Review cadence
- Source date
- 2026-07-17
- Claim review
- 2026-07-18 · 25/25
- Proven sweep
- 2026-07-15
- Target
- T3 · monthly
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Delaware has 3 community health centers across 16 sites serving 40,768 patients — the #48 FQHC state by patients in the national-breadth layer. As an expansion state, Medicaid anchors the safety net, and H.R. 1 work requirements plus the December 2026 funding cliff are the key risks.
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We keep source date, claim review, and a completed source sweep separate. None of these clocks substitutes for another.
23,463 reported patients
Actual values: 12/12 · source-backed: 12/12
All 12 fields have an actual value.
Hash-pinned review: 2026-07-19 · next 2026-11-16
This public log starts July 14, 2026. Zero logged changes does not mean a page or claim never changed before that date.
2026-07-18 · addition
New tracked DE development added to the state intelligence feed.
2026-07-18 · addition
New tracked DE development added to the state intelligence feed.
2026-07-16 · addition
New tracked DE development added to the state intelligence feed.
2026-07-16 · addition
New tracked DE development added to the state intelligence feed.
2026-07-16 · addition
New tracked DE development added to the state intelligence feed.
2026-07-16 · addition
New tracked DE development added to the state intelligence feed.
2026-07-16 · addition
New tracked DE development added to the state intelligence feed.
2026-07-16 · addition
New tracked DE development added to the state intelligence feed.
2026-07-16 · addition
New tracked DE development added to the state intelligence feed.
2026-07-16 · addition
New tracked DE development added to the state intelligence feed.
2026-07-15 · material correction
Corrected this DE record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this DE record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this DE record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this DE record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this DE record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this DE record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this DE record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this DE record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this DE record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this DE record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this DE record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this DE record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this DE record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this DE record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
2026-07-15 · material correction
Corrected this DE record after a full claim-and-source sweep replaced stale, unsupported, or mismatched framing with the currently supported evidence.
Send a correction or new source to improve this state page.
HRSA's 2024 Uniform Data System reports three Delaware Health Center Program awardees serving 40,768 patients. Delaware's rural-health plan estimates that roughly 38% to 40% of residents—about 400,000 people—live in rural areas, with access, transportation, and workforce pressures concentrated in Kent and Sussex counties. The state's $157.4 million first-year Rural Health Transformation Program award includes explicit FQHC value-based-care readiness and statewide insurance-verification work. Separate coverage risks must remain labeled as estimates: the Delaware Healthcare Association projected more than 50,000 Medicaid coverage losses under federal changes, while KFF observed a 16% decline in Delaware Marketplace plan selections for 2026; neither figure is a current count of uninsured FQHC patients.
Patient-weighted across the 3 centers with UDS 2024 data.
Delaware Code title 24, sections 1902 and 1935, defines APRNs as independent licensed practitioners and grants full-practice and prescriptive authority when the Board of Nursing issues an APRN license. Within their licensed role and population focus, APRNs may diagnose, prescribe, initiate therapy, and make referrals; they must consult when patient needs exceed their expertise. Section 1936's former collaborative-agreement requirement is repealed.
Medicaid community-engagement (work) requirements under CMS-2454-IFC (80 hrs/month, full implementation Jan 1, 2027) plus expiry of the enhanced ACA premium tax credits (end of 2025) threaten Delaware's expansion population and FQHC Medicaid revenue.
Role implications
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Delaware ranks #48 by FQHC patients, with 3 organizations and 16 sites tied to Medicaid work-requirement exposure.
Use this as the board agenda frame: exposure, owner, decision date, and the first source to recheck.
41.7% Medicaid/CHIP, 33.4% uninsured, and 16.7 points above the expansion peer average.
Turn the payer mix into scenarios for PPS, 340B, grants, and patient-volume stress.
50 public ATS snapshot rows across 1 sources; largest systems and directory links show where hiring capacity may need verification.
