Delaware Medicaid
Updated April 9, 2021 Medicaid
Delaware Medicaid provides medical assistance to eligible Delaware low-income families and to eligible aged, blind, and/or disabled people whose income is insufficient to meet the cost of necessary medical services.
| Program Name | Delaware Medicaid |
| Expanded Medicaid | Yes |
| Website | https://dhss.delaware.gov/dhss/dmma/ |
| Phone | 800-996-9969 |
| Apply Online | signup.assistselfservice.dhss.delaware.gov |
| Appeal a Denial | (302) 255-9500 |
| Find a Local Office | Office Locations |
Eligibility Requirements
To be eligible for Delaware Medicaid, you must be a resident of the state of Delaware, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.
You must also be one of the following:*
- Pregnant
- Be responsible for a child 18 years of age or younger
- Blind
- Have a disability or a family member in your household with a disability
- Be 65 years of age or older
* ACA Medicaid expansion covers eligible low-income adults.
Annual Household Income Limits (before taxes)
| Household Size* | Maximum Income Level (Per Year) |
| 1 | $17,131 |
| 2 | $23,169 |
| 3 | $29,207 |
| 4 | $35,245 |
| 5 | $41,284 |
| 6 | $47,322 |
| 7 | $53,360 |
| 8 | $59,398 |
*For households with more than eight people, add $6,038 per additional person.
Available Services Include:
| Dental care (up to age 21) | Medical transportation services |
| Doctor visits | Mental health services |
| Home health care | Physical therapy |
| Hospice care | Prescriptions |
| Inpatient and outpatient hospital care | Routine shots for children |
| Lab tests | Substance abuse services |
| Medical equipment and supplies | X-rays |
Copayments
In Delaware, parents have a $15 per month cap on out-of-pocket expenses from copayments.
| Generic Drug | Preferred Brand Name Drug | Non-Preferred Brand Name Drug |
| $.50 - $3.00 | $.50 - $3.00 | $.50 - $3.00 |
Copays are not charged for the following:
- Low-income children
- Pregnancy-related care
- Smoking cessation services
