State Medicaid Waiver Directory
Find your state's Katie Beckett waiver, TEFRA pathway, HCBS programs, and Medicaid eligibility rules for children and adults with disabilities. Each guide covers waitlists, application steps, income limits, and parent caregiver pay options.
For informational purposes only — not legal, medical, or financial advice. Medicaid rules, eligibility, and waitlists change frequently. Always verify with your state's official Medicaid agency before making decisions. Cross-check with Medicaid.gov's official waiver page.
Delaware
Program Overview
Overview
Delaware's clearest child path is the Children's Community Alternative Disability Program (CCADP), which functions similarly to a Katie Beckett route even though it is not labeled that way.
Katie Beckett or similar pathway
Delaware does not market CCADP as Katie Beckett by name, but it functions similarly by allowing children with disabilities to access Medicaid without using the family income standard.
Child-relevant waivers
The key child-focused route is CCADP. Delaware also has a Medicaid Demonstration Waiver for adults and some children.
Eligibility
Who qualifies
CCADP is for children with severe disabilities or significant medical needs who would otherwise qualify for institutional care.
Financial and income rules
CCADP uses the child's own financial situation rather than the parents' income for eligibility purposes.
Level of care
Children must demonstrate a level of care that would otherwise require institutional placement.
Age rules
CCADP generally serves children under 21.
Getting Started
How to apply
Start an application through Delaware ASSIST and ask Delaware Medicaid for the current CCADP checklist and intake process.
Documents needed
Medical records, physician documentation of the disability, and level-of-care information are typically required.
Waitlist information
Delaware has not published a clear statewide waitlist policy for CCADP. Contact Delaware Medicaid directly to ask about current enrollment status.
Practical next step
Start an application through Delaware ASSIST and ask Delaware Medicaid for the current CCADP checklist. For non-Medicaid supports, contact Delaware DVR or DLC.
Services & Support
Services available
CCADP provides full Medicaid benefits. Additional HCBS waiver services may be available for specific populations.
Parent caregiver pay
Delaware's Medicaid Demonstration Waiver allows parents to be paid for personal care up to 40 hours per week.
Equipment exchange & assistive technology
Delaware Assistive Technology Initiative (dati.org) — free device demonstrations, short-term loans, reuse programs, and AT information statewide.
Mental health and Medicaid coverage
Delaware Medicaid covers mental health outpatient services, psychiatric evaluations, therapy, medication management, and crisis stabilization. The Division of Substance Abuse and Mental Health (DSAMH) oversees public behavioral health services. Children may access behavioral health services through DSAMH-contracted community mental health centers. Delaware has invested in children's behavioral health workforce development and school-based mental health supports.
Additional notes
CCADP is not a well-known program name, so families may need to ask for it specifically when contacting Delaware Medicaid. It functions like a Katie Beckett pathway even though it is not called that.
State-Specific Resources
Delaware Division of Vocational Rehabilitation (DVR) — Employment Services
Delaware DVR (dnrec.delaware.gov/divrvr) helps people with disabilities prepare for, find, and keep jobs. Services include vocational evaluation, job training, assistive technology, supported employment, and job coaching. Services are free and available statewide. DVR also serves transition-age youth (ages 14+).
Delaware Technology Access Center — Assistive Technology Loans & Demonstrations
The Delaware Technology Access Center provides free short-term device loans for trial, hands-on demonstrations, device reuse programs, and information on AT funding. Available statewide to all Delawareans with disabilities.
Delaware Early Intervention Program (Birth to Age 3)
Delaware's Early Intervention program serves families with children birth to age 3 with developmental delays or disabilities. Services are provided in homes and communities and are family-focused. Referrals can be made by anyone. Contact the Delaware Department of Health and Social Services.
disAbility Law Center of Delaware (DLC) — Legal Advocacy & P&A
DLC is Delaware's Protection and Advocacy agency, providing free legal services, advocacy, and information on disability rights, education rights, employment issues, assistive technology access, and abuse/neglect.
Delaware — Respite Care Options for Family Caregivers
Delaware DSAAPD runs a Lifespan Respite Program where eligible caregivers can apply for vouchers to cover respite costs, and CARE Delaware funds respite for families caring for older adults. Easterseals Delaware also provides respite services statewide. See the Provider Directory for Delaware respite and community programs.
Delaware — Fitness, Sports, and Community Programs
Arena Adaptive (More Than Fitness, Wilmington) runs inclusive group fitness classes for ages 9-99, and Hardbat Athletics in Newark offers training designed specifically for people with disabilities. Adult day programs include Easterseals (all three counties) and Kencrest's Meaningful Day. The Arc of Delaware provides statewide advocacy and community connection.
Delaware — Paid Leave Program (Effective 2025)
Delaware enacted a paid family and medical leave program providing up to 12 weeks of paid parental leave after birth/adoption and 6 weeks for personal illness or family care. The program is administered through the Delaware Department of Labor and takes effect in 2025.
Sources
Community Tips & Experience
Comments reflect the personal experiences and opinions of individual community members only. They do not represent the views, positions, or endorsements of National Disability Resource Project or any of its staff, volunteers, or affiliated members. Always verify information with official agencies and qualified professionals before making decisions.
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