The 21st Century Cures Act requires states to have an EVV system to confirm that certain services paid for by Medicaid are being provided. EVV systems work by requiring the person providing personal care services (PCS) or home health care services (HHCS) to log into an electronic system using a phone, tablet, or other device each time they provide care to a Medicaid member in his/her home.

EVV systems require the person providing PCS or HHCS to log into an electronic system using a phone, tablet, or other device to confirm the following each time they provide care to a Medicaid member in their home. EVV systems can also collect more information than what is required by federal law and can serve as an alert system for missed or late visits, take the place of paper timesheets, and provide access to up-to-date medical information. This federal law required states to have an EVV system in place by January 1, 2020 for Personal Care Services (PCS) and by January 1, 2023 for Home Health Services. The Delaware Division of Medicaid and Medical Assistance (DMMA) implemented an EVV system for both services in 2022. The Division of Medicaid and Medical Assistance and the Division of Developmental Disabilities Services surveyed providers as well as financial management service entities who provide services subject to EVV through May 27, 2022. Effective July 1, 2025, claims for services subject to EVV that cannot be matched to a corresponding EVV visit will be denied payment.

Executive Order 27, signed by Governor John Carney, established The Delaware Correctional Reentry Commission (DCRC) effectively coordinating services for the recently released, strengthening data sharing among state agencies, and improving the availability of programming prior to an inmates release in hopes of reducing recidivism. In June 2018, the Division of Medicaid and Medical Assistance, in collaboration with other state agencies, including the Delaware Division of Mental Health and Substance Abuse, the Division of Social Services, and the Department of Corrections, held the first Justice Involved Individuals Steering Committee meeting to develop a plan to facilitate access to covered Medicaid services for eligible individuals immediately upon release from a correctional institution.

At this meeting, DMMA addressed recommendations received from the The Pew Charitable Trust Final Report-March 2019 Substance Use Disorder Treatment Policy Recommendations for the State of Delaware. For example, the report recommended DMMA, with input from the Department of Corrections, amend its contracts with managed care organizations to require care management for people with high care needs returning to the community, including individuals with Substance Use Disorders. DMMA continued to meet weekly with other state agencies to develop a path to operationalize this plan and developed a Delaware Corrections Project Timeline of Events to guide this work. 

The Pew Charitable Trust Substance Use Disorder Treatment Policy Recommendations for the State of Delaware – Final Report- March 2019[MOU1]  

https://news.delaware.gov/2018/12/04/governor-carney-signs-executive-order-improve-reentry-procedures-reduce-recidivism/

Delaware Online Delaware officials eye re-entry help for prison inmates before their release

Executive Order 27

The Division of Medicaid and Medical Assistance’s Quality Strategy is published to review and improve the quality of health care and services furnished by the Managed Care Organizations (MCOs). The Quality Strategy includes a framework for the State to communicate the vision, objectives, and monitoring strategies for attaining quality, timely access, and availability of services and cost effectiveness of care. It also provides a description of the quality metrics and performance targets to measure performance improvement of the MCOs and Performance Improvement Projects. Updated Quality Strategy documents are submitted to the Centers for Medicare & Medicaid Services (CMS).

Evaluation of the 2018 Quality Strategy

The Delaware Quality Strategy 2023

Summary of Changes from the 2018 Quality Management Strategy to 2023 Quality Strategy

In compliance with Budget Epilogue Section 141 of the State of Delaware’s Legislature, 149th Generally Assembly’s act making appropriations for the expense of the State Government for the fiscal year ending June 30, 2018; specifying certain procedures, conditions and limitations for the expenditure of such funds; and amending certain pertinent statutory requirements [House Substitute No. 1 (HS1) for House Bill No. 275 (HB275)], Delaware Health and Social Services (DHSS) / Division of Medicaid and Medical Assistance (DMMA) has published a comprehensive plan for children with Medical Complexity.

Delaware’s Plan for Managing the Health Care Needs of Children with Medical Complexity

The Centers for Medicare & Medicaid Services (CMS) issued a final rule that applies the requirements of the Mental Health Parity and Addiction Equity Act (MHPAEA) to Medicaid managed care organizations (MCOs), the Children’s Health Insurance Program (CHIP), and Medicaid alternative benefit plans (ABPs). The rule required Delaware and its contracted Medicaid/CHIP MCOs to be in compliance with the final parity rule by October 2, 2017. This includes providing documentation of parity compliance to the general public and posting this information to the State’s Medicaid website by October 2, 2017.

DHSS/DMMA gave public notice and provided an open comment period for thirty (30) days to allow all stakeholders an opportunity to provide input on the final Medicaid/CHIP parity rule. The comment period began on August 1, 2017 and ended on September 11, 2017.

• Mental Health Parity Public Notice
• Mental Health Parity and Addiction Equity Act Report for Public Comment

For additional information about the CMS final Medicaid/CHIP parity rule, use the following link to the CMS website: https://www.medicaid.gov/medicaid/benefits