Delaware Medicaid Provider Agreement

If you have any questions, you can contact us by email: MedicaidInfo@delaware.gov Several updates have been made to the list of adult dental expenses. These updates include coverage of D1206 (Topical Application of Fluoride Varnish) and D1208 (Application of Fluorid-Excluding Fluorid Varnish). A supplier can charge any of these fluorinated codes 1x every 12 months. In addition, the mention was presented on D0120. Delawares Medicaid plan is an agreement between the state and the federal government that describes how Delaware manages its Medicaid program. The plan provides assurance that the state will comply with federal rules and will be eligible for federal funding for its program activities. The national plan includes groups of people to be covered, services, methods of reimbursement of suppliers and routine administrative activities in the state. 1 Subject to the MCO agreement still concluded with DMMA. Delaware Medical Assistance Providers (DMAP) support providers who connect to the Medicaid program, receive and respond to supplier requests, verify customer merit and help submit electronic claims. (800) 999-3371.

The Medicaid ACO program is designed to allow qualified providers to apply as Medicaid ACOs and collaborate directly with our Medicaid Managed Care Organizations (MCOs) in a TCOC payment agreement. DMMA believes that cooperation between Medicaid ACOS and MCOs helps to better coordinate the supply of Medicaid and CHIP members in Delaware, which offers better health outcomes and lower costs. We implemented the program in accordance with Section 80000 of the Department of Manual Social Services (DSSM), the authorization and regulation of Medicaid/CHIP Accountable Care Organizations. Under the legal provisions of 42 CFR 438.6 (i) (i) and 29 del.C. 7931, this regulation sets standards for the licensing and regulation of ACOs for Medicaid/CHIP receivers in the State of Delaware. Due to the ongoing COVID 19 reaction and related activities, DMMA is changing the schedule and contractual requirements of the Medicaid ACO program for 2021 and beyond. In order to take into account Medicaid ACO`s extended application date of June 30, 2020 and to provide sufficient time for ACO/MCO contract negotiations, DMMA reviews the „Key Dates“ table in Section 3 of the application and updates the contractual terms as follows: The Department of Insurance (DOI) warns citizens, Read more This announcement indicated that from October 1, 2020, the age of 19-65 years registered in the managed care would receive their adult dental services through their managed care organization.