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Delaware Medicaid

Delaware Medicaid

Expansion adopted (2014) 12-month postpartum Doula pilot

Delaware Medicaid covers pregnant women up to 217% of the federal poverty line, roughly $56,030 annual income for a family of three in 2025. The state adopted Medicaid expansion in 2014.

On maternal health specifically: Delaware Medicaid has extended postpartum Medicaid coverage to 12 months (effective 2022-04-01), and runs a Medicaid doula pilot reimbursing up to $1,500 per perinatal package (effective 2024-01-01).

Senate Bill 54 (Hansen, 2023) established a Medicaid doula pilot reimbursing up to $1,500 per perinatal package. The Delaware Maternal and Child Health Consortium publishes a Black maternal mortality review report annually.

Ways to apply for Delaware Medicaid

These are the channels Delaware names on its own Medicaid pages. Use whichever is easiest.

Online
Apply online

assist.dhss.delaware.gov

In person
Division of Social Services office closest to where you live.
By mail
The state accepts applications by mail.
HealthCare.gov
You can also apply at HealthCare.gov any time of year. If anyone in your household looks eligible for Medicaid, it sends your information to Delaware's agency.
Decision time
Federal rules give the state up to 45 days to decide, or 90 days if you apply based on a disability (42 CFR 435.912).

Read on the state's own pages, October 13, 2026.

Key facts at a glance

  • Pregnant women eligible up to 217% FPL ($56,030 for a family of three in 2025).
  • Children 0-5 eligible up to 217% FPL ($56,030 for a family of three).
  • Expansion adults eligible up to 138% FPL ($35,630 for a family of three).
  • Doula reimbursement: $1,500 per full perinatal package.
  • Postpartum Medicaid extended to 12 months (effective 2022-04-01).

For Black families

Roughly 78,000 Black residents are enrolled in Delaware Medicaid, per the most recent CMS T-MSIS analytic file. The number understates true eligibility: every state has Black eligibles who aren't currently enrolled, usually because of the administrative-churn rates that rose sharply during the 2023 unwinding.

Senate Bill 54 (Hansen, 2023) established a Medicaid doula pilot reimbursing up to $1,500 per perinatal package. The Delaware Maternal and Child Health Consortium publishes a Black maternal mortality review report annually.

For enrollment help: look for your state's Navigator program (federally funded under the ACA), a Federally Qualified Health Center in your county (every FQHC has certified application counselors on staff), or one of the named community organizations below. Our FQHC directory filters to this state at /clinics/de/.

Data sources

Data refreshed:

If you have Medicaid, the coverage on this page is the route to use first: it costs you nothing and it is what these programs exist for. If you are not covered yet, there is still a free option. Our directory of free and charitable clinics lists centers by state. The option below is self-pay and is not billed to Medicaid. It is here for readers who are between coverage or who prefer to pay out of pocket:

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