Delaware operates two managed care programs that are both contracted with two health plans. The Diamond State Health Plan (DSHP) provides Medicaid state plan benefits to individuals who do not require long-term services and supports (LTSS). The Diamond State Health Plan Plus (DSHP-Plus) provides Medicaid state plan benefits and LTSS to qualifying individuals and all dual eligibles, regardless of whether they qualify for LTSS. Individuals receiving SSI who are not eligible for Medicare may enroll in either program. The state does not cap the number of individuals who may receive home- and community-based services (HCBS).
This Delaware Medicaid Contract is for Highmark Health Options, signed December 19, 2017.
For more information on Delaware’s Medicaid managed care programs, and to view other contracts, visit Delaware Medicaid Managed Care Contracts.