HIPAA compliant, BAA available

Measurement-Based Care for Delaware Mental Health Teams

For primary care and pediatric practices, community behavioural health providers, health centres and private clinicians from Wilmington to the beaches. Send age-appropriate screening scales by email or QR code before the annual behavioural health well check, have them scored on submission, and follow each client's results from one year to the next. US customer data is held in Google Cloud US regions.

Schedule a WalkthroughBrowse assessments
HIPAA compliant, BAA available
Data hosted in the US
SOC 2 Type II
Scored on submission
100+
validated assessments
BAA
for HIPAA covered entities
US
Google Cloud regions hold US data
$25
per month

Delaware Covers an Annual Behavioural Health Well Check

  • House Bill 303, signed on 3 August 2022 and in effect since 1 January 2024, made Delaware require an annual behavioural health well check across commercial health insurance, Medicaid and the state employee health plan. The law defines it as a pre-deductible yearly visit with a licensed mental health clinician holding at least a master's degree, which must include a review of medical history, an evaluation of adverse childhood experiences and "use of a group of developmentally appropriate mental health screening tools".

    For commercial carriers, the well check is reimbursed through the preventive visit codes 99381 to 99387 and 99391 to 99397, at the same rate those codes pay for other medical care, and a code used for the well check cannot be denied because it was also used for another service. In Medicaid, the Division of Medicaid and Medical Assistance must set billing codes at comparable rates. The well check can sit inside collaborative care, the primary care behavioural health model, co-location or another integrated primary care model, and can be paid through value-based arrangements if the carrier documents its value.

    The law asks for screening tools but does not name them, so each practice chooses its own set by age. HiBoop sends the PHQ-A and SCARED for young people and the PHQ-9 and GAD-7 for adults, scores each on submission and keeps a client's yearly results on one chart, with CSV and PDF exports. It does not bill insurers or Medicaid for you.

  • Pre-Deductible, Every Year

    An annual visit with a licensed master's-level mental health clinician, in effect since January 2024

  • Screening Tools by Age

    A group of developmentally appropriate screening tools, plus medical history and adverse childhood experiences

  • Paid Like Preventive Care

    Commercial plans pay through the preventive visit codes; Medicaid sets comparable codes

All regions

What HiBoop Does for Delaware Care Teams

  • Delaware pays for a yearly behavioural health check-up and funds treatment through its public divisions. HiBoop does the sending and scoring, so your clinicians can spend the visit on the conversation.

  • Screens Done Before the Well Check

    Email the scales ahead of the visit, with reminders, so clients complete them at home and the scored results are ready when the visit starts. The screening part of the well check is then documented and dated.

  • A Set of Scales for Each Age

    Choose the PHQ-A, SCARED and CRAFFT-2.1 for an adolescent or the PHQ-9, GAD-7 and TAPS for an adult, and send whichever fits the client in front of you.

  • Year-Over-Year Results

    Each year's scores join the same chart, so the clinician can see what has changed since the last well check and use it to inform their judgement about next steps.

  • Exports for Your Records

    Download results as CSV or PDF for the record, a referral or a value-based payment report. You can export the full account at any time.

  • Integrated Primary Care Teams

    Delaware lets the well check sit inside collaborative care or other integrated models. Team and Network plans give primary care and behavioural health staff one shared account, with role-based access.

  • Scales for Teenagers

    In Delaware a young person aged 14 or older can consent to voluntary outpatient mental health treatment. HiBoop includes the PHQ-A, the SCARED and the CRAFFT-2.1 for adolescent caseloads.

Mental health in Delaware

Research data

  • Each figure below links to the source it comes from.

  • 22.1%

    of Delaware adults had any mental illness in the past year (model-based annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

  • 16.6%

    of Delawareans aged 12 to 17 had a major depressive episode in the past year (annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

  • 23.3%

    of Delaware adults received mental health treatment in the past year (2024)

    SAMHSA NSDUH, 2024

  • 17.6%

    of Delawareans aged 12 or older had a substance use disorder in the past year (annual average, 2023-2024)

    SAMHSA NSDUH, 2023-2024

Research from Delaware

  • Reporting in publicly funded treatment

    Consumer Reporting Form data on 29,495 clients admitted to publicly funded substance use and mental health treatment in Delaware from 2019 to 2021 showed that 19% reported experiencing homelessness.

