Delaware Diamond State Health Plan member guidance

Delaware DHSS and DMMA guidance explains Diamond State Health Plan and DSHP Plus managed care, MCO choice, Medicaid-covered pharmacy and non-emergency transportation carve-outs, populations not enrolled in MCOs, Medicaid program menus, long-term home and community-based services, Lifespan Waiver services, and state-plan service attachments.

Delaware · Effective · Implementation Jul 4, 2026

What it is

What changed: DHSS says most Medicaid benefits are delivered through Diamond State Health Plan managed-care organizations under contract with the state, while prescription benefits and non-emergency transportation are covered directly by Medicaid instead of the MCO. DHSS identifies MCO choice and assignment rules, categories of people not enrolled in MCOs, and the Section 1115 waiver context for DSHP. DHSS eligibility, HCBS, and forms/publications pages identify Medicaid program categories, long-term HCBS options that help people remain at home or in assisted living instead of a nursing facility, Lifespan Waiver community alternatives, and Medicaid State Plan attachments for services and eligibility.
Why it matters: Caregivers need a single Delaware orientation layer before drilling into plan choice, carved-out benefits, HCBS service categories, waiver services, transportation, or state-plan coverage. This row marks the official member-guidance surface for later service-specific explainers.
Who it touches: Family caregivers, Care providers and plans, People receiving careDelaware Medicaid members, Diamond State Health Plan members, Diamond State Health Plan Plus members, long-term services and supports users, HCBS participants, people with disabilities, older adults, family caregivers
What it does: Plans, studies, registries or guidance
Topics: Home and community services

Sources

Last reviewed Jul 4, 2026. This is information, not legal advice; check the source for the current text.