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Delaware Medicaid Expansion
Medicaid Expansion:
Delaware is fully participating in the Medicaid Expansion under provisions of the Affordable Care Act (ACA).
 
For additional background on the State’s policy decisions regarding the Medicaid Expansion option, see: Background.
 
Medicaid in Delaware:
The DE Health and Social Services administers the state’s Medicaid program, called DE Medical Assistance Program. Information about the program, including beneficiary enrollment information, can be found at: http://www.dmap.state.de.us/home/index.html.
Provider Participation:
Providers must enroll in the Medicaid fee-for-service program to receive payments for covered services. Information about enrolling in the Medicaid fee-for-service program can be found at: http://www.dmap.state.de.us/home/index.html.
The Medicaid website provides information about services covered by fee-for-service payments and payment amounts: http://www.dmap.state.de.us/home/index.html.
In order to retain access to all Medicaid patients in the state, providers must also connect to the managed care plans individually.
 
Medicaid Managed Care:
Some Medical Assistance Program beneficiaries are enrolled in managed care plans. Basic information about the programs, called Diamond State Partners, can be found at: http://www.dmap.state.de.us/home/index.html.
Some managed care plans cover individual Delaware counties and independent cities. The Medicaid website has jurisdictional information: http://www.dmap.state.de.us/home/index.html.
Medical Assistance Program Beneficiaries Participating in Managed Care:
Managed care plans participating in Diamond State Partners offer detailed information about covered benefits for individuals enrolling in their plans. This information is available on the managed care websites shown below.
Managed Care Plans Participating in Diamond State Partners:
Delaware Physicians Care
 
United Healthcare Community Plan
 
 
 
 
 
 
 
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