    Borton et al., Delaware Journal of Public Health, 2023 PMID 37622147

  • School-based health centres

    Among Medicaid-insured Delaware youth aged 13 to 18 (2014 to 2016), those enrolled in school-based health centres were more likely to have mental health visits (adjusted prevalence ratio 2.6) and annual risk assessments (11.0) than those not enrolled.

    Hussaini et al., Journal of School Health, 2021 PMID 34254315

  • Youth mental health surveys

    In Delaware School Surveys of 17,361 8th and 11th graders (2022 to 2024), about one in four identified as LGBT+, and among 8th graders their odds of psychological distress were 269% higher than those of cisgender heterosexual peers.

    Layland et al., Delaware Journal of Public Health, 2025 PMID 40786711

  • Postpartum care and depression screening

    At Westside Family Health, a Delaware federally qualified health center, postpartum visit attendance rose from 83.95% to 90.60% after a telehealth option was added (700 patients), though postpartum depression screening was negatively affected.

    Woodroof et al., Delaware Journal of Public Health, 2024 PMID 40070381

  • Alcohol screening in hospital

    Project Engage at Wilmington Hospital screened admitted patients with the AUDIT-PC; of 415 patients who took part from 2008 to 2010, 180 (43%) were admitted to substance use treatment after discharge.

    Pecoraro et al., Addiction Science and Clinical Practice, 2012 PMID 23185969

Where Measurement Fits in Delaware's System

  • HiBoop is independent of these programs and does not connect to state or insurer systems. This is the context your payers and partners work in.

  • The Well Check in Commercial Insurance

    18 Del. C. s.3370E

    All carriers subject to Delaware insurance regulation, including third-party administrators, must cover the annual behavioural health well check and pay it through the listed preventive codes at the rate paid for other medical care. Payment may be adjusted for non-physician clinicians only by a method no stricter than for other medical care. Copays, coinsurance and network rules can still apply.

    99381 to 99397Pre-deductibleParity

  • The Well Check in Medicaid

    31 Del. C. s.531

    Medicaid carriers must also cover the annual behavioural health well check at rates comparable to other medical care, and the Division of Medicaid and Medical Assistance must develop billing codes comparable to the preventive visit codes. Capitated, bundled and other value-based arrangements are allowed if the carrier can show the well check is valued fairly within them.

    MedicaidBilling codesValue-based

  • Reporting in Publicly Funded Treatment

    DSAMH

    Delaware's publicly funded substance use and mental health treatment system gathers Consumer Reporting Form data when clients are admitted. An analysis with the Division of Substance Abuse and Mental Health covered 29,495 clients admitted from 2019 to 2021: 48% of admissions were to substance use treatment, 29% to mental health treatment and 23% to both.

    Consumer Reporting FormSubstance useMental health

  • School-Based Health Centres

    Division of Public Health

    Delaware's school-based health centre program serves students in their schools. State and CDC analysts linked program data with Medicaid claims for 13 to 18 year olds from 2014 to 2016 and compared enrolled students with Medicaid-insured peers who were not enrolled; the mental health findings are in the research below.

    AdolescentsMedicaidMental health visits

Care Teams Across Delaware

  • HiBoop runs in the browser, so the same screening links work for a pediatric practice in Wilmington and a clinician in rural Sussex County. Each line names work done in the area.

  • Wilmington

    Wilmington Hospital ran Project Engage, which screened every admitted patient with the AUDIT-PC, and Westside Family Health studied telehealth for postpartum care.

  • Newark and New Castle County

    The University of Delaware's Center for Drug and Health Studies analyses Consumer Reporting Form data with the state's Division of Substance Abuse and Mental Health.

  • Dover and Kent County

    Legislative Hall in Dover is where the General Assembly passed the annual behavioural health well check in 2022.

