16 Del. Admin. Code § 18000-18300
Age: The child must be under age 19.
Uninsured: The child must be uninsured. Children cannot be found eligible for DHCP if they:
| * | are eligible for Medicaid; |
| * | are eligible for Medicare; |
| * | have the following types of insurance coverage at the initial determination of eligibility or at the annual redetermination of eligibility. |
| * | Insurance coverage that meets the requirements of comprehensive health insurance, or. |
| * | Military Health Insurance for Active Duty, Retired Military, and their dependents. |
| * | are eligible for or have access to coverage under a state health benefits plan of a family member's employment with a public agency in the state. |
A child who has a family member who works for a public agency within Delaware and is eligible to participate in the State health benefits plan with an employer premium subsidy is not eligible for DHCP. Family member is defined as the parent of the child or the individual who has legal custody of the child. The State health benefits plan is the plan that is offered or organized by the State of Delaware on behalf of State employees or other public agency employees within the state. The State health benefits plan does not include separately run county plans, city plans, or other municipal plans.
Residents of Institutions: A child who is a patient in an institution for mental disease (IMD) or who is an inmate of a public institution is not eligible. Exception: If a child enrolled in DHCP subsequently requires inpatient services in an IMD, the receipt of inpatient services will not make the child ineligible during a period of continuous eligibility.
16 Del. Admin. Code § 18000-18300
28 DE Reg. 45 (7/1/2024) (Final)