How it works
The full system, in seven plain steps — from the first eligibility check to payday.
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. 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. Choose your caregiver
Your family chooses the caregiver: your adult child, a relative, a friend, or — for a child — a parent.
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. 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. We bill the plan
Spangler converts verified visits into claims to the member’s health plan. Families do not bill anyone.
7. Payday
The caregiver is paid regular W-2 wages by Spangler 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.