  • Sussex County

    Delaware's southernmost county, where screening by email or QR code before a telehealth visit can save families a drive.

  • Statewide pediatric care

    Nemours Children's Health runs an integrated primary care program that brings behavioural health providers into pediatric practices for children and youth in Delaware.

Data sovereignty

Why Delaware clinics choose HiBoop

  • Outcome Tracking for Delaware Programs

    • US customer data stays in Google Cloud US regions, encrypted both in transit and at rest
    • HIPAA compliant with a BAA for covered entities, and SOC 2 Type II certified
    • Role-based permissions, and a log entry whenever client data is viewed or exported
    • Care is priced at $25/month, month to month, and you can start with no credit card
    • Clients answer on their own phone, from a link sent by email or a QR code at the front desk

  • USD pricing & support

    Transparent pricing in USD with flexible payment options for clinics of every size.

    Care
    One clinician, month to month
    $25
    USD/month
    Team
    Starting price, unlimited clinicians
    $200
    USD/month
    Network
    Multi-site organizations
    Custom
    Enterprise pricing

100+ validated scales for Delaware clinics

  • Validated scales grouped by what they measure, each with its scoring and source. Public programmes often call this routine outcome monitoring (ROM), or patient-reported outcome measures (PROMs): the same practice of giving a validated scale at regular points and reading the scores over time.

  • Adolescent Well Check

    • PHQ-A (Adolescent Depression)
    • SCARED (Child Anxiety)
    • CRAFFT-2.1 (Youth Substance Use)

  • Adult Well Check

    • PHQ-9 (Depression)
    • GAD-7 (Anxiety)
    • TAPS (Tobacco, Alcohol and Other Substances)

  • Follow-Up and Risk

    • C-SSRS Screener (Suicide Risk)
    • PCL-5 (PTSD)
    • ASSIST (Substance Involvement)
Browse all assessments

Delaware Consent Rules and Health Privacy

  • HIPAA sets the federal baseline. Delaware law decides when a teenager can agree to their own outpatient mental health care and what a parent can still decide. No law certifies software; these duties sit with your organization, and HiBoop provides safeguards that support them.

  • What Delaware law asks

    • Accept written consent to voluntary outpatient mental health treatment from a minor aged 14 or older, which binds the minor and their parents as if the minor were an adult; for a minor under 14, a parent, custodian or guardian must request and consent (16 Del. C. s.5003(f)(3))
    • Respect consent given on either side: a minor aged 14 or older cannot cancel a parent's consent to outpatient treatment, and a parent cannot cancel the consent the minor gave (16 Del. C. s.5003(f)(3))
    • Obtain a parent, custodian or guardian's consent before giving psychotropic medication to a minor, which a minor's own consent does not cover (16 Del. C. s.5003(f)(3))
    • Meet HIPAA's safeguard and breach notification duties, with a business associate agreement in place for every vendor holding protected health information

  • What HiBoop provides

    • A business associate agreement for HIPAA covered entities
    • Hosting for US customers in Google Cloud US regions, encrypted in transit and at rest
    • Role-based access, so you control which staff see a teenager's screening results
    • SOC 2 Type II certification, with our controls described on the trust page

  • Adding HiBoop to your well check workflow?

    Our trust page sets out hosting, encryption, access controls and SOC 2 Type II. Ask us for a BAA or for help answering a security questionnaire.

    View the trust centre

Grants & funding for Delaware mental health clinics

Funding Guide

  • Public and private funding programs that support measurement-based care implementation.

  • SAMHSA — Substance Abuse and Mental Health Services Administration

    Certified Community Behavioral Health Clinic (CCBHC) Expansion Grants

    Tech eligible

    SAMHSA’s CCBHC grants fund detailed behavioral health services including the infrastructure, staffing, and technology required to meet CCBHC standards. Outcome measurement and digital assessment platforms are explicitly eligible as required infrastructure for CCBHC certification.

    $1M–$5M/yearLearn more

  • SAMHSA

    Mental Health Block Grant (MHBG)

    Tech eligible

    States receive federal MHBG funds and redistribute them to community mental health organizations. Technology, quality improvement, and workforce development are eligible uses. Contact your state mental health authority to understand how MHBG flows in your state.

