Qualifications for Medicaid in Delaware

Who is eligible for Medicaid, and what are the requirements for Medicaid in Delaware? In order to qualify for Medicaid benefits in DE, potential beneficiaries must meet the enforced Medicaid requirements, first. Medicaid eligibility requirements are specific to the state in which a candidate resides. Therefore, a patient interested in learning how to qualify for Medicaid in Delaware should not review information in another state, like Maryland. Medicaid benefits eligibility is broken down into general requirements for Medicaid and financial requirements. Interested applicants must meet all Medicaid requirements to receive Medicaid benefits. What are the Medicaid application guidelines for eligibility and what are the income requirements for Medicaid?

Review the below topics on Medicaid qualifications, including:

  • Who is eligible for Medicaid in Delaware?

  • What are the requirements for Medicaid in Delaware?

  • How to screen for Delaware Medicaid eligibility

Who is eligible for Medicaid in Delaware?

Candidates are eligible for Medicaid so long as they meet the standards set forth by the state of Delaware. The major Medicaid eligibility groups in Delaware include low-income patients, pregnant women, the elderly, the blind, the disabled and needy families with children. Medicaid eligibility requirements in Delaware apply to certain circumstances beyond the patient groups deemed eligible for Medicaid.

Patients can still qualify for Medicaid in Delaware if:

  • There are countable resources in addition to income (bank accounts, cars and homes do not disqualify candidates from Medicaid benefits in Delaware).

  • Employed by a part-time or a full-time work engagement.

  • Current health insurance is held through a different medical program.

  • Aged 19 to 65 and earning a low income.

  • Living as a child with grandparents, stepparents or income-earning siblings.

  • The family belongs to Delaware’ Temporary Assistance for Needy Families (TANF) program already.

  • Of child-bearing age (women) and in need of birth control and/or family planning services for up to 24 months after Medicaid benefits end.

  • Receiving welfare, followed by reemployment.

What are the requirements for Medicaid in Delaware?

The requirements for Medicaid in Delaware are decided by the state, alone. So, if a patient did qualify for Medicaid in previous state of residence, that does not mean he or she is eligible for Medicaid in DE. Candidates must meet all Medicaid eligibility requirements in full in order to advance to the Medicaid benefits application.

The general Medicaid requirements relate to a patient’s status and presence in both the state and the country. First, a future beneficiary must meet requirements to be eligible for Medicaid as a U.S. citizen. Without United States citizenship or legal presence in the country, applicants cannot collect Medicaid benefits. However, those that are illegally residing may qualify for emergency medical assistance under other circumstances.

Next, Medicaid qualifications require a candidate to reside lawfully in the state of Delaware. Simply put, if an applicant does not live within the DE state borders, he or she cannot qualify for Medicaid. Most times, a valid driver’s license or a state ID card can prove a potential beneficiary’s residency for Medicaid benefits eligibility purposes.

Furthermore, a registered Social Security Number is part of the requirements for Medicaid. Since Medicaid is also overseen by the federal government, a Social Security Number acts as an identifier when it comes to verifying income eligibility for Medicaid. In addition, Social Security Numbers are used to handle Medicaid benefits in Delaware.

Finally, a candidate must meet Medicaid income requirements toapply successfully for state-sponsored medical assistance. What are the income requirements for Medicaid? The income requirements for Medicaid are determined by the national Modified Adjusted Gross Income (MAGI) system. This Medicaid eligibility calculator takes into consideration household size, monthly/annual income and the current Federal Poverty Levels (FPL). What are the Medicaid application guidelines candidates must meet as decided by the MAGI? Most can qualify for Medicaid at 100 percent of the FPL, others are outlined as follows:

  • Children ages 1 to 6: 133 percent of the FPL

  • Pregnant women and infants under age 1: 200 percent of the FPL

  • Uninsured children under 19 years of age: 200 percent of the FPL

  • Elderly/disabled patients seeking prescription drug coverage: 200 percent of the FPL, or whose prescriptions exceed 40 percent of an annual income

How to Screen for Delaware Medicaid Eligibility

Patients who are still unsure of how to qualify for Medicaid in Delaware can receive online assistance. Screen Medicaid eligibility through the Delaware online tool, which can be accessed via a home computer with working internet access. Before engaging with the Medicaid qualifications test, applicants should ensure they meet the system requirements. Users cannot access the Medicaid eligibility requirements tool if there is an action required, such as turning off a pop-up blocker. Once configurations are in order, proceed with the screening to find out who is eligible for Medicaid in any given household.

The Medicaid requirements screener asks users to first answer questions about those residing in the home, income and resource estimates, personal details and health-related conditions present, any current benefits being dispensed in the household and more. Answers about Medicaid qualifications are transferred through a secure portal, and remain confidential at all times.

Once the requirements to be eligible for Medicaid are determined, a list of available Medicaid benefits and programs will appear, depending on qualifications. Medicaid-related programs include long-term care (nursing home services, home- and community-based services and the Children’s Community Alternative Disability Program) and basic health care coverage (Medicaid, Delaware Healthy Children Program/CHIP and Qualified Medicare Beneficiary). In addition to Medicaid benefits, users can view other available programs through the state related to child care assistance, cash assistance and food stamps. Following the results of the Medicaid eligibility test, beneficiaries will have the option to apply for Medicaid.



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