: Licensed Therapist (PT, OT, SLP, etc.)
Requirements:
Active Delaware license through DPR
Background check and CPR certification
Experience with developmental disabilities and community-based therapy preferred
Role: Therapy Aide / Assistant (if applicable)
Requirements:
Supervised by licensed therapist
Relevant certification (e.g., PTA, COTA) and background screening
Training Requirements for All Staff:
HIPAA and documentation accuracy
Person-centered planning and ISP coordination
Abuse prevention and emergency protocols
Annual CEUs and state licensure maintenance
7. MEDICAID WAIVER SERVICES
Specialized Therapies are reimbursed under:
Delaware Medicaid State Plan
Lifespan Waiver (administered by DDDS)
Early Intervention and School-Based Medicaid (for children, if applicable)
Approved providers may deliver:
Direct, one-on-one therapy sessions in-home, clinic, or community settings
Evaluations and periodic progress reviews
Coordination with waiver teams, case managers, and family members
Medicaid-compliant documentation of goals and outcomes
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Licensing and Credentialing
Timeline: 30–60 days
Phase: Medicaid and Waiver Enrollment
Timeline: 30–60 days
Phase: Referral Network Development
Timeline: Ongoing
9. CONTACT INFORMATION
Delaware Division of Medicaid & Medical Assistance (DMMA)
Phone: (302) 255-9500
Website: https://dhss.delaware.gov/dhss/dmma
Delaware Division of Developmental Disabilities Services (DDDS)
Phone: (302) 744-9600
Website: https://dhss.delaware.gov/dhss/ddds
Delaware Medicaid Provider Enrollment (DMAP)
Website: https://www.demap.dhss.delaware.gov
Delaware Division of Professional Regulation (DPR)
Website: https://dpr.delaware.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — DELAWARE SPECIALIZED THERAPIES PROVIDER
We help therapy practices and clinicians establish fully credentialed Medicaid and waiver-compliant services throughout Delaware.
Scope of Work:
Business registration (LLC, EIN, NPI)
Therapist licensing and Medicaid enrollment support
DDDS waiver provider application guidance
Policy & procedure manual for evaluations, therapy delivery, and documentation
Templates for treatment plans, progress notes, and session tracking
Website, domain, and email setup
Staff credentialing trackers and license monitoring tools
Client intake packet, consent forms, and HIPAA documentation
Incident reporting systems and audit readiness support
Referral networking with DDDS, schools, clinics, and care teams
Assistive Technology
ASSISTIVE TECHNOLOGY SERVICES PROVIDER IN DELAWARE
EMPOWERING INDEPENDENCE THROUGH CUSTOMIZED DEVICES AND TECHNOLOGY SOLUTIONS FOR DAILY FUNCTION AND COMMUNICATION
Assistive Technology Services in Delaware provide individuals with disabilities access to tools, equipment, and training that support greater independence, safety, and functional ability. These services are authorized through the Delaware Lifespan Waiver, administered by the Division of Developmental Disabilities Services (DDDS), and must be linked to specific needs outlined in a participant’s Individual Service Plan (ISP).
1. GOVERNING AGENCIES
Agency: Delaware Division of Developmental Disabilities Services (DDDS)
Role: Approves assistive technology services under the Lifespan Waiver and monitors provider compliance
Agency: Delaware Division of Medicaid and Medical Assistance (DMMA)
Role: Handles Medicaid reimbursement and waiver funding
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures federal HCBS guidelines are met for device procurement and service delivery
2. ASSISTIVE TECHNOLOGY SERVICE OVERVIEW
Assistive Technology Services involve evaluating, acquiring, customizing, and training individuals on devices that enhance mobility, communication, learning, and safety. Services must be prescribed, justified, and pre-authorized through DDDS and Medicaid.
Approved providers may deliver:
Technology assessments and consultations
Purchase or customization of assistive devices
Device installation and environmental setup
Training on device use for participants, caregivers, and staff
Maintenance and repair (when authorized)
Documentation of service effectiveness and usage monitoring
Examples of eligible technology:
Communication aids (AAC devices)
Environmental control units (e.g., smart switches, door openers)
Specialized software, screen readers, and adaptive keyboards
Safety and alerting systems
Devices to assist with vision, hearing, or mobility
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Delaware Division of Corporations
Obtain EIN from the IRS and NPI (Type 2)
Apply as an Assistive Technology Services Provider under the Lifespan Waiver (DDDS)
Employ or subcontract certified Assistive Technology Professionals (ATPs), OTs, SLPs, or other qualified specialists
Maintain HIPAA-compliant systems for service and billing documentation
Carry liability insurance and follow equipment safety standards
4. PROVIDER ENROLLMENT PROCESS
Step 1: Register business and obtain NPI
Step 2: Apply to DDDS for enrollment under the Lifespan Waiver
Submit provider profile, AT service descriptions, staff credentials, and sample reports
Step 3: Register with Delaware Medicaid (DMAP) for billing authorization (if applicable)
Step 4: Connect with support coordinators and waiver case managers for referrals and authorizations
5. REQUIRED DOCUMENTATION
Articles of Incorporation or proof of business registration
IRS EIN Letter
NPI confirmation
AT Professional certifications or therapist licenses (if applicable)
Liability insurance and Medicaid approval (if billing)
Policy & procedure manual including:
Evaluation and service authorization process
Justification templates for assistive device requests
Delivery, training, and usage documentation
Consent forms and confidentiality protocols
Repair and maintenance tracking (if applicable)
Incident and issue reporting procedures
Staff training and CEU records
6. STAFFING REQUIREMENTS
Role: Assistive Technology Specialist / Consultant
Requirements:
Certification as an ATP or state-licensed OT, PT, or SLP with AT experience
Background check and training in device assessment and implementation
Role: Equipment Installer / Trainer
Requirements:
Technical knowledge of adaptive devices
Clean driving record (if conducting in-home setup)
Experience working with individuals with disabilities preferred
Training Requirements for All Staff:
Person-centered planning and functional device matching
HIPAA compliance and client confidentiality
Documentation procedures for DDDS and Medicaid
Emergency procedures and safety considerations
7. MEDICAID WAIVER SERVICES
Assistive Technology is reimbursed under:
Delaware Lifespan Waiver (administered by DDDS)
Approved providers may deliver:
Evaluations and device recommendations
Equipment acquisition, training, and installation
Documentation of usage, success, or adjustments
Maintenance and replacement (if included in ISP)
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: DDDS Waiver Enrollment
Timeline: 30–60 days
Phase: Staff Onboarding and Service Workflow Setup
Timeline: 2–4 weeks
Phase: Referral Activation and Service Delivery
Timeline: Ongoing
9. CONTACT INFORMATION
Delaware Division of Developmental Disabilities Services (DDDS)
Phone: (302) 744-9600
Website: https://dhss.delaware.gov/dhss/ddds
Delaware Division of Medicaid and Medical Assistance (DMMA)
Phone: (302) 255-9500
Website: https://dhss.delaware.gov/dhss/dmma
Delaware Medicaid Provider Enrollment (DMAP)
Website: https://www.demap.dhss.delaware.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — DELAWARE ASSISTIVE TECHNOLOGY SERVICES PROVIDER
We help therapists, device specialists, and accessibility consultants become Medicaid-compliant Assistive Technology providers under Delaware’s HCBS waiver system.
