Delaware’s care ecosystem is changing fast, and leaders who simplify compliance will grow. Our state-ready kits give you exactly what surveyors ask for, from home health to hospice, assisted living, adult day, behavioral health, and more. If you are starting, expanding, or tightening operations, our Delaware Provider Policies, Procedures & collections and hands-on guidance help you pass surveys, enroll with Medicaid plans, and onboard safely. Care workforce demand remains strong, with home health and personal care aides projected to grow 17 percent nationally through 2034, so having clear playbooks for staffing, training, and documentation is critical. 

Delaware Licensing Overview

In Delaware, the Division of Health Care Quality regulates facilities through two primary branches: the Office of Health Facilities Licensing and Certification for acute and outpatient agencies, and Long Term Care licensing for nursing homes and assisted living. Behavioral health and substance use disorder programs are licensed or certified by the Division of Substance Abuse and Mental Health. Core steps typically include application submission, policy review, pre or post licensure surveys, background checks, and fees, followed by Delaware Medicaid enrollment and managed care contracts. Our Delaware Care Provider Licensing Consultations translate each requirement into a step-by-step checklist aligned to your provider type. 

Delaware Policies & Procedures Solutions

CarePolicy’s policy and procedure kits map to Delaware statutes and administrative codes so you are survey ready on day one. We customize for major categories such as skilled home health, aide-only home care, hospice, adult day care, assisted living, and outpatient centers. Each kit includes emergency preparedness, infection control, incident reporting, clinical documentation, HR onboarding, and quality programs that match Delaware surveyor expectations. Use them to accelerate approvals, prevent deficiencies, and run cleaner audits with confidence across single or multi-site agencies.

Delaware Provider Types We Support

Below are the state-recognized categories we support with policies and licensing help. We only list programs that Delaware formally licenses or certifies.

  • Home Health Agencies - Skilled services.
  • Home Health Agencies - Aide only personal care.
  • Personal Assistance Services Agencies.
  • Hospice programs.
  • Adult Day Care facilities.
  • Assisted Living facilities and Skilled or Intermediate Care Nursing Facilities.
  • Ambulatory Surgical Centers and facilities performing invasive procedures.
  • Free standing birthing centers and free standing emergency centers.
  • End Stage Renal Disease facilities.
  • Outpatient Physical Therapy facilities and Comprehensive Outpatient Rehabilitation Facilities.
  • Portable X-ray suppliers.
  • Prescribed Pediatric Extended Care centers.
  • Behavioral health and substance use disorder treatment programs licensed or certified by DSAMH, including outpatient, IOP/PHP, residential, and opioid treatment programs. 

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Delaware State Specific FAQs

1) How long does initial licensure take and what are the key milestones?

Timelines vary by provider type, but expect document review and a survey by the relevant DHCQ office. Behavioral health programs have DSAMH application meetings, document submissions, and site reviews. CarePolicy packages your policies to match checklists so you move smoothly from application to inspection. 

2) What inspections should we plan for?

Licensed facilities receive state surveys and may be subject to unannounced visits. Long term care licensing conducts annual and complaint-driven inspections, and OHFLC inspects acute and outpatient agencies. Our mock survey tools mirror Delaware survey protocols to reduce deficiencies. 

3) What background checks are required for home care and similar agencies?

Delaware requires background checks and drug testing for home care agencies under DHCQ rules. We include compliant hiring packets, abuse registry checks, and onboarding forms in the policy kits to keep files audit-ready. 

4) How does Medicaid enrollment work in Delaware, and which plans contract with providers?

Enroll through the Delaware Medical Assistance Program portal, then contract with managed care organizations. Delaware’s programs include Diamond State Health Plan and DSHP-Plus for long term services and supports, with plans such as AmeriHealth Caritas Delaware, Highmark Health Options, and Delaware First Health. Our team organizes your enrollment artifacts and MCO credentialing. 

5) We are planning HCBS growth. What trends affect workforce and payer strategy?

Delaware’s Medicaid quality strategy emphasizes rebalancing toward home and community-based services under DSHP-Plus, while national projections show strong demand for direct care roles. Build recruiting pipelines and competency-based training to protect capacity. We align your policies with HCBS documentation and MCO expectations. 

Delaware Compliance Guarantee & Support

Whether you are opening a PASA, scaling a home health agency, adding hospice, or launching a DSAMH-licensed program, we tailor policies to Delaware code and prepare you for surveys, payer audits, and renewals. Talk with us to bundle policies, forms, and a licensing plan that fits your timeline. We are ready to help you move from application to approval with confidence.

Explore Other States

Not operating only in this state? We also support providers across the U.S. with state-specific policies, procedures, and licensing help.