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CHIP Medicaid expansion program, in addition to the existing separate child health program, and moves infants under the age of one from the separate child health program into the CHIP Medicaid expansion program.
• Delaware submitted its third amendment in 2003 to enhance its mental health and substance abuse benefits, but withdrew it that same year when informed by CMS that Plan Amendments were not needed for benefit enhancements.
• Delaware submitted its fourth amendment on November 27, 2006 to add dental benefits to its CHIP program.
• Delaware submitted its fifth amendment on May 7, 2009 to exempt temporary income earned in working for the Decennial Census from the eligibility calculations for the CHIP applicants and enrollees.
Children Covered Under Program
• The State reported that 11,191 children were ever enrolled in its program during Federal fiscal year 2008.
Administration
• Delaware's Department of Health and Social Services, Division of Social Services administers both the CHIP and Medicaid programs.
Health Care Delivery System
• Enrollees receive services through the established Medicaid delivery system, under a Medicaid Section 1115 waiver, called the Diamond State Health plan. Delaware is using the existing health benefits manager as the enrollment broker and the existing managed care organizations (MCOs) as service delivery providers. Services are provided statewide and will not vary based on geography.
Benefit Package
• Enrollees in the separate child health program receive a benchmark benefit package that is the state employees' health plan plus over-the-counter medications and additional mental health and substance abuse services. Delaware submitted its fourth amendment on November 25, 2006 to add dental benefits to its CHIP program.
Cost Sharing
• Families with income from 101 through 133 percent of the FPL are subject to a $10 monthly premium. Families with income from 134 through 166 percent of the FPL are subject to a $15 monthly premium. Families with income from 167 through 200
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