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 ( 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
10. 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
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.
To get started, click the link to request portal access.