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Delaware Medicaid Waiver for the Elderly and Disabled

What are Medicaid Waivers?
Medicaid pays for long term care services in nursing homes.  For nursing home qualified persons that choose to live at home or in a residential community, Medicaid will pay for those services if they can be obtained at a lower cost.  These are called Home and Community Based Services, Waiver Funded Services, Medicaid Waivers or simply Waivers.
 
  Overview of Delaware's Elderly and Disabled Waiver
Delaware Medicaid’s E&D Waiver is designed for older persons that require a nursing home level of care.  Participants can choose to receive that care in their home or in an assisted living community instead of in nursing home, provided the cost of those services do not exceed a certain percentage for the same services in a nursing home.

This waiver also allows for consumer or participant direction.  This means, participants are given the flexibility to select and hire their own care providers.  In some cases, family members can be hired to provide personal care.  Typically, spouses are not eligible but the adult children (of aging parents) can work as paid caregivers.
  Qualifications for the Elderly and Disabled Waiver
In addition to being a Delaware resident and requiring nursing home level care, persons must be financially qualified to receive Medicaid.

Qualifying for Medicaid is a complicated process involving a review of a family’s income, assets and asset transfers as far back as 5 years.  Rules change by state and there are many exceptions, but typically monthly income cannot exceed $2,000 and “countable asset” limits, excluding the car and home, range from $2,000 to $8,000.  

Not qualifying for Medicaid can be devastating to the comfort of an individual, their family’s finances and even their health.  For these reasons, Medicaid planners exist to ensure families have the best chance of acceptance into the program.  With care costing $1000’s / month, there is a strong incentive to use a Medicaid Planner.  Find assistance applying for Medicaid.
  Services Provided under the Elderly and Disabled Waiver
    • Adult Day Services
    • Assisted Living
    • Case Management
    • Cognitive Services
    • Day Habilitation
    • Personal Care
    • Personal Emergency Response System
    • Respite Care
    • Specialized Medical Equipment and Supplies
    • Support for Participant Direction
        Availability of the Elderly and Disabled Waiver
      This program is available in all Delaware counties.



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