Delaware Medicaid Plan for Low Income, Children, Pregnant Woment, Aged, Disabilities - Division of Medicaid and Medical Assistance(DMMA)

Division of Medicaid and Medical Assistance(DMMA)

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Zip Code19805
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Program Details

What is Division of Medicaid and Medical Assistance(DMMA)?

Medicaid is a health insurance program that pays medical bills for eligible low-income families and for eligible aged, blind and/or disabled people whose income is insufficient to meet the cost of necessary medical services. Medicaid is run by the Delaware Division of Medicaid & Medical Assistance (DMMA) and pays medical bills with State and Federal tax money.

Who is it for?

Medicaid,Low Income, Children, Pregnant Woment, Aged, Disabilities

Who is Eligible?

  • Must be a U.S. Citizen. Must be a Delaware resident.
  • You can have a car, bank account, and a home and still qualify for Medicaid. DMMA does not look at any of your resources when determining your eligibility for Medicaid.
  • You can work and still qualify for Medicaid.
  • Some persons can have other insurance and still receive Medical Assistance.
  • Low-income uninsured adults between the ages of 19 and 65 may qualify for Medicaid.
  • Certain children living with stepparents, grandparents, or siblings with income may receive Medicaid.
  • Needy families with children may be eligible for Medicaid if they are part of Temporary Assistance for Needy Families.
  • When a family getting a welfare check starts working and leaves welfare they still may receive Medicaid.
  • Low-income pregnant women and children under age 19 may qualify for Medicaid.
  • Most women of child bearing age may be eligible for birth control and family planning services for up to 24 months after their regular Medicaid stops.
  • Must fall within the following income limits:
    • Children Ages 0-1: 212% FPL
    • Children Ages 1-5: 142% FPL
    • Children Ages 6-18: 133% FPL
    • Pregnant Women: 212% FPL
    • Parents: 133% FPL
    • Adults without Dependents: 133% FPL

What is Covered?

The Delaware Medicaid program pays for many medical services to keep you healthy and to treat you when you are sick. The major services are:

  • Prescriptions
  • Doctor visits
  • Inpatient and Outpatient hospital care
  • Lab tests
  • X-rays
  • Home health care
  • Hospice care
  • Medical equipment and supplies
  • Medical Transportation services
  • Dental care (up to age 21)

How much is it?

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How to Apply?

  • On the internet, you can useASSISTto check your eligibility for several different assistance programs by completing a self-screening questionnaire. ASSIST then allows you toapply online.
  • You may also print an Application for Health Insurance/Medicaid. The application form is also available in Spanish/en Espa?ol.
  • By phone, you can contact Medicaid Customer Relations at1-800-372-2022or (302)255-9500 to be directed to the Division of Social Services (DSS) office closest to where you live. DSS staff members will help you find out more about eligibility for Medicaid and other assistance programs. Then the appropriate information and application forms will be mailed to you. Complete, sign and date the application form in ink and mail it to the address provided.
  • For Long Term Care applications, please call theLong Term Care Medicaid Unitlisted for the county where you live.

How often do I have to renew?

Medicaid is based on month to month eligibility. However, your benefits are redetermined on a yearly basis by DMMA to confirm whether you still remain eligible for the program you are receiving. Certain Medicaid programs require you to report changes in your situation within 10 days of the change. One example of a change that must be reported is new employment.

Income and Resource Requirements

Income limits are set each year by the federal government to define the Federal Poverty Level for different family sizes. In general, if your household income is at or below the current 100% Federal Poverty Level for your household size, your family is likely to be eligible for Medicaid. Children from age 1 to under age 6 can qualify for Medicaid benefits when household income is at or below 133% of the Federal Poverty Level. Pregnant women and infants under age 1 qualify for Medicaid with family income at or below the 200% Federal Poverty Level, and pregnant women count as 2 (or more) family members.
See our tables ofincome limits for applying for DMMA programsto find out where your family income is, in relation to these income benchmarks.

What if I have other medical insurance or other health coverage?

If your income is low, and you have minor children, you and your children can have private health insurance and still be eligible for Medicaid. Certain Medicaid qualifying programs require that you not have any other health insurance in order for you to get Medicaid. If you have both private health insurance and Medicaid, you should show both your Medicaid card and your private health insurance card to your medical provider each time you receive services.

What is a Managed Care Plan?

The majority of people receiving Medicaid must choose a family doctor who, along with a managed care organization (MCO), will provide or arrange for all your preventive care and medical needs

Physicians that accept medicaid assignment

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DELAWARE HEALTH CORPORATION
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HILLSIDE CENTER
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ST. FRANCIS HOSPITAL INC.
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NEHA, VORA
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SARAH, UPDEGRAFT
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ST FRANCIS FAMILY PRACTICE
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LAURIE, FOCACCI
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ST FRANCIS HOSPITAL INC
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IRWIN L. LIFRAK, M.D.
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WESTSIDE HEALTH, INC.
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FAMILY PHARMACY
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BRANDYWINE COUNSELING & COMMUNITY SERVICES, INC.
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BRANDYWINE PODIATRY, PA
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ST. FRANCIS CT SURGERY
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EMERGENCY PHYSICIAN ASSOCIATES OF DELAWARE PC
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MRI OF WILMINGTON LLC
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NANCY, LUXA-LEBLANC
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DELAWARE OTOLARYNGOLOGY CONSULTANTS LLC
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ERWIN, BUENASEDA
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LISA, GUTOWSKI
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IRWIN L. LIFRAK, M.D., P.A.
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MEGAN, WERNER
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ST FRANCIS HOSPITAL INC
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MICHELLE, PAPA
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DELAWARE HEALTH CORPORATION
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  • Phone Number
    (302) 655-6135
  • Office Locations
    2801 W 6TH ST
    WILMINGTON, DE 19805
2801 W 6TH ST WILMINGTON DE, 19805

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