Medicaid coverage for long term care, as well as home and community-based services
Diamond State Health Plan Plus (DSHP-Plus, DSHP Plus, or DSHP+) is a mandatory managed care Medicaid program that provides long-term care services and supports for Delaware residents who are elderly or physically disabled. While nursing home facility care is one potential benefit, DSHP-Plus also covers a variety of Home and Community-Based Services to prevent and / or delay nursing home admissions. This might include adult day care, home meal delivery, personal care assistance, personal emergency response systems, and respite care.
Delaware’s Division of Medicaid and Medical Assistance (DMMA) developed this integrated long-term care initiative in partnership with the state’s Division of Services for Aging and Adults with Physical Disabilities (DSAAPD) to:
- Improve access to community-based long-term care services
- More effectively address individual needs
- Better control rising long-term care costs that significantly impact Medicaid.
Benefits Comparison: DSHP vs. DSHP Plus
| Diamond State Health Plan | Diamond State Health Plan Plus |
|---|---|
| Acute-care services | Case management services |
| Inpatient hospitalization | Nursing facility care |
| Outpatient visits | Assisted living care |
| 30 days of institutional care | Personal care services |
| Behavioral Health | Respite care |
| Limited case management | Home-delivered meals |
| Limited durable medical equipment | Day habilitation |
| Cognitive services | |
| Consumer-directed attendant care | |
| Transition services | |
| Adult day services | |
| Personal emergency response | |
| Nutritional supplements for the AIDS population | |
| Home modifications |
Diamond State Health Plan Plus 1115 Demonstration Waiver Amendment
1115 Demonstration Waivers give states additional flexibility to design and improve their programs to demonstrate and evaluate state-specific policy approaches to better serving Medicaid populations.
