Medicaid for Home Care in Delaware

Medicaid Certified Home Care Agency in Delaware

A homecare agency is considered to be eligible for Medicaid reimbursement if the agency is HHA (Home Health Agency) certified as per the state regulations.

The agencies can get detailed information about the required certifications either through the Bureau of Licensing and Certification or through the Department of Human Services.

Governing Body: Diamond State Health Plan (Plus)

Overview:

Medicaid in Delaware is a wide-ranging health insurance program funded by state and federal government to provide health coverage to low-income individuals making less than 133% of the federal poverty level (FPL). The managed care program is called the Diamond State Health Plan (DSHP), and the long-term care program is called Diamond State Health Plan Plus (DSHP Plus) for seniors, pregnant women, parents, children, disabled people, and caregivers.

Medicaid Programs:

  • Diamond State Health Plan Plus (DSHP-Plus)
  • Prescription Assistance Program
  • Chronic Renal Disease Program
  • Long-term Care Medicaid Assistance

Income Requirements:

  • Pregnant women who make less than 212% FPL
  • Children with family income between 138%- 212% of FPL, depending on the age of the child
  • Adults with family income up to 138% of FPL

Application Process:

The application process for accessing Medicaid for Delaware residents is easy, and anyone can apply for the available Medicaid programs by visiting Delaware Assist.

Medicaid with CareSmartz360

Home care businesses require advanced solutions to integrate Medicaid into their services, and Caresmartz has been doing that across the states for home care agencies, private-duty care providers, and home care franchisors for several years. CareSmartz360 is a complete software solution to manage a home care business, and it supports all Medicaid payers, allowing businesses to focus on other operations and processes.

  • Effective and comprehensive management of the revenue cycle.
  • Allows agencies to fulfill billing requirements for Medicaid, Medicare, Insurance, and Private Pay.
  • Built-In feature to submit claims electronically.
  • Quickly create, review, approve and submit claims in paper invoice or 837P, 837I format.
  • Helps in generating error-free claims to save time and efforts.
  • Identify and manage accounts and claims that are overdue.
  • Robust reporting to evaluate financial performance.
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50-State Medicaid Guide

Be Medicaid Ready with CareSmartz360
  • Create, Review & Approve Claims
  • Automatic Claim Submission
  • Supports All Medicaid Payers
  • Error-free Claims to Avoid Denials
  • Claims submission in 837P, 837I format

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