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TITLE 16 HEALTH AND SAFETY DELAWARE ADMINISTRATIVE CODE 28 f. persons officially charged with administrative audit or program evaluation (Independent Professional Review or IPR , Peer Review Organization or PRO). 14840.3 Release Of Information For Legal Requests And An Emergency Situation Information may be released to comply with a subpoena or other valid court order and in emergency situations when necessary to protect or warn others of imminent threats to their safety. In these circumstances, the case record will be documented with the reason for the disclosure and written notification of the disclosure will be sent to the client's last known address. 14840.4 Release Of Information To Others Medicaid must obtain specific written permission from the individual before releasing information to other persons or sources. 14850 Medical Assistance Cards The Medical Assistance Card is the instrument that verifies an individual’s eligibility for benefits. The card is renewed each month and is valid only for time period specified on the card. Refer to the Delaware Medical Assistance Provider Manual for more information about Medical Assistance Cards. 14900 Enrollment In Managed Care On May 17, 1995, Delaware received approval from the Health Care Financing Administration (HCFA) (on June 14, 2001, HCFA was renamed Centers for Medicare and Medicaid Services [CMS]) for a Section 1115 Demonstration Waiver that is known as the Diamond State Health Plan. The basic idea behind this initiative is to use managed care principles and a strong quality assurance program to revamp the way health care is delivered to Delaware's most vulnerable populations. The Diamond State Health Plan is designed to provide a basic set of health care benefits to current Medicaid beneficiaries as well as uninsured individuals in Delaware who have income at or below 100% of the Federal Poverty Level (FPL). The demonstration waiver will mainstream certain Medicaid recipients into managed care to increase and improve access to medical service while improving cost effectiveness and slowing the rate of growth in health care costs. Program Expansions Effective July 1, 2002, a State operated managed care organization, Diamond State Partners, was implemented. Individuals may enroll in either the Diamond State Health Plan or Diamond State Partners Effective April 1, 2012, the Diamond State Health Plan is expanded to include Long Term Care Medicaid and other full- benefit dual eligibles. This Long Term Care Managed Care Program is called Diamond State Health Plan Plus. Long Term Care Medicaid recipients and other full-benefit dual eligibles must enroll in Diamond State Health Plan Plus. Managed Care Eligibility The majority of the Medicaid population receiving Medicaid services will be enrolled into the Diamond State Health Plan, Diamond State Health Plan Plus, or Diamond State Partners. The following individuals cannot enroll in Diamond State Health Plan, Diamond State Health Plan Plus, or Diamond State Partners: a. Individuals entitled to or eligible for a Medicare Savings Program (QMB, SLMB); b. Individuals residing in an intermediate care facility for the developmentally disabled (ICF/MR); c. Individuals covered under the Developmentally Disabled waiver program; d. Individuals that choose to participate in the Program of All-inclusive Care for the Elderly (PACE); e. Non lawful and non qualified non citizens (aliens); f. Individuals eligible under the Breast and Cervical Cancer Treatment Group; g. Presumptively eligible pregnant women; h. Individuals in need of only the 30-Day Acute Care Hospital program. 12 DE Reg. 446 (10/01/08) 15 DE Reg. 1717 (06/01/12)