Scope of Work:
Business registration (LLC, EIN, NPI)
DDDS and Medicaid provider enrollment support
Policy & procedure manual for evaluations, installations, and compliance
Templates for justification letters, delivery logs, and usage tracking
Website, domain, and email setup
Staff credentialing trackers and certification management
Client intake packet, consent forms, and training documentation
Incident reporting systems and audit preparation tools
Referral networking with DDDS, therapists, schools, and care teams
Behavioral Health
BEHAVIORAL HEALTH SERVICES PROVIDER IN DELAWARE
DELIVERING INDIVIDUALIZED MENTAL HEALTH AND BEHAVIOR SUPPORTS TO PROMOTE WELL-BEING, SELF-REGULATION, AND COMMUNITY STABILITY
Behavioral Health Services in Delaware help individuals with intellectual and developmental disabilities (IDD) manage emotional, behavioral, and mental health challenges. These services are provided under the Delaware Lifespan Waiver and monitored by the Division of Developmental Disabilities Services (DDDS) in collaboration with the Division of Medicaid and Medical Assistance (DMMA).
1. GOVERNING AGENCIES
Agency: Delaware Division of Developmental Disabilities Services (DDDS)
Role: Authorizes Behavioral Health Services under the Lifespan Waiver and monitors service delivery for compliance and quality
Agency: Delaware Division of Medicaid and Medical Assistance (DMMA)
Role: Provides Medicaid reimbursement and ensures program integrity
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures all HCBS behavioral health services meet federal person-centered and clinical standards
2. BEHAVIORAL HEALTH SERVICE OVERVIEW
Behavioral Health Services provide assessment, intervention, and treatment planning to address behavioral challenges that impact a person’s functioning, safety, or community integration. Services must be aligned with the Individual Service Plan (ISP) and delivered by licensed or credentialed professionals.
Approved providers may deliver:
Functional Behavioral Assessments (FBA)
Development and implementation of Positive Behavior Support Plans (PBSPs)
Individual and group therapy sessions
Caregiver training and behavioral consultation
Crisis prevention and intervention planning
Documentation of behavior goals, data tracking, and plan outcomes
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Delaware Division of Corporations
Obtain EIN from the IRS and NPI (Type 2)
Employ or contract with licensed behavioral health professionals (e.g., BCBA, LCSW, LPCMH, psychologist)
Apply as a Behavioral Health Services Provider through DDDS
Enroll with Delaware Medicaid (DMAP) if billing Medicaid directly
Maintain professional liability insurance and secure, HIPAA-compliant systems
4. PROVIDER ENROLLMENT PROCESS
Step 1: Register your business and obtain NPI
Step 2: Submit an application to DDDS for Behavioral Health Services
Include clinician licenses, resumes, service protocols, and sample documentation
Step 3: Enroll with Delaware Medicaid (DMAP) as a behavioral health provider
Step 4: Coordinate with Support Coordinators and case managers for referrals and ISP authorizations
Step 5: Begin service delivery and maintain compliance with DDDS documentation requirements
5. REQUIRED DOCUMENTATION
Articles of Incorporation or business registration
IRS EIN Letter
NPI confirmation
Professional licensure of clinical staff (e.g., BCBA, LCSW, psychologist)
Liability insurance and Medicaid enrollment documentation
DDDS provider approval
Policy & procedure manual including:
Behavioral assessment and intervention planning forms
Service delivery tracking and data collection tools
Crisis response and de-escalation procedures
HIPAA and participant confidentiality compliance
Incident reporting and follow-up policies
Staff supervision and training logs
Grievance process and participant rights documentation
6. STAFFING REQUIREMENTS
Role: Licensed Behavior Analyst / Behavioral Health Clinician
Requirements:
Current Delaware license or certification (e.g., BCBA, psychologist, LCSW, LPCMH)
Background check, CPR/First Aid, and Medicaid compliance training
Role: Behavioral Support Technician / Implementation Specialist
Requirements:
Supervised by a licensed clinician
Trained in behavior plan implementation, data collection, and client interaction
Training Requirements for All Staff:
HIPAA and documentation protocols
Crisis prevention and positive behavior support
Mandated reporting and abuse prevention
ISP integration and goal documentation
CEU tracking and supervision compliance
7. MEDICAID WAIVER SERVICES
Behavioral Health Services are reimbursed under:
Delaware Lifespan Waiver (administered by DDDS)
Delaware Medicaid State Plan (in some cases for eligible therapeutic services)
Approved providers may deliver:
Behavior support plan development and monitoring
Individual and family therapy
Clinical documentation aligned with ISP outcomes
Crisis prevention strategies and staff/caregiver training
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: DDDS Application Submission
Timeline: 30–60 days
Phase: Medicaid Enrollment (DMAP)
Timeline: 30–60 days
Phase: Clinical Onboarding and Referral Coordination
Timeline: Ongoing
9. CONTACT INFORMATION
Delaware Division of Developmental Disabilities Services (DDDS)
Phone: (302) 744-9600
Website: https://dhss.delaware.gov/dhss/ddds
Delaware Division of Medicaid and Medical Assistance (DMMA)
Phone: (302) 255-9500
Website: https://dhss.delaware.gov/dhss/dmma
Delaware Medicaid Provider Enrollment (DMAP)
Website: https://www.demap.dhss.delaware.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — DELAWARE BEHAVIORAL HEALTH SERVICES PROVIDER
We help behavioral health professionals and therapy practices become approved Medicaid and DDDS providers of Behavioral Health Services under Delaware’s Lifespan Waiver.
Scope of Work:
Business registration (LLC, EIN, NPI)
DDDS and Medicaid provider enrollment support
Policy & procedure manual for assessments, therapy, and documentation
Templates for behavior plans, session notes, and outcome tracking
Website, domain, and email setup
Staff credentialing trackers and license verification tools
Client intake packet, consent forms, and HIPAA disclosures
Incident reporting systems and audit preparation tools
Referral networking with DDDS, case managers, and schools
Home Modification
HOME MODIFICATION SERVICES PROVIDER IN DELAWARE
CREATING SAFE, ACCESSIBLE LIVING ENVIRONMENTS TO SUPPORT INDEPENDENT LIVING FOR INDIVIDUALS WITH DISABILITIES
Home Modification Services in Delaware allow individuals with intellectual, developmental, or physical disabilities to remain safely in their homes by making structural or environmental changes that support accessibility, mobility, and independence. These services are authorized under the Delaware Lifespan Waiver, overseen by the Division of Developmental Disabilities Services (DDDS), and must align with the participant’s Individual Service Plan (ISP).
