Overview
As part of the American Rescue Plan Act, Congress provided a temporary 10% increase in the federal matching on Medicaid home- and community-based services (HCBS). Delaware’s Medicaid program is claiming enhanced federal match and is listening to the community for the best ways to use that funding to support HCBS.
In order to claim this enhanced federal funding, States must develop and submit a detailed spending plan to the Centers for Medicare and Medicaid Services (CMS) that uses the dollars to enhance, expand or strengthen HCBS, and do it in a way that is sustainable after the enhanced funding ends. The funding cannot be used for room and board payments.
DMMA has partnered with the following divisions for the initiatives identified in the HCBS Spending Plan:
- Division of Developmental Disabilities Services (DDDS)
- Division of Health Care Quality (DHQ)
- Division of Services for Aging and Adults with Physical Disabilities (DSAAPD)
- Division of Substance Abuse and Mental Health (DSAMH)
- Division of Services for Children, Youth and Their Families (DSCYF)
Delaware’s initial HCBS Spending Plan and subsequent quarterly HCBS Spending Plan updates include initiatives involving DMMA, DDDS, DSAAPD, DSAMH, and DSCYF and total approximately $49.8 million in enhanced federal funding for the following categories:
- Workforce: retaining and building a high-quality network of HCBS providers
- Services: enhancing capacity, access, and promotion of HCBS services
- Infrastructure and Support: strengtheningthe HCBS delivery system and expanding models of care
Spending Plans and Narratives
Below are links to access the documents related to Delaware’s HCBS Spending Plans and narrative submissions to CMS, along with the corresponding CMS approvals.
2024
2023
- Delaware October 2023 Quarterly Update (FFY 2024 Q3) HCBS Spending Plan Narrative
- Delaware July 2023 Quarterly Update (FFY 2024 Q1) HCBS Spending Plan Narrative
- Delaware April 2023 Quarterly Update (FFY 2023 Q4) HCBS Spending Plan Narrative
- Delaware January 2023 Quarterly Update (FFY 2023 Q3) HCBS Spending Plan Narrative
2022
- Delaware October 2022 Quarterly Update (FFY 2023 Q2) HCBS Spending Plan Narrative
- Delaware July 2022 Quarterly Update (FFY 2023 Q1) HCBS Spending Plan Narrative
- Delaware April 2022 Quarterly Update (FFY 2022 Q4) HCBS Spending Plan Narrative
- Delaware January 2022 Quarterly Update (FFY 2022 Q3) HCBS Spending Plan Narrative
2021
- Delaware October 2021 Quarterly Update (FFY 2022 Q2) HCBS Spending Plan Narrative
- Delaware’s Initial HCBS Spending Plan July 12, 2021 (FFY 2022 Q1)
Additional Resources
- CMS guidance and CMS-issued public notices
- CMS index of all states’ HCBS Spending Plans, narratives and CMS approvals
PUBLIC ENGAGEMENT
DMMA welcomes community feedback on ways to enhance, expand, and strengthen Medicaid home and community-based services (HCBS) and certain behavioral health services through one-time and time-limited investments. This section will continue to be updated with notices, meeting information, and documents related to community input.
DMMA encourages community members to submit questions and comments directly to MedicaidInfo@delaware.gov.
Submitted Stakeholder Feedback
- Ability Network of Delaware
- Chimes International Ltd.
- National Association for Homecare and Hospice
- The Caregiving Years Training Academy
- KenCrest of Delaware
- LeadingAge New Jersey & Delaware
- State Council for Persons with Disabilities
- Autism Delaware
Listening Sessions
To support the development of this HCBS spending plan, DMMA has periodically held open public listening sessions to solicit community feedback.
Materials shared during previous public listening sessions can be accessed by clicking on the links below:
- March 31 and April 5, 2022: American Rescue Plan Act HCBS Spending Plan
Public Forum – Behavioral Health Focus
- January 11, 2022: American Rescue Plan Act HCBS Spending Plan Public Forum
- August 19, 20 and 25, 2021: DMMA Rescue Plan FMAP Stakeholder Session
- June 23 and 25, 2021: American Rescue Act HCBS Increased Match Spending Plan Listening Session
Public Notices
DMMA will post any public notices related to the HCBS Spending Plan below:
