---
title: "Delaware Medicaid Home Care & Assisted Living: DSHP-Plus"
url: https://fundingltcmarketplace.com/states/delaware/home-care-medicaid/
description: "Delaware's DSHP-Plus managed long-term care program covers home care, assisted living services and nursing facility care. Who qualifies and how it works."
last_updated: 2026-10-20
author: George A. Mellendorf, CLTC, LTCP (Central States Insurance Services, Inc.)
publisher: Funding LTC Marketplace
note: Educational content; not legal, tax or financial advice. Markdown copy of the HTML page at the URL above.
---
Delaware · Home & Community Care

# Delaware Home Care Medicaid

Last updated 2026-10-20

**Quick answer:** Delaware's Medicaid home care for older adults and people with physical disabilities runs through Diamond State Health Plan Plus (DSHP-Plus), a mandatory managed care program. It covers nursing facility care and home- and community-based services.

For older adults and people with physical disabilities, Diamond State Health Plan Plus (DSHP-Plus) is Delaware's mandatory managed-care route to long-term services and supports. It's designed to cover both nursing-facility care and home- and community-based services aimed at preventing or delaying a nursing-home admission whenever possible.

Delaware consolidated most of its home- and community-based waiver programs into DSHP-Plus effective April 1, 2012 — everything except the waiver run by the Division of Developmental Disabilities Services (which today operates as the DDDS Lifespan Waiver). The programs folded into DSHP-Plus at that time included the elderly-and-disabled waiver, the HIV/AIDS waiver, the assisted-living waiver, and the acquired-brain-injury Medicaid waiver.

## Sources and official resources

- [Delaware DHSS: Long Term Care Medicaid Programs](https://dhss.delaware.gov/dmma/home/medicaid/long-term-care-medicaid-programs/)
- [CMS: 2026 SSI and Spousal Impoverishment Standards](https://www.medicaid.gov/federal-policy-guidance/downloads/cib04272026.pdf)

Rules and figures change. Confirm current details with the agency before you act.

[← Back to the full Delaware guide](https://fundingltcmarketplace.com/states/delaware/)