1. GOVERNING AGENCIES

Agency: Delaware Division of Developmental Disabilities Services (DDDS)
Role: Authorizes non-medical transportation for waiver participants and oversees provider compliance

Agency: Delaware Division of Medicaid and Medical Assistance (DMMA)
Role: Reimburses approved transportation providers under waiver programs

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures compliance with federal Medicaid waiver standards for transportation access and inclusion

2. NON-MEDICAL TRANSPORTATION SERVICE OVERVIEW

Non-Medical Transportation Services support travel to waiver-authorized services and community-based activities as part of a participant’s Individual Service Plan (ISP). These services must be related to promoting independence, employment, or community integration.

Approved providers may deliver:

• Transportation to day programs, employment, habilitation services, or volunteer sites
• Rides to recreational, educational, or skill-building activities
• Door-to-door or curb-to-curb services based on participant needs
• Wheelchair-accessible transportation (as applicable)
• Scheduling and route planning support
• Mileage tracking and trip documentation

​

3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

• Register business with the Delaware Division of Corporations
• Obtain EIN from the IRS and NPI (Type 2)
• Enroll as a DDDS Non-Medical Transportation Provider
• If providing accessible transportation, comply with ADA vehicle and driver safety standards
• Carry commercial auto insurance, liability insurance, and maintain vehicle inspection records
• Complete driver background checks and First Aid/CPR certification
• Maintain a system for tracking trips, authorizations, and service utilization

​

4. PROVIDER ENROLLMENT PROCESS

Step 1: Business Registration and Insurance

• Register your transportation business and secure commercial vehicle coverage

Step 2: DDDS Application for Lifespan Waiver

• Submit required documentation including driver screening, vehicle information, and transportation procedures

Step 3: Enroll in Delaware Medicaid (DMAP) if required for reimbursement

• Coordinate service codes and billing setup for waiver services

Step 4: Coordinate with Support Coordinators and CMAs for referrals and trip authorizations

5. REQUIRED DOCUMENTATION

• Articles of Incorporation or business registration
• IRS EIN Letter
• NPI confirmation
• Commercial vehicle insurance and registration
• DDDS transportation provider approval

Policy & procedure manual including:

• Trip authorization verification and scheduling protocols
• Driver background check and training logs
• Daily vehicle inspection checklist
• Incident and accident reporting forms
• HIPAA and confidentiality policies
• Emergency contact procedures and passenger safety protocol
• Trip log forms and mileage documentation

​

6. STAFFING REQUIREMENTS

Role: Transportation Driver / Support Aide
Requirements:

• Valid Delaware driver’s license
• Clean driving record and background check
• CPR/First Aid certification (recommended)
• Experience with individuals with disabilities preferred
• ADA vehicle training (if transporting wheelchair users)

Training Requirements for All Staff:

• Passenger safety and transfer assistance
• HIPAA compliance and client confidentiality
• Abuse prevention and mandated reporting
• Emergency and vehicle breakdown procedures
• Documentation and mileage log entry

​

7. MEDICAID WAIVER SERVICES

Non-Medical Transportation is reimbursed under:

• Delaware Lifespan Waiver (DDDS)
• Other HCBS waivers when included in the participant’s ISP

Approved providers may deliver:

• Pre-authorized trips for community-based waiver services
• Group or individual transport (as specified in plan)
• Documentation and mileage submission for Medicaid billing
• Coordination with DDDS teams and case managers

​

8. TIMELINE TO LAUNCH

Phase: Business Formation
Timeline: 1–2 weeks

Phase: Vehicle Setup, Insurance, and Safety Protocols
Timeline: 2–4 weeks

Phase: DDDS Provider Enrollment
Timeline: 30–60 days

Phase: Referral Activation and Route Scheduling
Timeline: Ongoing

​

9. CONTACT INFORMATION

Delaware Division of Developmental Disabilities Services (DDDS)
Phone: (302) 744-9600
Website: https://dhss.delaware.gov/dhss/ddds

Delaware Division of Medicaid and Medical Assistance (DMMA)
Phone: (302) 255-9500
Website: https://dhss.delaware.gov/dhss/dmma

Delaware Medicaid Provider Enrollment (DMAP)
Website: https://www.demap.dhss.delaware.gov

​

10. SCOPE OF WORK 

• Business registration (LLC, EIN, NPI)
• DDDS non-medical transportation application support
• Vehicle safety compliance and driver onboarding tools
• Policy & procedure manual for scheduling, safety, and documentation
• Templates for trip logs, incident reports, and inspection checklists
• Website, domain, and email setup
• Staff credentialing trackers and emergency response templates
• Client intake packet, consent forms, and authorization logs
• Incident reporting systems and audit preparation tools
• Referral networking with CMAs, schools, and day programs

​WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — DELAWARE NON-MEDICAL TRANSPORTATION SERVICES PROVIDER

We help drivers and transportation companies become certified providers of Medicaid-compliant transportation for individuals in Delaware's HCBS waiver system.