STATE PROFILE • Last updated: November 11, 2026
Delaware Elder Care & Medicaid
Delaware's senior Medicaid landscape emphasizes managed long-term care through DSHP-Plus, offering home and community-based services without waitlists, though Miller Trusts are essential for those exceeding income caps.
leaderboard
RANKED #4
GRADE A
FEATURED
Medicaid Coverage Guide for Delaware
Full breakdown of Delaware Division of Medicaid and Medical Assistance for seniors: waiver programs, nursing home eligibility, income and asset limits, spend-down rules, and how to apply.
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Program
Delaware Division of Medicaid and Medical Assistance
Income cap
$2,485/mo
Medically-needy
No
Elder Care Index Report Card
5-pillar composite scoring vs other states
A
Grade
AFFORDABILITY
GRADE C · 63
QUALITY
GRADE A · 68
STAFFING
GRADE A · 65
ACCESS
GRADE C · 31
MEDICAID SUPPORT
GRADE C · 33
Composite score: 76.0 / 100 (50 = average state)
Methodology arrow_forward
Delaware At a Glance
Nursing Home Facilities
44
Senior Medicaid Waivers
2
National Rank
#4 / 51
Range #3–#6 when the pillar weights shift
Senior Care Costs in Delaware
local_hospital
Nursing Home
$14,599/mo
+32.2% vs national avg
- 44 nursing homes · 4,709 beds
- Avg CMS rating 3.28★ (11 rated 5★, 4 rated 1★)
- 4.51 nurse hrs/resident/day (1.03 RN)
Source: CMS Nursing Home Compare
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home_health
Home Health Aide
$28/hr
+3.7% vs national avg
- Median aide wage $15.27/hr
- ~9,750 aides employed statewide
Source: BLS OEWS
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