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According to the 2021 Genworth Cost of Care Survey, the average cost of home care in Delaware is $5,339 per month. In-home care offers non-medical services such as assistance with grooming, mobility, cleaning and other daily activities. Home health care provides skilled nursing, physical therapy and other medical services.
Delaware’s home care costs are higher than the national averages of $4,957 and $5,148, respectively. Delaware prices are also higher than most nearby states. The most affordable care in the area is Virginia, where seniors pay $4,767 for in-home care and $4,954 for home health care. In Pennsylvania, the average monthly fee is $4,957 for both care types, and in Maryland, both care types cost seniors $5,148 per month. New Jersey is the only neighboring state that’s less affordable than Delaware. Seniors there pay $5,529 per month for in-home care and $5,710 per month for home health care.
|Home Care||Home Health Care|
Older adults in Delaware can access a variety of senior care options to suit their individual needs and budgets. The most expensive option is nursing home care at $12,273. This high price reflects the around-the-clock care available in these facilities. Assisted living in Delaware is also less affordable than home care, with an average price of $5,995 per month. At $1,661 per month, adult day health care is the most affordable choice.
Delaware has moved away from using waivers for long-term care to providing assistance through a managed care model. This model is called the Diamond State Health Plan – Plus (DSHPP), and it covers the medical and non-medical care needs of recipients. This delivery model eliminates enrollment caps, meaning all eligible seniors can receive care, and it also reduces wait times to get services.
Home care is provided through a sub-program known as the Long-Term Care Community Services Program (LTCCS). It provides services to people living in the community, including those living at home, assisted living facilities and adult foster care. To be eligible for LTCCS, applicants must be at risk of nursing home placement if they don’t receive services.
When accepted into the program, participants develop a Plan of Care to determine what services they need. The exact services available depend on an individual’s circumstances but can include chore services, private-duty nursing, personal care and meal delivery. LTCCS may also pay for home modifications, durable medical equipment and personal emergency response systems.
The program allows for self-direction, so participants can choose their own caregivers. It may also pay some family members, including spouses and adult children, for providing care through LTCCS.
As Medicaid helps low-income people access health care, finances are its primary eligibility criteria. The income of single applicants can’t exceed $841 per month ($10,092 annually), and assets can’t exceed $2,000. Applicants in a two-person household can have a monthly income of up to $1,261 ($15,132 annually) and assets of up to $3,000. These limits are for regular Medicaid, and some programs may have different criteria.
Medicaid doesn’t count all assets when calculating eligibility. Exempt assets include personal belongings and an automobile. Your home is also exempt if you live there and its equity interest is below the state limit.
|Income Limits*||Asset Limits|
Applicants must also be a:
You can apply online for Medicaid using the ASSIST website. Forms are also available online in English and Spanish, and you can return them to the Department of Health and Social Services. Alternatively, you can request a form by calling Medicaid Customer Relations at (800) 372-2022. Seniors applying for Long-Term Care should contact their local Long-Term Care office.
What Information You Will Need
Medicaid staff may request the following information to assess your application:
How to Get Help Applying for Medicaid
The intake unit interviews LTCCS applicants as part of the application process. Many people find their questions answered at this time; however, there are other resources available that can provide assistance.
|Contact||Area Served||Services Provided|
|Delaware ASSIST||Online||Entire State||Delaware ASSIST processes applications for most Medicaid programs in the state. It also has a screening tool that can help you determine if you’re eligible for benefits and an extensive FAQ section.|
|Steps to Long-Term Care Guide||Online||Entire State||This guide has detailed information about DSHPP, including the application process for different subprograms and its available benefits.|
|Department of Medicaid and Medical Assistance (DMMA)||(800) 996-9969||Entire State||DMMA administers Medicaid programs in Delaware and can answer questions about eligibility, benefits and the application process.|
Medicare doesn’t pay for non-medical home care, but it can cover the cost of the medical version of home care, called “Home Healthcare” in some situations. In order to be eligible, you need to be homebound and have a referral from your doctor for the specific type of medical care that is needed. There are also other restrictions that apply.
Below is an overview of some of the services typically covered by Medicare for those who are eligible:
As mentioned above, home care is distinctly different from home healthcare, but there is some overlap – so while Medicare doesn’t cover non-medical home care, there are personal care services that may be covered in special circumstances – such as an occupational therapist helping with eating or dressing.
Read our guide to Medicare and Home Care Coverage for more information.
While the above programs can be a great way to make home care affordable for many people, they are not the right solution for everyone. Thankfully, there are other ways to make home care more affordable for you and your family. For more information about your other options, read our section on Other Ways to Pay for this guide.
