DEPARTMENT OF HEALTH AND SOCIAL SERVICES

Division of Medicaid and Medical Assistance

Statutory Authority: 31 Delaware Code, Section 512 (31 Del.C. §512)

GENERAL NOTICE

NOTICE

Proposed Extension and Amendment of the Diamond State Health Plan (DSHP) Section 1115 Demonstration Waiver

In accordance with the public notice requirements of 42 CFR 431.408 and Title 29, Chapter 101 of the Delaware Code, Delaware Health and Social Services (DHSS)/Division of Medicaid and Medical Assistance (DMMA) gives notice related to the upcoming proposed extension and amendment of the Diamond State Health Plan (DSHP) Section 1115 Demonstration Waiver.

Purpose

The purpose of this posting is to provide advance public notice of the upcoming opportunity to provide input regarding Delaware's proposed extension and amendment of the Diamond State Health Plan (DSHP) Section 1115 Demonstration Waiver.

Overview of the DSHP 1115 Waiver

Delaware will be proposing to extend the current DSHP 1115 Waiver for an additional year and amend the DSHP 1115 Waiver to incorporate important program enhancements. The DSHP 1115 Waiver currently expires December 31, 2023 and is renewed every five years. The DSHP 1115 Waiver enrolls most Medicaid beneficiaries and authorizes Delaware to deliver Medicaid services through managed care organizations (MCOs). The DSHP 1115 Waiver also authorizes the DSHP Plus managed long-term services and supports program, authorizes expanded behavioral health services in the PROMISE Program, authorizes substance use disorder services in institutions for mental disease settings, and expands eligibility to certain groups, including out-of-state former foster care youth.

In addition to a one-year extension of the DSHP 1115 Waiver, Delaware will be proposing to amend the DSHP 1115 Waiver for changes that include, for example:

• Expanding access by eliminating Delaware's waiver of retroactive Medicaid eligibility

• Addressing health-related social needs by piloting Medicaid coverage of DMMA's Food Box initiative for post-partum women

• Expanding access to substance use disorder services by adding new services and supports for individuals with substance use disorders

• Incorporating children's dental services into the DSHP 1115 managed care delivery model

Public Comment Submission Process

As required by 42 CFR Part 431.408, DHSS/DMMA must establish and use a public input process for any changes in the services or operation of the waiver and the state public notice requirements of Title 29, Chapter 101 of the Delaware Code. DHSS/DMMA will be providing public notice of these changes and an open comment period to allow all stakeholders an opportunity to provide input on the proposed DSHP 1115 Waiver changes. The public notice and draft waiver application will be posted to DMMA's website no later than November 11, 2022 and will be held open for 30 days. DMMA's website address is:

https://dhss.delaware.gov/dhss/dmma/medicaid.html

The DMMA website will indicate the locations at which the hardcopy can be viewed, the public dates and locations of public meetings on the DSHP 1115 Waiver, and will provide details on how the public may submit comments.

/s/ Stephen M. Groff Date 10/17/2022 | 2:58 PM EDT

Director

Division of Medicaid and Medical Assistance

26 DE Reg. 410 (11/01/22) (Gen. Notice)