1. GOVERNING AGENCIES
Agency: Delaware Division of Developmental Disabilities Services (DDDS)
Role: Authorizes and monitors home modifications for waiver participants and ensures they are person-centered and medically necessary
Agency: Delaware Division of Medicaid and Medical Assistance (DMMA)
Role: Administers funding for Medicaid waiver services, including home modifications
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures federal HCBS regulations are followed for home-based services and funding use
2. HOME MODIFICATION SERVICE OVERVIEW
Home Modification Services involve permanent or semi-permanent changes to a participant’s residence to remove barriers and enhance independence. All modifications must be directly related to the individual’s disability, pre-approved by DDDS, and documented in the ISP.
Approved providers may deliver:
Installation of wheelchair ramps and stair lifts
Roll-in showers, grab bars, and raised toilets
Widening of doorways and hallways
Lowering counters, sinks, and light switches
Installation of visual/auditory alert systems
Modified flooring and non-slip surfaces
Pre-project assessments, construction, and post-installation documentation
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Delaware Division of Corporations
Obtain EIN from the IRS and NPI (Type 2)
Hold a valid Delaware contractor’s license or subcontract licensed professionals
Apply as a Home Modification Services Provider under DDDS
Carry general liability and product liability insurance
Maintain HIPAA-compliant documentation systems
Use ADA-compliant building standards and waiver-approved materials
4. PROVIDER ENROLLMENT PROCESS
Step 1: Register your business and obtain NPI
Step 2: Submit a provider application to DDDS for Home Modification Services
Include contractor license, proof of insurance, and sample project protocols
Step 3: Enroll with Delaware Medicaid (DMAP) if billing directly
Step 4: Collaborate with support coordinators and therapists for referrals, evaluations, and ISP approvals
Step 5: Begin project assessments, execute modifications, and submit documentation of completion
5. REQUIRED DOCUMENTATION
Articles of Incorporation or business registration
IRS EIN Letter
NPI confirmation
Contractor license and liability insurance
DDDS approval letter and Medicaid enrollment (if applicable)
Policy & procedure manual including:
Project intake and assessment protocols
Consent forms and pre-approval processes
ADA compliance checklists and materials logs
Before/after photos and completion verification forms
Incident reporting and safety inspection procedures
Client satisfaction survey and warranty documentation
Staff credentials and subcontractor agreements
6. STAFFING REQUIREMENTS
Role: Licensed Contractor / Project Manager
Requirements:
Valid Delaware contractor’s license
Experience with ADA-compliant modifications
Background checks and general liability coverage
Role: Accessibility Evaluator / Consultant (optional)
Requirements:
Knowledge of home assessments for individuals with disabilities
Familiarity with Medicaid waiver and ISP coordination
Training Requirements for All Staff/Subcontractors:
Job site safety and ADA compliance
Documentation and waiver billing procedures
HIPAA and client confidentiality
Emergency response procedures
7. MEDICAID WAIVER SERVICES
Home Modification Services are reimbursed under:
Delaware Lifespan Waiver (administered by DDDS)
Approved providers may deliver:
Environmental assessments
Structural modification implementation
Training on new features (as needed)
Documentation of project scope, cost, and completion
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Contractor Licensing and Insurance
Timeline: 2–4 weeks
Phase: DDDS Provider Enrollment
Timeline: 30–60 days
Phase: Referral Activation and Project Execution
Timeline: Ongoing
9. CONTACT INFORMATION
Delaware Division of Developmental Disabilities Services (DDDS)
Phone: (302) 744-9600
Website: https://dhss.delaware.gov/dhss/ddds
Delaware Division of Medicaid and Medical Assistance (DMMA)
Phone: (302) 255-9500
Website: https://dhss.delaware.gov/dhss/dmma
Delaware Medicaid Provider Enrollment (DMAP)
Website: https://www.demap.dhss.delaware.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — DELAWARE HOME MODIFICATION SERVICES PROVIDER
We help contractors and accessibility professionals become fully credentialed providers of Medicaid-funded home modifications under Delaware’s Lifespan Waiver.
Scope of Work:
Business registration (LLC, EIN, NPI)
Contractor licensing and DDDS provider application support
Policy & procedure manual for assessments, installations, and documentation
Templates for bid proposals, consent forms, and project verification
Website, domain, and email setup
Staff and subcontractor credentialing trackers
Client intake packet, ADA compliance logs, and safety protocols
Incident reporting systems and audit preparation tools
Referral networking with case managers, therapists, and DDDS staff
Environmental Adaption
ENVIRONMENTAL ACCESSIBILITY ADAPTATIONS (EAA) SERVICES PROVIDER IN DELAWARE
ENHANCING HOME SAFETY AND ACCESSIBILITY THROUGH STRUCTURAL MODIFICATIONS FOR INDIVIDUALS WITH DISABILITIES
Environmental Accessibility Adaptations (EAA) Services in Delaware involve physical modifications to an individual's home that enable greater independence, safety, and accessibility. These services are available through the Delaware Lifespan Waiver, administered by the Division of Developmental Disabilities Services (DDDS), and are authorized as part of a participant’s Individual Service Plan (ISP).
1. GOVERNING AGENCIES
Agency: Delaware Division of Developmental Disabilities Services (DDDS)
Role: Approves and authorizes home modification services under the Lifespan Waiver
Agency: Delaware Division of Medicaid and Medical Assistance (DMMA)
Role: Oversees Medicaid billing and waiver reimbursement for EAA services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures federal compliance with Medicaid HCBS waiver rules and safety standards
2. ENVIRONMENTAL ACCESSIBILITY ADAPTATIONS SERVICE OVERVIEW
Environmental Accessibility Adaptations are permanent or semi-permanent modifications made to a participant’s primary residence to improve access and eliminate physical barriers related to mobility, safety, or independence.