Use the state read to pick roles to watch, openings to save, and retention risks to discuss with managers.
Delaware combines 40,768 FQHC patients with full practice NP practice context and access pressure from payer mix.
Map the signal to panel access, team-based care, top-of-license planning, and patient-impact follow-up.
MACHC, state policy context, and the December 31, 2026 CHC Fund cliff define the sources to keep current.
Assign one source owner for state policy, one for federal deadlines, and one for billing/audit implications.
Delaware has 3 FQHC employers in the directory and 50 public ATS snapshot rows across 1 sources to compare before applying.
Use the state context to choose target employers, tailor proof, and save the next job or resource in My Progress.
50 live FQHC job postings in Delaware on the national board right now.7 include employer-posted pay.1 verified employer source; newest review 2026-07-20.
The official Delaware Department of Labor / Delaware JobLink source was checked 2026-07-15, and the artifact contained 79 official rows. We publish only human-confirmed FQHC directory matches: 0 confirmed and 0 pending.
The row count describes the official artifact, not a count of FQHC layoffs. · Official source
Gov. Meyer signed the ~$7B FY2027 budget (+6.3%) on deadline June 30 — lawmakers named health-care inflation the top cost driver, with raises for direct-support and behavioral-health providers.
No dedicated community-health-center line item — Delaware's three FQHCs enter the Dec 31 CHC Fund cliff relying on federal action. Separately, the state routed its $157.4M RHTP award into statewide real-time insurance verification, naming FQHCs as direct beneficiaries (July 6).
Primary source · as of 2026-07-14
25 primary-sourced findings on Delaware FQHC policy and financing.Newest item: 2026-07-17
In a July 17 review, Henrietta Johnson Medical Center’s careers page listed four open position titles: Certified Medical Assistant, Registered Dental Hygienist, Mental Health Therapist–LCSW, and Triage Nurse. The page tells applicants to email a résumé with the position title in the subject line to its human-resources coordinator, but the visible contact shown is a phone number and extension rather than an email address.
It lists medical, dental and vision insurance, paid time off, flexible hours, disability coverage, an employee-assistance program, life insurance and a 401(k) among employee benefits. This is a current advertised-vacancy baseline for Southbridge Medical Advisory Council, Inc., which operates as HJMC; it is not evidence of four total openings, one opening at each site, newly created or full-time positions, a staffing shortage, recruitment duration, salaries, applications, completed hires, retention, added FTE, patient capacity, access change or outcomes.
The date is observation, not publication.
La Red Health Center's current locations page, observed July 16, lists its Georgetown site at 21444 Carmean Way. Under its “Medical & LabCorp” heading, the page posts hours of 7:30 a.m.–7 p.m. Monday through Thursday, 8 a.m.–5 p.m. Friday, and 8 a.m.–2 p.m. on two Saturdays per month.
Dental hours are 7:30 a.m.–5:30 p.m. Monday through Thursday and 8 a.m.–noon Friday. The page also provides an after-hours physician number and directs life-threatening situations to 911 or an emergency center.
These are posted schedules and contact pathways, not guaranteed service or appointment availability. The page does not identify the two Saturday dates, establish which services are available throughout every hour, promise an immediate response, or report staffing or FTE, capacity, visits, wait times, funding, or outcomes.
It co-lists LabCorp but does not establish La Red ownership or operation of the laboratory service; patients should confirm current access.
Westside Family Healthcare's current appointment page, observed July 16, says it is accepting new patients and lists medical scheduling hours of 7 a.m.–9 p.m. Monday through Thursday, 7 a.m.–5 p.m. Friday, and 9 a.m.–1 p.m. Saturday. It also provides a Provider-On-Call number for urgent medical questions when offices are closed and directs emergencies to 911 or the emergency room.
