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Long-Term Services and Supports Benefits

AmeriHealth Caritas Delaware members of Diamond State Health Plan-Plus can get long-term services and supports (LTSS) benefits.

What are long-term services and supports?

LTSS are medical and non-medical care provided to people who are unable to perform basic activities of daily living (ADLs). ADLs include activities such as dressing and bathing. LTSS can be provided at home, in the community, in assisted-living facilities or in nursing homes.

If you need these benefits, we will try to help you. Call AmeriHealth Caritas Delaware Member Services, 24 hours a day, seven days a week, at:

  • Diamond State Health Plan: 1-844-211-0966 (TTY 1-855-349-6281).
  • Diamond State Health Plan-Plus: 1-855-777-6617 (TTY 1-855-362-5769).

LTSS eligibility

The Department of Health and Social Services (DHSS), Division of Medicaid & Medical Assistance (DMMA), determines initial and continued eligibility for Diamond State Health Plan (DSHP)-Plus LTSS.

Changes in your health might make you eligible to receive additional services to improve or maintain their health. AmeriHealth Caritas Delaware will help enrolled members apply for DSHP-Plus LTSS when their condition shows possible eligibility.

When you may have to pay for LTSS

You may have to pay a part of the cost of your care. This is called patient liability. The amount of patient liability depends on your income and is calculated by DHSS. You must pay the patient liability amount to your facility service provider if you live in a nursing or assisted living facility. If you have patient liability and receive services, your case manager will determine to whom you must pay the patient liability amount.

If you have a patient liability amount and do not pay, there may be consequences. This can include losing your nursing facility or assisted-living facility provider.

Learn more about LTSS

Do you have questions about these services? Call AmeriHealth Caritas Delaware Member Services, 24 hours a day, seven days a week, at:

  • Diamond State Health Plan: 1-844-211-0966 (TTY 1-855-349-6281).
  • Diamond State Health Plan-Plus: 1-855-777-6617 (TTY 1-855-362-5769).