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Family Caregiver Pay Map · Delaware · Verified October 19, 2026

Delaware: Who Can Be a Paid Family Caregiver Under Medicaid

Delaware's Diamond State Health Plan Plus lets a member needing nursing-home-level care hire a family member or friend as a self-directed attendant through the health plan's financial management vendor, or use an agency aide; a parent may be paid for a child's self-directed personal care.

Spouse
Not yet verified
Adult child / other relatives
Yes
Friends / neighbors
Yes
Parent of a minor child
Yes

Who can be paid: Adult children, other relatives, friends and neighbors hired by the member or representative; a parent or other legally responsible family member for a child under 21 who meets the plan's employee qualifications; the spouse rule for adult members is under review.

The Home Care Agency is a free enrollment matching service — not a home care agency, not a Medicaid plan, and not a government agency. This research is educational. Eligibility, authorized hours and payment are always determined by the state program and, where applicable, the managed care plan.

The programs behind the answer

Diamond State Health Plan Plus (1115 managed long-term services) — self-directed attendant care and agency personal care

Administered by Delaware DHSS Division of Medicaid and Medical Assistance (through managed care plans).

  • Who employs the caregiver: Agency or self-directed
  • Waitlist: No waitlist
  • Type: State plan entitlement (serves everyone who qualifies)
  • The member or representative hires and manages the attendant through the plan's financial management vendor, or uses an agency aide

Diamond State Health Plan pediatric self-directed personal care (under 21)

Administered by Delaware DHSS Division of Medicaid and Medical Assistance.

  • Who employs the caregiver: Self-directed (participant is the employer)
  • Waitlist: No waitlist
  • Type: State plan entitlement (serves everyone who qualifies)
  • A parent or guardian may hire a neighbor, friend or family member, including a legally responsible family member

How to apply in Delaware

We do not yet have partner agencies in Delaware. Start with the program's administering agency — Delaware DHSS Division of Medicaid and Medical Assistance (through managed care plans) — using the official sources below; the state determines eligibility and enrolls participants.

Official sources

Facts on this page were last reviewed October 19, 2026 against the sources above. Program rules change; confirm with the program before making decisions. Method: how the Pay Map is verified.

Questions

Questions About Paid Family Caregiving in Delaware

Can a spouse be paid to care for their husband or wife in Delaware?
This point has not yet been verified against an official source.
Who can be the paid caregiver in Delaware?
Adult children, other relatives, friends and neighbors hired by the member or representative; a parent or other legally responsible family member for a child under 21 who meets the plan's employee qualifications; the spouse rule for adult members is under review.
Is there a waitlist for Medicaid home care in Delaware?
Diamond State Health Plan Plus (1115 managed long-term services) — self-directed attendant care and agency personal care: no waitlist (The member or representative hires and manages the attendant through the plan's financial management vendor, or uses an agency aide). Diamond State Health Plan pediatric self-directed personal care (under 21): no waitlist (A parent or guardian may hire a neighbor, friend or family member, including a legally responsible family member).
Who decides eligibility?
The state program, never The Home Care Agency. The Home Care Agency is a free enrollment matching service — not a home care agency, not a Medicaid plan, and not a government agency. This research is educational. Eligibility, authorized hours and payment are always determined by the state program and, where applicable, the managed care plan.