KodaComplyHome care rules, state by state, in plain EnglishUpdated September 23, 2026

Delaware home care rules

Delaware's Department of Health and Social Services (DHSS) licenses personal assistance services agencies (non-medical home care, including companion and homemaker services) and home health agencies.

More about Delaware

Medicaid long-term care at home is delivered through three health plans: AmeriHealth Caritas Delaware, Delaware First Health and Highmark Health Options. From October 1, 2026, Medicaid personal care and home health claims that don't match an EVV visit will be denied.

54 official documents·collected September 22, 2026·checked against them September 23, 2026
License for non-medical home care?YesPersonal Assistance Services Agency license from DHSS (16 DE Admin Code 3345) · annual, one per office. Covers companion and homemaker services too.
License for home health?YesTwo license types: skilled home health agency (3350) and home health agency, aide only (3351). Both annual.
EVVClaims denied from Oct. 1Personal care and home health claims with no matching EVV visit will be denied from October 1, 2026. Live-in caregivers are exempt.
Medicaid health plans3 plansAmeriHealth Caritas Delaware, Delaware First Health, Highmark Health Options

What changed, and what to do about it

Red means act now, amber means read it this month, grey is for the record.

Act nowDMAP bulletins, Q1 and Q2 2026

From October 1, Medicaid claims with no matching EVV visit will be denied

DMMA moved the EVV "hard edit" from March 31, 2026 to October 1, 2026. After that date, personal care and home health claims will be denied unless the authorization, EVV visit and claim match. Until then, non-matching claims get a warning on the remittance advice.

What to do: Look for EVV warnings on your recent remittance advice and fix them with the health plan or HHAeXchange before October 1. Check that live-in claim lines carry the CG modifier. The date has moved four times, so check the latest DMMA bulletin before relying on it.
Sources (3)
Read this monthDMAP bulletin, Q1 2026

Answer Medicaid record requests within 45 days or the claim is taken back

If you don't send records to the DMMA Surveillance and Utilization Review (SUR) Unit within 45 days and can't be reached, the claims get a "technical denial" and the money is recouped within 7 days. You then have 10 days to send what's missing.

What to do: Make sure the phone number and email on file for your billing NPI reach someone who will answer.
For the recordRates effective October 1, 2025

DMAP home health fee schedule effective October 1, 2025

The 2025 home health fee schedule sets home health aide services at $10.48 per 15 minutes, and RN and LPN services at $49.07 per 15 minutes.

What to do: Check that your fee-for-service claims since October 1, 2025 paid at these rates.
For the recordDMAP bulletin, Q3 2025

Keep Medicaid records at least 5 years

DMMA reminded providers to keep records that back up every claim for at least five years, including the date, authorization, service given and its amount and duration. Money for services your records don't support must be paid back.

What to do: Nothing new for most agencies. Delaware's licensing rules for personal assistance services and home health agencies already ask you to keep records at least 6 years after the last date of service.
Sources (4)

Deadlines coming up

Dates taken from the rules and notices as we read them.

8days
October 1, 2026

EVV hard edit: unmatched Medicaid claims denied

Applies to personal care and home health care services subject to EVV.

Sources (2)