These are scheduling-team and after-hours contact pathways, not evidence that clinical appointments are available throughout every listed scheduling hour. The page does not establish a real-time slot, walk-in access, response time, specialty coverage, staffing or FTE, capacity, visits, wait times, funding, or outcomes; patients should confirm current availability.
In a July 16, 2026 review, Henrietta Johnson Medical Center's current homepage displayed an organization-produced graphic stating that 3,277 patients receive care at HJMC because of 340B. This documents HJMC's organization-reported account of 340B's role in patient access.
The graphic provides no measurement period, methodology, prescription-utilization count, dollar savings or clinical outcomes, so 3,277 remains an attributed HJMC claim rather than an audited statistic or a 2026 patient count.
La Red Health Center states that it participates in the federal 340B program and offers eligible insured and uninsured patients lower-cost medications through participating pharmacies. Its patient page says 340B savings help expand services, hire staff, and improve care for uninsured patients.
This is verified organization-level evidence for La Red only; it does not establish identical pharmacy arrangements across every Delaware health center. Staff should confirm eligibility and the participating pharmacy before describing a patient discount.
Delaware's Rural Health Transformation Program lists $24,322,042.48 in first-year funding to help rural providers and FQHCs prepare for value-based care, including preparation to accept upside and downside risk and accountability for total cost and population outcomes. The state separately lists $6.42 million for a statewide real-time insurance-verification and prior-authorization network.
The public page describes program purposes and budgets but does not name selected FQHC recipients, so eligibility for the initiative must not be presented as an award to a particular organization.
On July 6, DHSS and the Delaware Health Care Commission announced that the Delaware Health Information Network will work with Smart Health Network on real-time insurance verification and prior authorization. The project is supported by Delaware's $157,394,963.86 first-year Rural Health Transformation Program award, funded entirely by CMS.
The announcement says DHIN already connects hospitals, health systems, FQHCs, laboratories, pharmacies, and other provider organizations; it does not call FQHCs direct grant beneficiaries or quantify Delaware-specific time savings.
DHSS's July 1 session review says the General Assembly passed measures expanding access to physician associates and dental hygienists, establishing hospital financial-assistance and charity-care requirements, imposing a moratorium on private-equity hospital acquisitions, and using reference-based pricing for hospital care. These are statewide delivery-system and workforce changes.
The source does not quantify their effect on FQHC staffing or uncompensated care, so those downstream effects remain unmeasured.
Governor Matt Meyer signed Delaware's FY2027 operating budget on June 30. The official announcement highlights pay increases for direct support professionals and behavioral-health service providers, expanded home-care support for older adults, an approximately 10% eligibility expansion for the Purchase of Care childcare program, and more than $150 million in workforce investments, including 3% raises for state employees and public educators.
The announcement does not identify a dedicated FQHC appropriation or support several more granular figures previously attached to this claim.
WHYY reports that La Red Health Center, the Delaware State Housing Authority, and community organizations launched Maternal Outreach and Mobile Services: Advancing Health for Rural Delaware Families. Community health workers, bilingual doulas, and La Red's mobile unit bring maternal services to underserved communities in southern Delaware, especially women of color and immigrant families facing transportation, provider, and insurance barriers.
The article documents a grant but does not identify HRSA or a four-year term, so those details are not asserted here.
CMS-2454-IFC, published June 3 and effective July 31, requires states to implement the federal Medicaid community-engagement provision no later than January 1, 2027. The rule addresses applicable adults, qualifying activities, exclusions and deemed-compliant groups, verification, outreach, noncompliance procedures, and state reporting.
The statutory standard is generally 80 hours per month. This is a national rule that applies to Delaware's program; the rule does not provide Delaware-specific coverage-loss counts or identify particular Delaware employers, patients, or FQHCs.
Spotlight Delaware reports that Thomas Jefferson University won a $78 million, five-year contract to establish Delaware's first four-year medical school. The branch campus is initially planned for the University of Delaware in Newark; applications are targeted for early 2027 and classes for summer 2028.
