Delaware Medicaid Plans (Diamond State Health Plan)
Delaware operates Medicaid under the Diamond State Health Plan (DSHP) program. Most beneficiaries are enrolled in one of the state-contracted MCOs, with the addition of DSHP-Plus for long-term services and supports (LTSS). Enrollment is mandatory for eligible participants.
Managed Care Organizations (MCOs)
As of January 2023, the following MCOs are contracted to serve Delaware Medicaid members:
| Plan Name | Contact | Website |
|---|---|---|
| AmeriHealth Caritas Delaware | Check member handbook | amerihealthcaritasde.com |
| Highmark Health Options (BCBS DE) | 844-325-6251 | highmarkhealthoptions.com |
| Delaware First Health (Centene) | Check member handbook | centene.com |
DSHP-Plus (Long-Term Care / LTSS)
DSHP-Plus offers managed long-term care and supports (e.g., home care, adult day, respite) under an 1115 waiver and covers elderly or physically disabled individuals.
Enrollment & Eligibility
- How to apply: Contact the Health Benefits Manager (1-800-996-9969)
- Eligibility: Based on income, disability, age, pregnancy, and other program rules
- Renewals: Managed by the Delaware Division of Medicaid & Medical Assistance (DMMA)
Key Provider Resources
Contact Info
- Health Benefits Manager: 1-800-996-9969
- Provider Relations: 1-800-999-3371
- DSHP-Plus Information: Available via DSHP-Plus provider resources above