Eligibility for Medicaid in Delaware

LOOKING FOR ADDITIONAL INFORMATION?

“What are the requirements for Medicaid in Delaware?” is a common question individuals and families interested in receiving medical assistance ask. Medicaid is a federally and state-funded government program with strict Medicaid benefits eligibility restrictions, as the government wants to ensure only qualified individuals receive benefits. In order to determine who is eligible for Medicaid in DE, there are income and residency requirements that each applicant must meet to be considered for medical assistance. To meet Medicaid eligibility requirements, all applicants will need to provide proof of their identity, which serves as a means of protecting against fraud. Additionally, interested petitioners may want to know how to qualify for Medicaid before beginning the application to make sure they are eligible for health care assistance. To learn more about the requirements for Medicaid, continue reading the sections below.

Who is eligible for Medicaid in Delaware?

In order to qualify for Medicaid in Delaware, residents must first meet the income requirements. Medicaid eligibility requirements ensure only low-income individuals and families receive Medicaid benefits, since Medicaid is a program designed for needy households. Low-income individuals who are between 19 and 65 years of age may qualify for Medicaid. Additionally, Medicaid benefits eligibility considers unique categories of applicants, such as pregnant women and children who are younger than 19 years of age, as long as they meet the income requirements for their Medicaid program. Additionally, any child who is not eligible for Medicaid in DE because his or her family earns too much income to qualify may be eligible to receive medical assistance from the Delaware Healthy Children Program, which is an extension of Medicaid. It is important to note that Medicaid benefits eligibility for certain programs within Medicaid require an eligible applicant to be uninsured.

What are the requirements for Medicaid in Delaware?

Before an applicant can qualify for Medicaid assistance in Delaware, he or she has to meet basic residency and citizenship requirements as part of a fixed set of requirements for all applicants. The fixed requirements for Medicaid eligibility that every applicant must meet are the following:

  • The applicant must be a citizen or legal resident of the U.S.
  • The applicant must be a resident of Delaware.
  • The applicant must meet the income limit.

The above restrictions are required for every applicant. If any petitioner seeking to qualify for Medicaid cannot show proof for any of the above requirements, he or she will not be considered eligible for the program. Failure to meet these DE eligibility guidelines for Medicaid benefits when applying for Medicaid will result in the application being denied.

What are the income requirements for Medicaid in Delaware?

The income requirements for Medicaid in Delaware are established so low-income households that do not receive health care through their employers or that cannot afford private health insurance get the medical care they need. Therefore, Medicaid eligibility requirements in DE meet the federal guidelines for Medicaid in terms of the gross annual income limit a household can make in order to qualify for aid. In order to qualify for Medicaid, all applicants must fall at a certain percentage of the federal poverty level. Adults between 19 and 65 years of age must fall at or below 133 percent of the federal poverty level. However, that percentage changes for pregnant women, children and other special qualifying categories. Specific income amounts required to meet Medicaid eligibility vary by household size. To learn more about Medicaid income requirements, download our comprehensive guide.

What are the Medicaid application guidelines in Delaware?

To be in accordance with the Medicaid application guidelines in Delaware, petitioners must be able to provide proof of their qualifications. Applicants can prove they meet basic Medicaid eligibility requirements by providing a Social Security Number, birth certificate, alien registration number or any other acceptable document that can prove citizenship and residency status. In addition to supplying supporting documentation, in order to qualify for DE Medicaid, applicants have many more guidelines to follow when applying for medical assistance. It is important applicants have thorough knowledge of the application process before beginning an application so they fill out the information correctly. To learn more about Medicaid application guidelines, you can download our complementary guide today.

What are disqualifications for Medicaid in Delaware?

If an applicant does not meet Delaware Medicaid eligibility requirements, then he or she will be disqualified from receiving benefits and the application will be denied. The most common reason an applicant is denied assistance is because he or she does not meet Medicaid income requirements. Additionally, applicants may also be disqualified from Medicaid benefits eligibility if they do not provide the supplemental documents they need to prove their identity and that they are qualified for benefits. If an applicant does not believe he or she can fulfill the Medicaid eligibility requirements, then there are various programs throughout Delaware that help in connecting residents to affordable health care coverage.