Older Delawareans who wish to age in place can find help through government and nonprofit organizations in the state. Seniors can access resources that include meals, transport and legal advice.
|Contact||Area Served||Services Provided|
|Division of Services for Aging and Adults with Physical Disabilities (DSAAPD)||(800) 223-9074||Entire State||DSAAPD operates and funds a range of services to help seniors stay independent. These services include respite care, congregate meals, case management and options counseling. It can also assist people with accessing personal care services and home modifications.|
|Elder Law Program (ELP)||Local Numbers Are Available Online||Entire State||ELP provides limited legal assistance to residents aged 60 and over. Local offices can assist with powers of attorney, consumer and housing problems, benefits and advanced health care directives. Services are free, and there are no financial eligibility requirements.|
|Senior Centers||Local Numbers Are Available Online||Entire State||There are senior centers located in communities around Delaware. Services available depend on the local community needs but often include transportation, congregate meals and social activities.|
|DART Paratransit||(800) 553-3278||Entire State||Delaware’s public transit system has door-to-door paratransit services available for people unable to use the fixed-route services. There is a small fee for services based on the start and endpoint of the trip.|
|Meals on Wheels Delaware||(302) 656-3257||Entire State||In partnership with local organizations, Meals on Wheels Delaware helps deliver hot, nutritious meals throughout the state.|
|Lifespan Respite Program||(302) 221-2087||Entire State||Seniors who receive care from a family member may be eligible for respite care. Grants available through Lifespan pay trusted relatives or friends to provide care while primary caregivers take a break or vacation.|
|Delaware Energy Assistance Program (DEAP)||Local Numbers Are Available Online||Entire State||DEAP helps low-income households meet their energy costs. It offers fuel assistance to pay for heating in winter, and a cooling program helps fund electricity to operate air conditioners during the summer. Crisis assistance is also available during winter for people in danger of being without heat.|
Per the Centers for Medicare & Medicaid Services (CMS) mandate issued January 28, 2022, all home care providers must have received their full COVID-19 vaccination by February 28, 2022, unless home care they qualify for an exemption. This rule applies to Medicare- and Medicaid-certified in-home care and home health care providers.
This advice is current as of April 2022; however, rules can change quickly. If you’re concerned about the vaccination status of people entering your home, your local Area Agency on Aging can give you information about the latest regulations. Home care agencies may also have more stringent rules for their staff. An agency representative can answer any questions about their vaccine and personal protection equipment (PPE) use policies.
In Delaware, it refers to agencies that provide home care as personal assistance services agencies. These agencies must comply with state rules and are licensed and overseen by the Office of Health Facilities Licensing and Certification. There are separate regulations and licensing requirements for home health care agencies that offer medical services. The following rules relate to non-medical care provided by personal assistance services agencies.
|What Types of Care Can Be Provided?||Personal assistance services agencies can provide services that don’t require the judgment and skills of a licensed medical professional. These services include assistance with daily living activities, companion services, transportation and home care.|
|Are Care Plans Required?||After consulting with the client or their representative, an agency must write a service plan. It bases the plan on an initial home visit and details the services the agency will provide, when workers will perform services, emergency procedures and billing arrangements. The agency must review the plan at least every 90 days or when the client’s needs change and should revise it as necessary.|
|Can Home Care Providers Assist with Medication Management?||Direct care workers can administer a single dose of prescription or nonprescription medication. The responsible caregiver must provide prepackaged medication and written instructions to the care worker. Home care workers can only administer oral medication and must document the medication name, dosage, date and administration time.|
|Are There Special Requirements for Screening Home Care Aides?||All direct care workers must pass a background check before providing care in someone’s home. The background check includes fingerprinting and criminal history checks with state police and the FBI. Workers must also have a physical examination that includes testing for tuberculosis before providing care.|
|Are Home Care Aides Required to Undergo Special Training?||Direct care workers must complete an orientation with the agency before providing services to customers. Required topics include consumer rights, infection control, communication, daily living activities and confidentiality. Workers must also pass a competency test prior to providing care.|
|Does Medicaid Cover Home Care in Delaware?||The Long-Term Care Community Services program will cover some or all of the cost of home care for eligible seniors.|
|How Do I Report Abuse of Myself or a Loved One?||You can report abuse complaints to the Long-Term Care Ombudsman at (800) 223-9074.|
Whether you are looking for yourself or a loved one, finding a quality home care provider can be a stressful process. To help you overcome this challenge, we’ve created a helpful checklist below that can help guide you through the process of both determining your needs, and finding a home care agency that will be the best fit for you and your family.