1. GOVERNING AGENCIES

Agency: Delaware Division of Developmental Disabilities Services (DDDS)
Role: Approves Day Habilitation providers, monitors service quality, and ensures services align with person-centered goals

Agency: Delaware Division of Medicaid and Medical Assistance (DMMA)
Role: Administers waiver reimbursement for eligible Day Habilitation services

Agency: Centers for Medicare & Medicaid Services (CMS)
Role: Ensures services meet federal HCBS standards for non-institutional, community-based support

2. DAY HABILITATION SERVICE OVERVIEW

Day Habilitation Services are designed to support individuals who are not employed during the day by offering meaningful activities in a group or individual setting. Services focus on developing and maintaining life skills, social engagement, and access to the community.

Approved providers may deliver:

• Skills training ( communication, safety, cooking, hygiene, money management)
• Social and recreational activities
• Volunteer experiences and community integration outings
• Self-advocacy and personal goal-setting support
• Supervision and assistance in a safe, structured environment
• Documentation of attendance, progress, and outcomes tied to the ISP

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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 to become a Day Habilitation Provider under the DDDS Lifespan Waiver
• Secure a safe, accessible facility that meets ADA standards
• Carry general liability and workers’ compensation insurance
• Hire and train staff in accordance with DDDS requirements
• Maintain HIPAA-compliant documentation systems and staff supervision protocols

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4. PROVIDER ENROLLMENT PROCESS

Step 1: Register your business and obtain your NPI
Step 2: Apply to DDDS as a Day Habilitation Services provider

Submit facility address, staff roster, daily schedules, and sample documentation templates

Step 3: Participate in provider orientation and meet DDDS waiver criteria
Step 4: Establish referral pathways with Support Coordinators and ISP teams

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5. REQUIRED DOCUMENTATION

• Articles of Incorporation or business registration
• IRS EIN Letter
• NPI confirmation
• Facility lease or ownership documents
• DDDS provider approval letter

Policy & procedure manual including:

• Intake procedures and activity planning
• Participant rights, grievance policy, and HIPAA compliance
• Community outing procedures and risk management
• Daily attendance logs and progress note templates
• Incident reporting and supervision ratios
• Staff onboarding and training logs
• Fire drills, emergency preparedness, and health safety protocols

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6. STAFFING REQUIREMENTS

Role: Day Habilitation Specialist / Direct Support Professional (DSP)
Requirements:

• High school diploma or equivalent
• Background check and CPR/First Aid certification
• Training in ADL/IADL support, person-centered service delivery, and behavior management

Role: Program Supervisor / Day Services Manager
Requirements:

• Human services or program management experience
• Oversight of day program planning, staffing, and documentation compliance

Training Requirements for All Staff:

• Abuse prevention and mandated reporting
• Emergency protocols and community safety
• Documentation and ISP goal tracking
• HIPAA and confidentiality
• Ongoing annual training and CEU tracking

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7. MEDICAID WAIVER SERVICES

Day Habilitation Services are reimbursed under:

• Delaware Lifespan Waiver (administered by DDDS)

Approved providers may deliver:

• Daily or part-time services aligned with the ISP
• On-site and off-site activities that promote community inclusion
• Life skill development and individualized support
• Progress documentation for Medicaid compliance and DDDS reporting

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8. TIMELINE TO LAUNCH

Phase: Business Formation
Timeline: 1–2 weeks

Phase: Facility Setup and Licensing Readiness
Timeline: 2–4 weeks

Phase: DDDS Provider Enrollment
Timeline: 30–60 days

Phase: Staff Hiring and Participant Onboarding
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 provider enrollment and compliance guidance
• Policy & procedure manual for daily operations, community outings, and ISP tracking
• Templates for activity logs, progress notes, and incident reports
• Website, domain, and email setup
• Staff credentialing trackers and training records
• Client intake packet, consent forms, and community participation guidelines
• Incident reporting systems and audit readiness tools
• Referral networking with DDDS, families, and local organizations

WAIVER CONSULTING GROUP'S START-UP ASSISTANCE SERVICE — DELAWARE DAY HABILITATION SERVICES PROVIDER

We help day program founders and human service agencies launch fully compliant Day Habilitation Services under Delaware’s Lifespan Waiver.