Approved providers may deliver:
Wheelchair ramps, lifts, and widened doorways
Roll-in showers, grab bars, and accessible toilets
Kitchen modifications for reach and maneuverability
Lowered counters, switches, or appliances
Installation of handrails, stair lifts, or transfer supports
Structural modifications as outlined in an approved bid with justification
Project planning, cost estimation, documentation, and post-completion verification
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Delaware Division of Corporations
Obtain EIN from the IRS and NPI (Type 2)
Enroll as an EAA provider under the Delaware Lifespan Waiver
Hold a valid Delaware contractor license (or partner with a licensed subcontractor)
Provide ADA-compliant installation and modifications
Carry general liability and workers’ compensation insurance
Maintain HIPAA-compliant documentation systems
Submit detailed bids with cost justification and photos (before/after)
4. PROVIDER ENROLLMENT PROCESS
Step 1: Business Registration and Licensing
Secure appropriate contractor licenses and business credentials
Step 2: Apply with DDDS as an Environmental Accessibility Adaptations provider
Submit company profile, proof of licensure, insurance, and sample project documentation
Step 3: Coordinate with case managers and support coordinators
Receive referrals for home assessments, bidding, and project execution
Step 4: Enroll with Delaware Medicaid (DMAP) if required for billing reimbursement
5. REQUIRED DOCUMENTATION
Articles of Incorporation or business registration
IRS EIN Letter
NPI confirmation
Contractor license (general contractor, ADA installer, or remodeling specialist)
DDDS provider approval
Liability and workers’ comp insurance
Policy & procedure manual including:
Intake and home assessment protocol
Bid submission and cost justification templates
Safety guidelines and ADA compliance checklists
Before-and-after documentation policies
Consumer consent forms and privacy agreements
Incident and warranty tracking forms
Staff licensing and subcontractor agreements
6. STAFFING REQUIREMENTS
Role: Contractor / Accessibility Technician
Requirements:
Licensed general contractor or ADA renovation specialist
Background checks and insurance coverage
Experience working with individuals with disabilities
Role: Project Coordinator / Estimator (optional)
Requirements:
Knowledge of home accessibility codes, Medicaid requirements, and cost estimation
Skilled in communication with care teams and case managers
Training Requirements for All Staff:
ADA and accessibility standards
Client confidentiality and HIPAA basics
Incident reporting and safety planning
Cultural sensitivity and professionalism in home environments
7. MEDICAID WAIVER SERVICES
Environmental Accessibility Adaptations are reimbursed under:
Delaware Lifespan Waiver (DDDS)
Approved providers may deliver:
Home assessments and formal project proposals
Structural and non-structural modifications to improve accessibility
Follow-up evaluations and documentation of successful completion
Coordination with care teams, families, and waiver case managers
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Licensing and Insurance Setup
Timeline: 2–4 weeks
Phase: DDDS Provider Enrollment
Timeline: 30–60 days
Phase: Referral Networking and Bid Submission
Timeline: Ongoing
9. CONTACT INFORMATION
Delaware Division of Developmental Disabilities Services (DDDS)
Phone: (302) 744-9600
Website: https://dhss.delaware.gov/dhss/ddds
Delaware Division of Medicaid and Medical Assistance (DMMA)
Phone: (302) 255-9500
Website: https://dhss.delaware.gov/dhss/dmma
Delaware Medicaid Provider Enrollment (DMAP)
Website: https://www.demap.dhss.delaware.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — DELAWARE ENVIRONMENTAL ACCESSIBILITY ADAPTATIONS PROVIDER
We help construction companies, home renovation contractors, and accessibility specialists become Medicaid-compliant EAA providers in Delaware.
Scope of Work:
Business registration (LLC, EIN, NPI)
Contractor licensing and liability insurance setup
DDDS and Medicaid provider enrollment guidance
Policy & procedure manual for assessments, installations, and compliance
Templates for bid submissions, consent forms, and ADA checklists
Website, domain, and email setup
Staff credentialing trackers and safety protocols
Client intake packet, project approval forms, and post-inspection documentation
Incident reporting systems and audit preparation tools
Referral networking with DDDS, care coordinators, and families
Community Integration
COMMUNITY INTEGRATION SERVICES PROVIDER IN DELAWARE
PROMOTING INDEPENDENT LIVING, RELATIONSHIP-BUILDING, AND ACTIVE PARTICIPATION IN THE COMMUNITY FOR INDIVIDUALS WITH DISABILITIES
Community Integration Services in Delaware support individuals with intellectual and developmental disabilities (IDD) in accessing their communities through individualized, goal-driven activities that build social connections, independence, and personal fulfillment. These services are authorized under the Delaware Lifespan Waiver, administered by the Division of Developmental Disabilities Services (DDDS), and align with the participant’s Individual Service Plan (ISP).
1. GOVERNING AGENCIES
Agency: Delaware Division of Developmental Disabilities Services (DDDS)
Role: Authorizes and monitors the delivery of Community Integration Services through the Lifespan Waiver
Agency: Delaware Division of Medicaid and Medical Assistance (DMMA)
Role: Administers Medicaid reimbursement and waiver oversight
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure HCBS services promote inclusion and person-centered outcomes
2. COMMUNITY INTEGRATION SERVICE OVERVIEW
Community Integration Services help individuals with disabilities build meaningful relationships, access local resources, and engage in public life. Services are tailored to each participant’s interests, needs, and ISP goals, with a focus on choice, dignity, and participation.
Approved providers may deliver:
Support with accessing libraries, recreational centers, and events
Assistance with joining clubs, volunteer groups, or social organizations
Skill-building for navigating public transportation and community safety
Support in developing relationships and self-advocacy
Exploration of hobbies, wellness activities, and cultural experiences
Documentation of outcomes and progress toward community goals
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Delaware Division of Corporations
Obtain EIN from the IRS and NPI (Type 2)
Apply as a Community Integration Services Provider through DDDS
Employ qualified Direct Support Professionals (DSPs) trained in person-centered planning
Carry general liability insurance and comply with HIPAA documentation standards
Develop transportation safety procedures (if providing travel support)
4. PROVIDER ENROLLMENT PROCESS
Step 1: Register your business and obtain an NPI
Step 2: Submit a provider application to DDDS for Community Integration Services
Include staff resumes, service descriptions, policies, and sample documentation
Step 3: Enroll with Delaware Medicaid (DMAP) if billing directly
Step 4: Coordinate with support coordinators for referrals and ISP alignment
Step 5: Deliver services in the community and submit documentation as required
5. REQUIRED DOCUMENTATION
Articles of Incorporation or business registration
IRS EIN Letter
NPI confirmation
Liability insurance and Medicaid enrollment documentation
DDDS provider approval
Policy & procedure manual including:
Client intake and interest assessment forms
Activity planning and ISP goal alignment tools
Safety protocols for community settings
Incident reporting and emergency procedures
Daily and monthly documentation logs
Transportation policies and consent forms
HIPAA compliance and participant rights policy
Staff training logs and supervision documentation
6. STAFFING REQUIREMENTS
Role: Direct Support Professional (DSP)
Requirements:
High school diploma or equivalent
Background check, CPR/First Aid certification
Experience supporting individuals with disabilities in community settings preferred
Role: Program Coordinator / Supervisor
Requirements:
Oversight of planning, documentation, and staff performance
Experience in HCBS waiver programs or community services
Training Requirements for All Staff:
Person-centered planning and community engagement
HIPAA and participant confidentiality
Abuse prevention and mandated reporting
Transportation and travel safety
Documentation and ISP tracking
7. MEDICAID WAIVER SERVICES
Community Integration Services are reimbursed under:
Delaware Lifespan Waiver (administered by DDDS)
Approved providers may deliver:
Community-based 1:1 or group supports
Assistance with social engagement, personal goals, and public resource access
Progress documentation and communication with support teams
Person-centered programming aligned with the ISP
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: DDDS Enrollment
Timeline: 30–60 days
Phase: Medicaid Enrollment (DMAP)
Timeline: 30–60 days
Phase: Referral Activation and Service Delivery
Timeline: Ongoing
9. CONTACT INFORMATION
Delaware Division of Developmental Disabilities Services (DDDS)
Phone: (302) 744-9600
Website: https://dhss.delaware.gov/dhss/ddds
Delaware Division of Medicaid and Medical Assistance (DMMA)
Phone: (302) 255-9500
Website: https://dhss.delaware.gov/dhss/dmma
Delaware Medicaid Provider Enrollment (DMAP)
Website: https://www.demap.dhss.delaware.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — DELAWARE COMMUNITY INTEGRATION SERVICES PROVIDER
We help support professionals and disability-focused organizations launch compliant, person-centered Community Integration programs through Delaware’s Lifespan Waiver.