The first cohort can receive free education by committing to rural Delaware practice, and the curriculum is intended to center rural health. The report does not place the announcement at Westside Family Healthcare in Dover.
Delaware's official 2026 Cycle 5 recipient summary awards La Red Health Center $28,500 to integrate food distribution with clinical care through produce prescriptions and nutrition education for Hispanic, Haitian Creole, and African American patients across health centers in Kent and Sussex counties. The linked state announcement says Cycle 5 projects must be completed by December 31, 2026.
The primary materials do not report the number of participating sites, a patient target, the amount or frequency of food support, staffing, launch or completion status, utilization, or health outcomes; this is a funded project plan, not realized access or outcome evidence.
On May 21, 2026, Westside Family Healthcare and its partners formally opened an expanded food pantry at its Dover health center. The site infrastructure includes two free, 24/7 community refrigerators and shelf storage; Leadership Central Delaware donated the pantry and ChristianaCare donated the refrigerators.
The first refrigerator had operated since October 2022 and the second was added before the ribbon-cutting, so this date represents the official opening of the expansion rather than the beginning of the entire program. The source does not report a verified user count, sustained capacity, operating expenditure or clinical outcomes.
KFF reports that Delaware Marketplace plan selections declined 16% for 2026, alongside similarly steep declines in Indiana and Arizona after enhanced premium tax credits expired. Across all Marketplace consumers nationally, average premium payments rose 58%; KFF's earlier 114% figure was a same-plan projection for subsidized enrollees, not an observed Delaware average.
Plan-selection decline is not itself a confirmed count of people becoming uninsured, and the source does not measure a resulting change in Delaware FQHC uncompensated care.
On May 12, Governor Meyer announced the introduction of Senate Bill 13 and Senate Bill 313; the source is an introduction-stage announcement, not evidence of enactment. SB 13 proposed free hospital care through 300% of the federal poverty level, discounted care through 400%, and hardship policies below 500%.
SB 313 proposed a moratorium on for-profit hospital acquisitions through July 1, 2028. The announcement does not address physician-associate scope, which belongs to separate legislation.
In March budget testimony reported by Spotlight Delaware, state Medicaid officials said federal work requirements would create additional paperwork and described keeping eligible people from falling through the cracks as a goal. The report supports a Delaware implementation and eligibility-navigation risk, but it does not establish the detailed enforcement calendar, complete exemption list, or FQHC-specific workload previously included in this claim.
Those operational details should be sourced to final federal and state guidance as it is issued.
At a March 3 Joint Finance Committee hearing, DHSS requested nearly $200 million in additional FY2027 funding. Spotlight Delaware reported that $128.5 million of the request was for Medicaid and that, if approved, the department's budget would approach $2 billion.
Officials pointed to long-term care, pharmaceutical costs, an aging population, and federal eligibility changes as major pressures. These were budget requests at the time of publication, not enacted appropriations or a quantified FQHC reimbursement change.
On February 9, Delaware opened four initial Rural Health Transformation Program requests for proposals: a four-year medical school, four school-based health centers in rural Kent and Sussex schools with a year-three target of 400 patients served, Food Is Medicine infrastructure, and rural community health hubs with a year-three target of 1,500 patients served annually.
The announcement said additional solicitations would be released on a rolling basis; it did not identify an FQHC-readiness solicitation date or selected health-center applicants.
On January 13, 2026, HHS TAGGS recorded four positive Health Center Program actions for Southbridge Medical Advisory Council, Inc. totaling $1,323,477: $922,014, $290,436, $26,596, and $84,431. The recipient record lists 601 New Castle Avenue in Wilmington and identifies HRSA as the operating division.
It verifies the recipient, date, program, and action amounts; it does not specify spending categories, new hires or service changes, patients reached, outcomes, or allocation among sites.
