Delaware Medicaid Application Guide: How to Apply for Medical Assistance in Delaware

Delaware Medicaid provides medical coverage to low-income individuals and families, including anyone wishing to apply for Medical Assistance only. Delaware expanded Medicaid eligibility to adults under age 65 with incomes up to 138% of the federal poverty level, making healthcare coverage accessible to more residents who previously didn't qualify for assistance.

Eligibility varies by age: children birth to 1 year qualify with family income up to 217% of the federal poverty level, children 1 to 5 years qualify up to 147% of FPL, and children 6 to 18 qualify up to 138% of FPL. Adults under age 65 qualify with family income up to 138% of FPL under the Medicaid expansion, while elderly and disabled individuals with special requirements must meet certain income and asset limits.

Some Medicaid programs require enrollment in a managed care organization, and you can call the Health Benefits Manager at 1-800-996-9969 to enroll in a managed care organization (MCO). Delaware Medicaid covers essential health services including doctor visits, hospital care, prescription medications, preventive care, mental health services, and emergency medical treatment.

The approval process takes approximately 45 days on average, with expedited processing available for urgent situations. If you don't have all the required information when applying, sign and submit your application anyway - they'll follow-up with you and provide instructions on the next steps. For questions about your application or benefits, contact Customer Relations at (302) 571-4900 or (866) 843-7212.