Scope of Work:
Business registration (LLC, EIN, NPI)
DDDS and Medicaid provider enrollment guidance
Policy & procedure manual for community engagement, risk management, and reporting
Templates for activity logs, consent forms, and ISP alignment tools
Website, domain, and email setup
Staff credentialing trackers and supervision tools
Client intake packet, HIPAA documents, and safety procedures
Incident reporting systems and audit readiness checklists
Referral networking with DDDS, families, and support coordinators
Homemaker
HOMEMAKER SERVICES PROVIDER IN DELAWARE
SUPPORTING INDEPENDENT LIVING THROUGH ROUTINE HOUSEHOLD TASKS FOR INDIVIDUALS WITH DISABILITIES AND CHRONIC NEEDS
Homemaker Services in Delaware provide essential household support to individuals who are elderly, have disabilities, or are medically fragile and need help maintaining a safe, clean, and functional home environment. These services are offered through the Delaware Lifespan Waiver, and other Home and Community-Based Services (HCBS) programs, and may also be available under the Division of Services for Aging and Adults with Physical Disabilities (DSAAPD).
1. GOVERNING AGENCIES
Agency: Delaware Division of Developmental Disabilities Services (DDDS)
Role: Authorizes homemaker services through the Lifespan Waiver and monitors provider performance
Agency: Delaware Division of Services for Aging and Adults with Physical Disabilities (DSAAPD)
Role: Offers homemaker services to older adults and adults with physical disabilities
Agency: Delaware Division of Medicaid and Medical Assistance (DMMA)
Role: Administers Medicaid reimbursement and waiver alignment
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight for Medicaid HCBS homemaker services
2. HOMEMAKER SERVICE OVERVIEW
Homemaker Services include non-medical assistance with routine household tasks that support health and safety in the home. These services are tailored to individuals who cannot complete such tasks independently and have no caregiver available to assist.
Approved providers may deliver:
Light housekeeping (vacuuming, dusting, sweeping, mopping)
Kitchen cleaning, dishwashing, and meal cleanup
Laundry, linen changes, and clothing organization
Bathroom sanitation and trash removal
Bed making and general home tidying
Documentation of service delivery and observations
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Delaware Division of Corporations
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Homemaker Service Provider through the Delaware Medical Assistance Portal (DMAP) and/or DDDS Lifespan Waiver
Employ trained staff with background checks and service documentation experience
Carry liability insurance and ensure HIPAA-compliant recordkeeping
Comply with DDDS or DSAAPD policy requirements for non-medical service delivery
4. PROVIDER ENROLLMENT PROCESS
Step 1: Register your business and obtain an NPI
Step 2: Apply to become a Medicaid provider via the Delaware Medical Assistance Portal (DMAP)
Step 3: If serving individuals with IDD, complete the DDDS Lifespan Waiver provider application
Step 4: If serving older adults, coordinate with DSAAPD to explore contract opportunities
5. REQUIRED DOCUMENTATION
Articles of Incorporation or proof of business registration
IRS EIN Letter
NPI confirmation
Medicaid and/or DDDS provider approval letter
Policy & procedure manual including:
Client intake, scheduling, and task verification protocols
Staff orientation and supervision policies
Cleaning and safety checklists
HIPAA and client confidentiality procedures
Emergency contact documentation
Incident reporting tools and grievance response processes
Service verification logs and billing support documentation
6. STAFFING REQUIREMENTS
Role: Homemaker / Home Care Aide
Requirements:
High school diploma or equivalent (recommended)
Background check and TB screening
CPR/First Aid certification (preferred)
Training in non-medical support services and client interaction
Role: Supervisor / Scheduling Coordinator (for agencies)
Requirements:
Home care or human services experience
Familiarity with waiver documentation and staff scheduling
Training Requirements for All Staff:
HIPAA compliance and privacy protocols
Abuse prevention and mandatory reporting
Infection control and sanitation practices
Safe use of household cleaning products
Incident documentation and client rights
7. MEDICAID WAIVER SERVICES
Homemaker Services are reimbursed under:
Delaware Lifespan Waiver (administered by DDDS)
DSAAPD Homemaker Program (for eligible older adults and those with physical disabilities)
Approved providers may deliver:
Authorized non-medical household tasks
Services scheduled per the individual’s care plan or ISP
Time-tracked documentation and shift logs
Observations and reporting of health or environmental concerns
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Medicaid or DDDS Enrollment
Timeline: 30–60 days
Phase: Staff Hiring and Readiness Review
Timeline: 2–4 weeks
Phase: Referral Activation and Service Launch
Timeline: Ongoing
9. CONTACT INFORMATION
Delaware Division of Developmental Disabilities Services (DDDS)
Phone: (302) 744-9600
Website: https://dhss.delaware.gov/dhss/ddds
Delaware Division of Services for Aging and Adults with Physical Disabilities (DSAAPD)
Phone: (302) 255-9390
Website: https://dhss.delaware.gov/dhss/dsaapd
Delaware Medicaid Provider Enrollment (DMAP)
Website: https://www.demap.dhss.delaware.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — DELAWARE HOMEMAKER SERVICES PROVIDER
We support cleaning companies, caregivers, and community service professionals in launching Medicaid-compliant Homemaker Services under Delaware's Lifespan Waiver and aging programs.
Scope of Work:
Business registration (LLC, EIN, NPI)
Medicaid and DDDS/DSAAPD enrollment support
Policy & procedure manual for service tracking, scheduling, and documentation
Templates for homemaker logs, incident reports, and intake forms
Website, domain, and email setup
Staff credentialing trackers and training records
Client intake packet, consent forms, and safety protocols
Incident reporting systems and audit preparation tools
Referral networking with DDDS, senior centers, and support coordinators
Case Management
CASE MANAGEMENT SERVICES PROVIDER IN DELAWARE
COORDINATING CARE, SERVICES, AND SUPPORTS TO HELP INDIVIDUALS LIVE SAFELY AND INDEPENDENTLY IN THEIR COMMUNITIES
Case Management Services in Delaware ensure that individuals with disabilities, chronic conditions, or complex support needs receive the services they need through effective planning, coordination, and monitoring. These services are funded through Delaware Medicaid, including the Lifespan Waiver, and are administered by the Division of Developmental Disabilities Services (DDDS) and the Division of Medicaid and Medical Assistance (DMMA).
1. GOVERNING AGENCIES
Agency: Delaware Division of Developmental Disabilities Services (DDDS)
Role: Oversees case management under the Lifespan Waiver and ensures person-centered planning and service monitoring
Agency: Delaware Division of Medicaid and Medical Assistance (DMMA)
Role: Administers Medicaid funding and compliance for case management activities
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Sets federal requirements for HCBS case management under Medicaid waiver programs
2. CASE MANAGEMENT SERVICE OVERVIEW
Case Management Services involve helping individuals access, coordinate, and monitor the delivery of home and community-based services. Case managers work directly with participants and their support teams to create and maintain an effective Individual Service Plan (ISP) that reflects personal goals, health and safety needs, and community preferences.
