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

​

10. 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

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.

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