    State-distributedLearn more

  • SAMHSA

    Primary and Behavioral Health Care Integration (PIPBHC)

    Tech eligible

    SAMHSA’s PIPBHC program funds integration of primary and behavioral health care, including the technology infrastructure needed to coordinate care across disciplines. Outcome measurement platforms and digital assessment tools are eligible as integration infrastructure.

    $500K–$900K/yearLearn more

  • HRSA — Health Resources and Services Administration

    Rural Health Network Development Program

    Tech eligible

    HRSA funds rural health networks to develop shared infrastructure including technology platforms, telehealth systems, and outcome measurement tools. Mental health-focused networks in rural areas can use this to fund shared digital assessment and measurement platforms.

    $250K–$500K/yearLearn more

  • HRSA

    Behavioral Health Workforce Development Program

    Tech eligible

    Supports expanding the behavioral health workforce through training, clinical placements, and technology-supported care delivery. Technology platforms that support supervision, measurement, and case management are eligible uses.

    $250K–$1MLearn more

  • CMS Innovation Center (CMMI)

    ACCESS Model — Behavioral Health Track

    Tech eligible

    The Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) model includes a Behavioral Health Track for practices treating depression and anxiety. It shifts from fee-for-service to monthly payments tied to outcomes — explicitly requiring technology-enabled care and outcome measurement.

    Enhanced per-patient paymentsLearn more
View all grants & funding

Resources for Delaware practitioners

Delaware Law and Policy Resources

Latest in mental health in California

Crisis and urgent help lines

More crisis lines

Measurement-based care

…starts with what we measure, and how long.

Frequently Asked Questions

  • Does Delaware require measurement-based care?

    Not as ongoing outcome tracking. Delaware does require insurers, Medicaid and the state employee plan to cover a yearly behavioural health well check that includes a group of developmentally appropriate screening tools, which is the closest thing to a statewide measurement rule we found. Repeating scales during treatment remains a clinical choice unless your payer contract asks for it.

  • Will HiBoop bill the well check for us?

    No. HiBoop does not submit claims or connect to insurer or Medicaid systems. It sends and scores the screening scales and exports results as CSV or PDF, so your team can document the well check and bill it through its usual process.

  • Can a 15-year-old start therapy without a parent in Delaware?

    For voluntary outpatient treatment, yes. Under 16 Del. C. s.5003, a minor aged 14 or older can give written consent to outpatient mental health treatment, and neither the minor nor a parent can cancel the consent the other gave. Psychotropic medication still needs a parent's consent. Confirm the details with your counsel; HiBoop's role-based access lets you limit who sees a young client's scores.

  • Is HiBoop HIPAA compliant for Delaware practices?

    Yes. HiBoop is HIPAA compliant and covered entities can sign a business associate agreement with us. Whether a particular disclosure is allowed depends on your situation and on Delaware law as well as HIPAA, so check with your counsel.

Official sources for Delaware

  • Billing and payment routes

    1. 1.CMS MLN909432: Behavioral Health Integration Services · public program · codes 99484, 99492, 99493, 99494, G2214, G0323 (read in the document on 2026-11-01)
    2. 2.CMS Physician Fee Schedule look-up · fee schedule
    3. 3.SAMHSA: Certified Community Behavioral Health Clinics (CCBHC) · public program

    Fee codes and amounts are set by each payer and change; check the linked schedule before you bill. HiBoop does not submit claims.

    Regulators and licensing

    1. 1.ASPPB: psychology licensing boards · psychologists
    2. 2.ASWB: social work regulatory boards · social workers
    3. 3.Counseling Compact · counsellors
    4. 4.Social Work Licensure Compact · social workers

    Data and statistics

    1. 1.SAMHSA: NSDUH state reports
    2. 2.HRSA: HPSA Find (mental health shortage areas)
    3. 3.NIMH: mental illness statistics

    Listed for reference so you can find the official source. HiBoop is not affiliated with, and is not endorsed by, any of these organizations.