Approved providers may deliver:
Comprehensive assessments and needs evaluations
Development and ongoing updates to the ISP
Referrals and linkages to medical, behavioral, and social services
Monitoring of service delivery and participant satisfaction
Advocacy, problem-solving, and crisis planning
Documentation of contact notes, service updates, and progress tracking
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Delaware Division of Corporations
Obtain EIN from the IRS and NPI (Type 2)
Employ qualified case managers with relevant degrees and experience
Apply to become a Case Management Provider with DDDS under the Lifespan Waiver
Carry general liability and professional insurance
Ensure HIPAA compliance and secure electronic records
Maintain policies that support person-centered planning and conflict-free case management
4. PROVIDER ENROLLMENT PROCESS
Step 1: Register business and obtain NPI
Step 2: Submit DDDS application to become a Lifespan Waiver Case Management Provider
Include resumes, organizational structure, service delivery approach, and policies
Step 3: Enroll in Delaware Medicaid (if billing applies) through DMAP
Step 4: Connect with DDDS, Support Coordinators, and community networks for participant referrals
5. REQUIRED DOCUMENTATION
Articles of Incorporation or business registration
IRS EIN Letter
NPI confirmation
DDDS provider agreement
Medicaid enrollment (if required)
Policy & procedure manual including:
Intake and assessment protocols
ISP development and update procedures
Participant rights and grievance resolution
Confidentiality and HIPAA compliance
Service monitoring tools and frequency guidelines
Incident reporting forms and follow-up procedures
Staff supervision, CEU tracking, and performance evaluations
6. STAFFING REQUIREMENTS
Role: Case Manager / Support Coordinator
Requirements:
Bachelor’s degree in social work, psychology, nursing, or related field
Experience working with individuals with intellectual and developmental disabilities
Strong documentation, communication, and advocacy skills
Background check and CPR/First Aid certification (recommended)
Role: Program Supervisor / Compliance Officer (optional)
Requirements:
Oversight of documentation quality, regulatory compliance, and staff performance
Experience in waiver case management or program management
Training Requirements for All Staff:
Person-centered planning and HCBS principles
HIPAA and documentation standards
Abuse prevention and mandated reporting
Cultural competence and inclusive service delivery
Annual training and CEU compliance tracking
7. MEDICAID WAIVER SERVICES
Case Management Services are reimbursed under:
Delaware Lifespan Waiver (DDDS)
State Plan Targeted Case Management (for some populations)
Approved providers may deliver:
Functional needs assessments
Creation and review of the Individual Service Plan (ISP)
Monthly or quarterly monitoring (based on plan level)
Coordination across health, behavioral, and waiver services
Advocacy and support during transitions or crisis
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: DDDS Provider Application
Timeline: 30–60 days
Phase: Staff Onboarding and Policy Development
Timeline: 2–4 weeks
Phase: Referral Activation and Service Delivery
Timeline: Ongoing
9. CONTACT INFORMATION
Delaware Division of Developmental Disabilities Services (DDDS)
Phone: (302) 744-9600
Website: https://dhss.delaware.gov/dhss/ddds
Delaware Division of Medicaid and Medical Assistance (DMMA)
Phone: (302) 255-9500
Website: https://dhss.delaware.gov/dhss/dmma
Delaware Medicaid Provider Enrollment (DMAP)
Website: https://www.demap.dhss.delaware.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — DELAWARE CASE MANAGEMENT SERVICES PROVIDER
We assist care coordination professionals and human services organizations in launching fully compliant Case Management programs under Delaware’s Lifespan Waiver and Medicaid system.
Scope of Work:
Business registration (LLC, EIN, NPI)
DDDS waiver enrollment and Medicaid credentialing support
Policy & procedure manual for assessments, ISP development, and service tracking
Templates for intake forms, contact notes, and progress reports
Website, domain, and email setup
Staff credentialing trackers and training logs
Client intake packet, consent forms, and privacy statements
Incident reporting systems and audit readiness tools
Referral networking with DDDS, schools, and family support groups
Transportation Assistance
NON-MEDICAL TRANSPORTATION SERVICES PROVIDER IN DELAWARE
SUPPORTING ACCESS TO COMMUNITY LIFE AND DAILY ACTIVITIES FOR INDIVIDUALS WITH DISABILITIES AND LONG-TERM SUPPORT NEEDS
Non-Medical Transportation Services in Delaware enable individuals enrolled in Medicaid waiver programs to access essential services, community programs, employment, and social opportunities that promote independence and inclusion. These services are available under the Delaware Lifespan Waiver, administered by the Division of Developmental Disabilities Services (DDDS), and are separate from Non-Emergency Medical Transportation (NEMT).
1. GOVERNING AGENCIES
Agency: Delaware Division of Developmental Disabilities Services (DDDS)
Role: Authorizes non-medical transportation for waiver participants and oversees provider compliance
Agency: Delaware Division of Medicaid and Medical Assistance (DMMA)
Role: Reimburses approved transportation providers under waiver programs
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures compliance with federal Medicaid waiver standards for transportation access and inclusion
2. NON-MEDICAL TRANSPORTATION SERVICE OVERVIEW
Non-Medical Transportation Services support travel to waiver-authorized services and community-based activities as part of a participant’s Individual Service Plan (ISP). These services must be related to promoting independence, employment, or community integration.
Approved providers may deliver:
Transportation to day programs, employment, habilitation services, or volunteer sites
Rides to recreational, educational, or skill-building activities
Door-to-door or curb-to-curb services based on participant needs
Wheelchair-accessible transportation (as applicable)
Scheduling and route planning support
Mileage tracking and trip documentation
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register business with the Delaware Division of Corporations
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a DDDS Non-Medical Transportation Provider
If providing accessible transportation, comply with ADA vehicle and driver safety standards
Carry commercial auto insurance, liability insurance, and maintain vehicle inspection records
Complete driver background checks and First Aid/CPR certification
Maintain a system for tracking trips, authorizations, and service utilization
4. PROVIDER ENROLLMENT PROCESS
Step 1: Business Registration and Insurance
Register your transportation business and secure commercial vehicle coverage
Step 2: DDDS Application for Lifespan Waiver
Submit required documentation including driver screening, vehicle information, and transportation procedures
Step 3: Enroll in Delaware Medicaid (DMAP) if required for reimbursement
Coordinate service codes and billing setup for waiver services
Step 4: Coordinate with Support Coordinators and CMAs for referrals and trip authorizations
5. REQUIRED DOCUMENTATION
Articles of Incorporation or business registration
IRS EIN Letter
NPI confirmation
Commercial vehicle insurance and registration
DDDS transportation provider approval
Policy & procedure manual including:
Trip authorization verification and scheduling protocols
Driver background check and training logs
Daily vehicle inspection checklist
Incident and accident reporting forms
HIPAA and confidentiality policies
Emergency contact procedures and passenger safety protocol
Trip log forms and mileage documentation
6. STAFFING REQUIREMENTS
Role: Transportation Driver / Support Aide
Requirements:
Valid Delaware driver’s license
Clean driving record and background check
CPR/First Aid certification (recommended)
Experience with individuals with disabilities preferred
ADA vehicle training (if transporting wheelchair users)
Training Requirements for All Staff:
Passenger safety and transfer assistance
HIPAA compliance and client confidentiality
Abuse prevention and mandated reporting
Emergency and vehicle breakdown procedures
Documentation and mileage log entry
7. MEDICAID WAIVER SERVICES
Non-Medical Transportation is reimbursed under:
Delaware Lifespan Waiver (DDDS)
Other HCBS waivers when included in the participant’s ISP
Approved providers may deliver:
Pre-authorized trips for community-based waiver services
Group or individual transport (as specified in plan)
Documentation and mileage submission for Medicaid billing
Coordination with DDDS teams and case managers
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Vehicle Setup, Insurance, and Safety Protocols
Timeline: 2–4 weeks
Phase: DDDS Provider Enrollment
Timeline: 30–60 days
Phase: Referral Activation and Route Scheduling
Timeline: Ongoing
9. CONTACT INFORMATION
Delaware Division of Developmental Disabilities Services (DDDS)
Phone: (302) 744-9600
Website: https://dhss.delaware.gov/dhss/ddds
Delaware Division of Medicaid and Medical Assistance (DMMA)
Phone: (302) 255-9500
Website: https://dhss.delaware.gov/dhss/dmma
Delaware Medicaid Provider Enrollment (DMAP)
Website: https://www.demap.dhss.delaware.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — DELAWARE NON-MEDICAL TRANSPORTATION SERVICES PROVIDER
We help drivers and transportation companies become certified providers of Medicaid-compliant transportation for individuals in Delaware's HCBS waiver system.
