Delaware Home Health Service Policy Manual

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The Delaware Home Health Policy Manual provides a comprehensive framework for the operation of licensed home health agencies delivering skilled and non-skilled care to individuals in their homes throughout the state of Delaware. This manual is aligned with regulations established by Delaware Health and Social Services (DHSS), including the Division of Health Care Quality (DHCQ) and the Division of Medicaid & Medical Assistance (DMMA). It also adheres to federal standards set by the Centers for Medicare & Medicaid Services (CMS), including the Medicare Conditions of Participation (42 CFR Part 484) and applicable provisions under the Home and Community-Based Services (HCBS) Waiver programs. The manual includes detailed policies and procedures addressing agency licensing, skilled nursing and therapy services, personal care, clinical documentation, patient assessment and care planning, infection control, staff qualifications and training, client rights, emergency preparedness, and quality assurance. It supports providers in delivering high-quality, person-centered care that promotes health, safety, and independence in the home setting. Serving as both a regulatory compliance and operational guide, the Delaware Home Health Services Policy Manual ensures that home health agencies maintain excellence in service delivery while fully adhering to state and federal requirements governing home-based care.