A robust network of qualified providers deliver supports and services under the Division of Developmental Disabilities Services (DDDS) Medicaid Home and Community-Based Services (HCBS) Waiver. As required by Medicaid regulations, DDDS accepts applications on an open and continuous basis.
Follow these steps to become a Delaware HCBS provider:
Phase 1A – Information Gathering
To begin the process of becoming a provider in Delaware, review the Provider Application Manual in its entirety as well as other helpful resources.
All Service Providers
- Provider Application Manual
- DDDS Provider Standards for Home and Community-Based Services
- Health Care Quality Neighborhood Home Regulations
- Health Care Quality Family Care Home Regulations (Shared Living)
- Essential Elements to a Medicaid Compliance Plan
- Request for Proposal (RFP) Process
- Delaware Medicaid Assistance Portal for Providers
- Create or Manage an NPI Account
- DDDS Policies
Lifespan Waiver Service Providers
Pathways to Employment Service Providers
Phase 1B – Information Gathering Session
After reviewing the appropriate information above, applicants should listen (“attend”) to the following sessions. This will complete phase 1.
- Becoming a Medicaid Provider | Download Transcript
- Budget Requirements | Download Transcript
- Community of Practice | Download Transcript
- Community Settings Rule | Download Transcript
- Creating a Successful Application | Download Transcript
- Electronic Training System | Download Transcript
- Opening Sites | Download Transcript
- Overview | Download Transcript
- Provider Authorization Committee | Download Transcript
- Services and Supports | Download Transcript
Phase 2 – Submit Application
All application and supporting document submissions for new services with DDDS must be sent to DDDS_ProviderAuthCommittee@delaware.gov. Prospective providers should review page 5 of the Provider Application Manual and complete the appropriate resources below to submit a successful application. Incomplete applications will not be accepted.
Application Resources
- Provider Application
- Provider Qualification Instructions
- Provider Qualification Instructions – Non-recurring Services
- Provider Qualification Instructions – Shared Living Agency
- Requirement Summary Checklist
- Requirement Summary Checklist – Non-recurring Services
- Requirement Summary Checklist – Shared Living Agency
Refer to pages 5-6 of the Provider Application Manual for guidance on submission formatting, and the final steps of phase 2 (Provider Authorization Committee Interview).
Provider Standards for Home and Community-Based Services
Review this document for Provider Standards for the following Home and Community-Based Services:
- Behavioral Consultation
- Community Living Arrangements
- Community Participation
- Day Habilitation
- Neighborhood Homes
- Nurse Consultation
- Prevocational Services
- Shared Living
- Supported Living
- Supported Employment