Scope of Work:
Business registration (LLC, EIN, NPI)
DDDS non-medical transportation application support
Vehicle safety compliance and driver onboarding tools
Policy & procedure manual for scheduling, safety, and documentation
Templates for trip logs, incident reports, and inspection checklists
Website, domain, and email setup
Staff credentialing trackers and emergency response templates
Client intake packet, consent forms, and authorization logs
Incident reporting systems and audit preparation tools
Referral networking with CMAs, schools, and day programs
Home Health Services
HOME HEALTH SERVICES PROVIDER IN DELAWARE
DELIVERING SKILLED NURSING AND CLINICAL CARE TO INDIVIDUALS IN THEIR HOMES TO PROMOTE STABILITY, RECOVERY, AND INDEPENDENCE
Home Health Services in Delaware offer medically necessary, skilled care to individuals in their own homes. These services are authorized under Delaware Medicaid, including the Lifespan Waiver, and are regulated by the Division of Medicaid and Medical Assistance (DMMA) in partnership with the Delaware Division of Public Health (DPH). Home Health Services are intended to prevent institutionalization and help individuals maintain their health and independence in the least restrictive environment.
1. GOVERNING AGENCIES
Agency: Delaware Division of Medicaid and Medical Assistance (DMMA)
Role: Administers Medicaid reimbursement and eligibility for skilled home health services
Agency: Delaware Division of Public Health (DPH) – Office of Health Facilities Licensing and Certification
Role: Licenses and inspects Home Health Agencies (HHAs) in Delaware
Agency: Delaware Division of Developmental Disabilities Services (DDDS)
Role: Authorizes home health services for individuals enrolled in the Lifespan Waiver
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure services meet HCBS and Medicare/Medicaid standards
2. HOME HEALTH SERVICE OVERVIEW
Home Health Services include skilled medical care provided by licensed healthcare professionals in a person’s home. Services must be prescribed by a physician, included in the individual’s plan of care, and medically necessary.
Approved providers may deliver:
Skilled nursing (RNs and LPNs)
Physical therapy (PT), occupational therapy (OT), and speech-language therapy (SLP)
Medical social work services
Certified nursing assistant (CNA) support under nurse supervision
Chronic disease monitoring and medication administration
Wound care, catheter care, and injections
Care coordination with physicians and waiver teams
Documentation of visits, vitals, and patient progress
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Delaware Division of Corporations
Obtain EIN from the IRS and NPI (Type 2)
Apply for a Delaware Home Health Agency (HHA) License from the Division of Public Health (DPH)
Employ qualified, licensed nurses and therapists
Enroll as a Medicaid Home Health Services Provider via Delaware Medicaid (DMAP)
Maintain malpractice, general liability, and workers’ compensation insurance
Develop HIPAA-compliant clinical and administrative documentation systems
4. PROVIDER ENROLLMENT PROCESS
Step 1: Form your business and obtain your NPI
Step 2: Apply for HHA Licensure through the Delaware Office of Health Facilities Licensing
Submit policies, staffing plans, clinical protocols, and undergo inspection
Step 3: Enroll with Delaware Medicaid (DMAP) for reimbursement as a Home Health Services provider
Step 4: Coordinate with DDDS (if serving waiver participants) for referral alignment and service plan integration
5. REQUIRED DOCUMENTATION
Articles of Incorporation or business registration
IRS EIN Letter
NPI confirmation
Delaware Home Health Agency license
Medicaid provider enrollment approval
Policy & procedure manual including:
Clinical care planning and physician order protocols
Nursing documentation templates and treatment logs
Infection control and safety standards
Medication administration policies
Emergency response procedures and on-call coverage
HIPAA and patient privacy procedures
Incident reporting and audit tracking forms
Staff credentialing and supervision documentation
6. STAFFING REQUIREMENTS
Role: Registered Nurse (RN) / Licensed Practical Nurse (LPN)
Requirements:
Active Delaware nursing license
CPR certification and background check
Experience in home care and Medicaid documentation preferred
Role: Therapist (PT, OT, SLP)
Requirements:
Delaware licensure in respective discipline
Experience providing community-based rehab services
Role: Certified Nursing Assistant (CNA)
Requirements:
Delaware CNA certification
Supervised by RN; trained in ADL support and documentation
Training Requirements for All Staff:
HIPAA and patient confidentiality
Emergency procedures and infection control
Documentation and electronic health record (EHR) use
Abuse prevention and mandatory reporting
Annual CEUs and compliance refreshers
7. MEDICAID WAIVER SERVICES
Home Health Services are reimbursed under:
Delaware Medicaid State Plan
Delaware Lifespan Waiver (for participants with developmental disabilities)
Approved providers may deliver:
Physician-ordered in-home medical care
Skilled nursing, therapy, and health education
Coordination with families, primary care providers, and DDDS teams
Documentation that aligns with person-centered plans and treatment goals
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Home Health Agency Licensing (DPH)
Timeline: 45–90 days
Phase: Medicaid Enrollment
Timeline: 30–60 days
Phase: Staff Hiring and Client Referral Setup
Timeline: Ongoing
9. CONTACT INFORMATION
Delaware Division of Public Health (DPH) – Facility Licensing
Phone: (302) 744-4700
Website: https://www.dhss.delaware.gov/dhss/dph/hsp/ohflcfaq.html
Delaware Division of Medicaid and Medical Assistance (DMMA)
Phone: (302) 255-9500
Website: https://dhss.delaware.gov/dhss/dmma
Delaware Division of Developmental Disabilities Services (DDDS)
Phone: (302) 744-9600
Website: https://dhss.delaware.gov/dhss/ddds
Delaware Medicaid Provider Enrollment (DMAP)
Website: https://www.demap.dhss.delaware.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — DELAWARE HOME HEALTH SERVICES PROVIDER
We help nurses, clinicians, and care agencies launch fully licensed and Medicaid-enrolled Home Health Services programs throughout Delaware.
