The process · start to finish

How it works

The full system, in seven plain steps — from the first eligibility check to payday. This page is the map; the Sign Up page holds every requirement behind each step.

  1. 1. Check eligibility

    It starts with Delaware Medicaid and a level-of-care assessment. Both need to be in place before paid care can begin.

  2. 2. Assessment & authorized hours

    The health plan or the state sets the hours in a care plan. Those are the authorized hours. No authorized hours, no paid care.

  3. 3. Choose your caregiver

    Your family chooses the caregiver: your adult child, a relative, a friend, or — for a child — a parent.

  4. 4. Caregiver onboarding

    Before care begins, the caregiver completes onboarding: identification and work authorization, the Delaware Background Check Center criminal check and drug screening required by state law (16 Del. C. §§ 1145–1146), orientation covering the state’s required topics, and a competency test — passed before the first visit and repeated every year.

  5. 5. Care, verified

    The caregiver clocks in and out in an EVV phone app. Under federal law, every visit records who provided the care, whom it was for, when it happened, and where.

  6. 6. We bill the plan

    Delmarva Family Care converts verified visits into claims to the member’s health plan. Families do not bill anyone.

  7. 7. Payday

    The caregiver is paid regular W-2 wages by Delmarva Family Care for the authorized, verified hours worked.

Ready to hold your place?

Signing up is free and holds your place on our interest list, in the order you signed up.

Sign up your family Sign up as a caregiver

Your next step

Read the full requirements for your family and your caregiver — each one explained, each with its government source — then hold your place on the interest list.

Go to Sign Up — requirements, packet, and forms