Starting an HCBS Agency in Delaware

What You Need to Know About Starting a Specific HCBS Agency in Delaware


These videos give an overview of the various Home and Community-Based Services (HCBS) available in Delaware for providers who want to learn how to start or operate an HCBS agency in the state. Each video explains the service's purpose, provider requirements, licensing process, and how the program operates in Delaware. Use these videos to better understand the responsibilities, standards, and steps involved in becoming or working with approved HCBS providers in Delaware. Explore each section to find the service that best matches your goals or area of interest.

 

Crisis Intervention

Crisis Intervention Services in Delaware offer rapid, time-limited support to individuals experiencing acute emotional, behavioral, or psychiatric crises. These services are critical to preventing hospitalization or institutionalization and are authorized under Delaware Medicaid, the Division of Substance Abuse and Mental Health (DSAMH), and certain Home and Community-Based Services (HCBS) Waivers, including the Lifespan Waiver and services overseen by the Division of Developmental Disabilities Services (DDDS).

 
 

Community Living Services

Community Living and Support (CLS) Services in Delaware provide individualized assistance to people with intellectual and developmental disabilities (IDD) in their own homes or shared living environments. These services are authorized under the Delaware Lifespan Waiver, administered by the Division of Developmental Disabilities Services (DDDS), and are essential for maintaining independence and community involvement.

 
 

Supported Employment

Supported Employment Services in Delaware assist individuals with intellectual and developmental disabilities (IDD) in preparing for, finding, and keeping competitive jobs within integrated work environments. These services are authorized under the Delaware Lifespan Waiver, administered by the Division of Developmental Disabilities Services (DDDS), and are aligned with Delaware’s Employment First initiative.

 
 

Personal Assistance

Personal Assistance Services (PAS) in Delaware provide individualized, hands-on support for people with disabilities or chronic conditions who need help with daily living tasks. These services are authorized through the Delaware Lifespan Waiver, administered by the Division of Developmental Disabilities Services (DDDS), and are delivered in home and community-based settings according to each participant’s Individual Service Plan (ISP).
 

 
 

Adaptive Equipment

Adaptive Equipment Services in Delaware provide individuals with intellectual, developmental, or physical disabilities access to equipment that supports mobility, communication, safety, and independence. These services are funded through the Delaware Lifespan Waiver, administered by the Division of Developmental Disabilities Services (DDDS), and must align with the participant’s Individual Service Plan (ISP).

 
 

Skilled Nursing

Skilled Nursing Services in Delaware provide medically necessary, physician-directed care in the home for individuals with chronic or acute medical needs. These services are covered under Delaware Medicaid, including the Lifespan Waiver, and are overseen by the Division of Developmental Disabilities Services (DDDS) and the Division of Medicaid and Medical Assistance (DMMA).

 
 

Day Habilitation

Day Habilitation Services in Delaware provide structured, goal-oriented support for individuals with intellectual and developmental disabilities (IDD) during daytime hours. These services are funded through the Delaware Lifespan Waiver, administered by the Division of Developmental Disabilities Services (DDDS), and are designed to promote community inclusion, life skill development, and personal growth.

 
 

Specialized Therapy

Specialized Therapies in Delaware include services such as physical therapy (PT), occupational therapy (OT), speech-language pathology (SLP), and other clinician-directed supports for individuals with developmental disabilities or complex medical needs. These services are covered under Delaware Medicaid, the Lifespan Waiver, and other Home and Community-Based Services (HCBS) programs administered by the Division of Developmental Disabilities Services (DDDS) and the Division of Medicaid & Medical Assistance (DMMA).

 
 

Assistive Technology

Assistive Technology Services in Delaware provide individuals with disabilities access to tools, equipment, and training that support greater independence, safety, and functional ability. These services are authorized through the Delaware Lifespan Waiver, administered by the Division of Developmental Disabilities Services (DDDS), and must be linked to specific needs outlined in a participant’s Individual Service Plan (ISP).

 
 

Behavioral Health

Behavioral Health Services in Delaware help individuals with intellectual and developmental disabilities (IDD) manage emotional, behavioral, and mental health challenges. These services are provided under the Delaware Lifespan Waiver and monitored by the Division of Developmental Disabilities Services (DDDS) in collaboration with the Division of Medicaid and Medical Assistance (DMMA).

 
 

Home Modification

Home Modification Services in Delaware allow individuals with intellectual, developmental, or physical disabilities to remain safely in their homes by making structural or environmental changes that support accessibility, mobility, and independence. These services are authorized under the Delaware Lifespan Waiver, overseen by the Division of Developmental Disabilities Services (DDDS), and must align with the participant’s Individual Service Plan (ISP).

 
 

Environmental Adaption

Environmental Accessibility Adaptations (EAA) Services in Delaware involve physical modifications to an individual's home that enable greater independence, safety, and accessibility. These services are available through the Delaware Lifespan Waiver, administered by the Division of Developmental Disabilities Services (DDDS), and are authorized as part of a participant’s Individual Service Plan (ISP).

 
 

Community Integration

Community Integration Services in Delaware support individuals with intellectual and developmental disabilities (IDD) in accessing their communities through individualized, goal-driven activities that build social connections, independence, and personal fulfillment. These services are authorized under the Delaware Lifespan Waiver, administered by the Division of Developmental Disabilities Services (DDDS), and align with the participant’s Individual Service Plan (ISP).

 
 

Homemaker

Homemaker Services in Delaware provide essential household support to individuals who are elderly, have disabilities, or are medically fragile and need help maintaining a safe, clean, and functional home environment. These services are offered through the Delaware Lifespan Waiver, and other Home and Community-Based Services (HCBS) programs, and may also be available under the Division of Services for Aging and Adults with Physical Disabilities (DSAAPD).

 
 

Case Management

Case Management Services in Delaware ensure that individuals with disabilities, chronic conditions, or complex support needs receive the services they need through effective planning, coordination, and monitoring. These services are funded through Delaware Medicaid, including the Lifespan Waiver, and are administered by the Division of Developmental Disabilities Services (DDDS) and the Division of Medicaid and Medical Assistance (DMMA).

 
 

Transportation Assistance

Non-Medical Transportation Services in Delaware enable individuals enrolled in Medicaid waiver programs to access essential services, community programs, employment, and social opportunities that promote independence and inclusion. These services are available under the Delaware Lifespan Waiver, administered by the Division of Developmental Disabilities Services (DDDS), and are separate from Non-Emergency Medical Transportation (NEMT).

 
 

Home Health Services

Home Health Services in Delaware offer medically necessary, skilled care to individuals in their own homes. These services are authorized under Delaware Medicaid, including the Lifespan Waiver, and are regulated by the Division of Medicaid and Medical Assistance (DMMA) in partnership with the Delaware Division of Public Health (DPH). Home Health Services are intended to prevent institutionalization and help individuals maintain their health and independence in the least restrictive environment.

 
 

Meal & Nutrition

Home-Delivered Meals Services in Delaware provide nutritionally balanced meals to individuals who are homebound due to disability, illness, or age-related limitations. These services are covered under the Delaware Lifespan Waiver, as well as certain Medicaid State Plan options and programs administered by the Division of Services for Aging and Adults with Physical Disabilities (DSAAPD).