Scope of Work:
Business registration (LLC, EIN, NPI)
Home Health Agency licensure support through DPH
Delaware Medicaid provider enrollment and billing setup
Policy & procedure manual for clinical care, safety, and compliance
Templates for physician orders, daily notes, and treatment plans
Website, domain, and email setup
Staff credentialing trackers and licensure renewal logs
Client intake packet, consent forms, and emergency procedures
Incident reporting systems and audit readiness tools
Referral networking with DDDS, hospitals, and primary care teams
Meal & Nutrition
HOME-DELIVERED MEALS SERVICES PROVIDER IN DELAWARE
NOURISHING INDIVIDUALS AT HOME WITH BALANCED MEALS THAT SUPPORT HEALTH, INDEPENDENCE, AND WELL-BEING
Home-Delivered Meals Services in Delaware provide nutritionally balanced meals to individuals who are homebound due to disability, illness, or age-related limitations. These services are covered under the Delaware Lifespan Waiver, as well as certain Medicaid State Plan options and programs administered by the Division of Services for Aging and Adults with Physical Disabilities (DSAAPD).
1. GOVERNING AGENCIES
Agency: Delaware Division of Services for Aging and Adults with Physical Disabilities (DSAAPD)
Role: Authorizes meal services for older adults and adults with disabilities and monitors provider performance
Agency: Delaware Division of Developmental Disabilities Services (DDDS)
Role: Approves Home-Delivered Meals under the Lifespan Waiver for eligible individuals
Agency: Delaware Division of Medicaid and Medical Assistance (DMMA)
Role: Handles Medicaid enrollment and reimbursement for eligible meal services
Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures compliance with federal HCBS waiver guidelines
2. HOME-DELIVERED MEALS SERVICE OVERVIEW
Home-Delivered Meals Services provide ready-to-eat or reheat-and-serve meals to individuals who are unable to prepare food themselves and have no reliable caregiver support. Meals must meet nutritional standards and be delivered on a regular schedule based on the participant’s care plan.
Approved providers may deliver:
Daily or weekly hot, chilled, or frozen meals
Nutritionally balanced menus aligned with USDA and state dietary standards
Specialty meals (e.g., diabetic, low-sodium, puree) when ordered
Wellness checks at time of delivery
Documentation of delivery and non-delivery attempts
Communication with care managers about concerns or changes
3. LICENSING & PROVIDER APPROVAL REQUIREMENTS
Prerequisites:
Register your business with the Delaware Division of Corporations
Obtain EIN from the IRS and NPI (Type 2)
Enroll as a Medicaid waiver provider (via DMAP) and/or contract with DSAAPD or DDDS
Maintain access to a commercial or licensed kitchen (your own or through a partner vendor)
Meet food safety requirements from the Delaware Division of Public Health (DPH)
Carry commercial liability and vehicle insurance
Implement HIPAA-compliant and secure delivery documentation processes
4. PROVIDER ENROLLMENT PROCESS
Step 1: Business Formation and Food Safety Compliance
Secure a licensed kitchen or subcontract with an approved vendor
Pass food safety inspection (if preparing meals in-house)
Step 2: Medicaid Enrollment via DMAP
Apply as a waiver service provider under the Lifespan Waiver (if applicable)
Submit business credentials, kitchen licensing (if applicable), and delivery protocols
Step 3: Apply to become a DSAAPD Meals Provider (if serving aging populations)
Respond to RFP or establish contracts directly with DSAAPD
Step 4: Coordinate with DDDS or care coordinators for referrals and authorization
5. REQUIRED DOCUMENTATION
Articles of Incorporation or proof of business registration
IRS EIN Letter
NPI confirmation
Food safety certification and kitchen inspection approval
Liability and commercial auto insurance
Medicaid or DSAAPD provider agreement
Policy & procedure manual including:
Intake and dietary needs assessment templates
Meal prep or coordination protocols
Delivery logs and wellness check forms
Incident reporting and missed delivery procedures
Emergency meal protocols
Participant consent and HIPAA forms
Staff training records for food handling and client interaction
6. STAFFING REQUIREMENTS
Role: Meal Delivery Driver / Outreach Specialist
Requirements:
Valid driver’s license and clean driving record
Background check and First Aid training
Ability to lift meal boxes and interact respectfully with vulnerable individuals
Role: Food Service Coordinator / Vendor Liaison
Requirements:
Knowledge of nutrition standards and food safety
Experience in meal planning and dietary accommodations
Training Requirements for All Staff:
HIPAA and confidentiality
Safe food handling and delivery documentation
Emergency response and wellness check protocols
Abuse prevention and mandatory reporting
7. MEDICAID WAIVER SERVICES
Home-Delivered Meals are reimbursed under:
Delaware Lifespan Waiver (administered by DDDS)
Delaware Medicaid (under state plan for limited populations)
Older Americans Act-funded meal services (via DSAAPD)
Approved providers may deliver:
Hot, frozen, or shelf-stable meals to participants’ homes
Wellness checks during delivery
Daily, weekly, or bi-weekly delivery options
Documentation of each delivery attempt and any concerns observed
8. TIMELINE TO LAUNCH
Phase: Business Formation
Timeline: 1–2 weeks
Phase: Kitchen Licensing and Food Safety Approval
Timeline: 2–4 weeks
Phase: Medicaid Enrollment and/or DSAAPD Contract
Timeline: 30–60 days
Phase: Staff Hiring and Delivery Route Setup
Timeline: Ongoing
9. CONTACT INFORMATION
Delaware Division of Services for Aging and Adults with Physical Disabilities (DSAAPD)
Phone: (302) 255-9390
Website: https://dhss.delaware.gov/dhss/dsaapd
Delaware Division of Developmental Disabilities Services (DDDS)
Phone: (302) 744-9600
Website: https://dhss.delaware.gov/dhss/ddds
Delaware Division of Public Health (DPH) – Food Safety
Website: https://dhss.delaware.gov/dhss/dph/hsp/fpmain.html
Delaware Medicaid Provider Enrollment (DMAP)
Website: https://www.demap.dhss.delaware.gov
WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — DELAWARE HOME-DELIVERED MEALS PROVIDER
We support food service businesses, nutrition organizations, and community kitchens in launching Medicaid- and waiver-compliant meal delivery programs across Delaware.
Scope of Work:
Business registration (LLC, EIN, NPI)
Food safety licensing and kitchen compliance support
Medicaid and DSAAPD enrollment guidance
Policy & procedure manual for meal delivery, safety, and documentation
Templates for delivery logs, meal preferences, and incident tracking
Website, domain, and email setup
Staff credentialing trackers and food handler verification
Client intake packet, consent forms, and grievance policies
Incident reporting systems and audit preparation tools
Referral networking with DDDS, aging agencies, and care coordinators
Our Client Portal offers a wealth of resources that you can explore related to various programs and state requirements.