1. GOVERNING AGENCIES

Agency: Delaware Division of Developmental Disabilities Services (DDDS)
Role: Authorizes and monitors the delivery of Community Integration Services through the Lifespan Waiver

Agency: Delaware Division of Medicaid and Medical Assistance (DMMA)
Role: Administers Medicaid reimbursement and waiver oversight

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Provides federal oversight to ensure HCBS services promote inclusion and person-centered outcomes

2. COMMUNITY INTEGRATION SERVICE OVERVIEW

Community Integration Services help individuals with disabilities build meaningful relationships, access local resources, and engage in public life. Services are tailored to each participant’s interests, needs, and ISP goals, with a focus on choice, dignity, and participation.

Approved providers may deliver:

• Support with accessing libraries, recreational centers, and events
• Assistance with joining clubs, volunteer groups, or social organizations
• Skill-building for navigating public transportation and community safety
• Support in developing relationships and self-advocacy
• Exploration of hobbies, wellness activities, and cultural experiences
• Documentation of outcomes and progress toward community goals

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3. LICENSING & PROVIDER APPROVAL REQUIREMENTS

Prerequisites:

• Register your business with the Delaware Division of Corporations
• Obtain EIN from the IRS and NPI (Type 2)
• Apply as a Community Integration Services Provider through DDDS
• Employ qualified Direct Support Professionals (DSPs) trained in person-centered planning
• Carry general liability insurance and comply with HIPAA documentation standards
• Develop transportation safety procedures (if providing travel support)

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4. PROVIDER ENROLLMENT PROCESS

Step 1: Register your business and obtain an NPI
Step 2: Submit a provider application to DDDS for Community Integration Services

Include staff resumes, service descriptions, policies, and sample documentation

Step 3: Enroll with Delaware Medicaid (DMAP) if billing directly
Step 4: Coordinate with support coordinators for referrals and ISP alignment
Step 5: Deliver services in the community and submit documentation as required

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5. REQUIRED DOCUMENTATION

• Articles of Incorporation or business registration
• IRS EIN Letter
• NPI confirmation
• Liability insurance and Medicaid enrollment documentation
• DDDS provider approval

Policy & procedure manual including:

• Client intake and interest assessment forms
• Activity planning and ISP goal alignment tools
• Safety protocols for community settings
• Incident reporting and emergency procedures
• Daily and monthly documentation logs
• Transportation policies and consent forms
• HIPAA compliance and participant rights policy
• Staff training logs and supervision documentation

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6. STAFFING REQUIREMENTS

Role: Direct Support Professional (DSP)
Requirements:

• High school diploma or equivalent
• Background check, CPR/First Aid certification
• Experience supporting individuals with disabilities in community settings preferred

Role: Program Coordinator / Supervisor
Requirements:

• Oversight of planning, documentation, and staff performance
• Experience in HCBS waiver programs or community services

Training Requirements for All Staff:

• Person-centered planning and community engagement
• HIPAA and participant confidentiality
• Abuse prevention and mandated reporting
• Transportation and travel safety
• Documentation and ISP tracking

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7. MEDICAID WAIVER SERVICES

Community Integration Services are reimbursed under:

• Delaware Lifespan Waiver (administered by DDDS)

Approved providers may deliver:

• Community-based 1:1 or group supports
• Assistance with social engagement, personal goals, and public resource access
• Progress documentation and communication with support teams
• Person-centered programming aligned with the ISP

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8. TIMELINE TO LAUNCH

Phase: Business Formation
Timeline: 1–2 weeks

Phase: DDDS Enrollment
Timeline: 30–60 days

Phase: Medicaid Enrollment (DMAP)
Timeline: 30–60 days

Phase: Referral Activation and Service Delivery
Timeline: Ongoing

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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

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10. SCOPE OF WORK 

• Business registration (LLC, EIN, NPI)
• DDDS and Medicaid provider enrollment guidance
• Policy & procedure manual for community engagement, risk management, and reporting
• Templates for activity logs, consent forms, and ISP alignment tools
• Website, domain, and email setup
• Staff credentialing trackers and supervision tools
• Client intake packet, HIPAA documents, and safety procedures
• Incident reporting systems and audit readiness checklists
• Referral networking with DDDS, families, and support coordinators

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — DELAWARE COMMUNITY INTEGRATION SERVICES PROVIDER

We help support professionals and disability-focused organizations launch compliant, person-centered Community Integration programs through Delaware’s Lifespan Waiver.

To get started, click the link to request portal access.