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Today, the Centers for Medicare & Medicaid Services (CMS) approved a five-year extension of the "Delaware Diamond State Health Plan (DSHP) Section 1115 Demonstration.” With this approval, the state will sunset a waiver of retroactive eligibility on January 1, 2025, which will expand access by providing three months of retroactive eligibility to all eligible demonstration enrollees. The extension allows the state to extend a number of longstanding authorities, including providing high-quality, clinically appropriate substance use disorder (SUD) treatment services for short-term residents in residential and inpatient treatment settings that qualify as an institution for mental diseases (IMD), adult dental services, and coverage for former foster care youth under age 26 who currently reside in Delaware, but were enrolled in Medicaid in a different state or tribe when they “aged out” of the foster care system. In addition, the state received approval for a few new services, including contingency management services for certain adults with stimulant use disorder or opioid use disorder. This extension is effective through December 31, 2028.
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