WHYY reported on December 2, 2025 that KFF estimated Delaware could lose 14% of its federal Medicaid funding—about $3 billion to $5 billion over ten years—under enacted federal changes. The Delaware Healthcare Association separately projected that more than 50,000 residents would lose Medicaid and more than 30,000 would become uninsured.
These are forward-looking estimates from different organizations, not observed losses and not additive measures. WHYY also documented transportation and workforce barriers in Kent and Sussex, but did not quantify an FQHC-specific financial effect.
On November 12, 2025, Governor Meyer announced that Delaware had submitted its Rural Health Transformation Program application seeking up to $1 billion over five years. The application proposed 15 initiatives for Kent and Sussex counties, including a medical school, workforce incentives and training, mobile and community access points, school-based health centers, telehealth, and rural-provider and FQHC value-based-care readiness.
This source documents an application milestone; Delaware's later $157.4 million first-year award is documented by later state sources and is not backdated into this event.
Westside Family Healthcare reports that its second Farm to Fork fundraiser on September 18, 2025 raised more than $32,000. Westside says the proceeds benefit its Rural Health Outreach Program, whose mobile unit delivers care and resources directly to farms and housing communities in Kent and western Sussex counties.
The source confirms the completed fundraising total and intended beneficiary program; it does not report how much was spent, the number of people or visits served, or clinical outcomes.
CMS's 2025–2026 Navigator award summary lists Westside Family Healthcare, Inc. for a $150,000 award serving Delaware statewide during the second budget period, August 27, 2025 through August 26, 2026, of a five-year cooperative agreement. The document lists no subawardee or subrecipient and identifies network relationships with state agencies, hospitals, Delaware's other FQHCs, schools, libraries, employers, corrections agencies, and organizations serving uninsured consumers.
It does not report Navigator staffing or FTEs, outreach or enrollment targets, completed applications or enrollments, actual spending, partner-specific commitments or transfers, renewal after August 26, or outcomes; organizations named as community relationships are not documented award recipients.
On July 30, 2025, the Delaware Division of Public Health announced special back-to-school and sports physical days at one state clinic in each county: Riverwalk State Service Center in Milford on August 6 and Floyd I. Hudson State Service Center in Newark and Thurman Adams, Jr. State Service Center in Georgetown on August 7, all from 8:30 a.m. to 4 p.m. The events were open to Delawareans seeking school or Delaware Interscholastic Athletic Association physicals; insurance was accepted and maximum out-of-pocket cost was $20 with or without insurance.
DPH encouraged appointments because walk-in availability would be limited and waits could be long. This documents scheduled, time-limited public-clinic access, not completed visits, a current or recurring schedule, guaranteed walk-ins or appointments, a universal price for other care, FQHC participation, staffing, capacity, utilization or outcomes.
These are state public-health sites, not directory-listed FQHCs.
By patients (HRSA UDS 2024). Tap for the full profile.
| Organization | Patients | Sites | Uninsured | Revenue (990) | Resilience | District |
|---|---|---|---|---|---|---|
| Westside Family Healthcare Inc. Wilmington | 23,463 | 10 | 30.01% | $32M | Watch | DE-00 |
| La Red Health Center, Inc. Georgetown | 13,248 | 4 | 38.28% | $15M | Watch | DE-00 |
| Southbridge Medical Advisory Council, Inc. Wilmington | 4,057 | 2 | 36.85% | — | Exposed | DE-00 |
| District | Representative | Sites |
|---|---|---|
| DE-00 | Sarah McBride | 16 |
Delaware ranks #48 by FQHC patients and #51 by organization count among the 57 national-breadth jurisdictions. All 3 centers depend on the federal Community Health Center Fund, authorized only through December 31, 2026.
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FQHC data from the HRSA bulk-sites file + UDS 2024 + IRS 990. State policy profile via NACHC/KFF/AANP. Intelligence items cite primary sources. Federal items apply to all states; state items are Delaware-only. Updated 2026-06-30.