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This document provides essential information to pharmacy providers regarding Medicaid billing guidelines, prior authorization requests for medications, and changes to prescription policies related
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How to fill out Delaware Medical Assistance Program Provider Alert

01
Obtain the Delaware Medical Assistance Program Provider Alert form.
02
Read the instructions carefully to understand the requirements.
03
Fill in your provider information, including your name, address, and contact number.
04
Provide your provider number and revalidate if necessary.
05
Indicate the specific services or changes being reported in the appropriate section.
06
Make sure to include any required supporting documentation.
07
Review the completed form for accuracy and completeness.
08
Submit the form through the specified method (mail, fax, or online) as instructed.

Who needs Delaware Medical Assistance Program Provider Alert?

01
Health care providers participating in the Delaware Medical Assistance Program.
02
Any medical service provider needing to update or change their information.
03
Providers addressing billing inquiries or service changes related to Medicaid.
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Medicaid furnishes medical assistance to eligible low-income families and to eligible aged, blind and/or disabled people whose income is insufficient to meet the cost of necessary medical services.
Delaware Medicaid Medicaid pays for: doctor visits, hospital care, labs, prescription drugs, transportation, routine shots for children, mental health and substance abuse services.
Delaware Medicaid Medicaid pays for: doctor visits, hospital care, labs, prescription drugs, transportation, routine shots for children, mental health and substance abuse services. Apply for Medicaid.
Information Family SizeAnnual Income 100% FPLMonthly Income 142% FPL 1 $15,060 $1,782 2 $20,440 $2,418 3 $25,820 $3,056 4 $31,200 $3,6926 more rows
Medicaid also helps cover medical costs for other adults. Medicaid offers benefits not normally covered by Medicare, like nursing home care and personal care services. The rules around who's eligible for Medicaid are different in each state.
AmeriHealth Caritas Delaware members ages 21 and older are enrolled in the Medicaid dental. It includes $1,000 of coverage per year for dental services. Services include: Cleanings.
Medicaid coverage can vary from state to state, but here are some common services and items that are typically not covered: Elective cosmetic procedures: Cosmetic surgeries and procedures, such as cosmetic dentistry and non-medical weight loss procedures, that are not medically necessary are typically not covered.

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The Delaware Medical Assistance Program Provider Alert is a communication tool used by the Delaware Division of Medicaid and Medical Assistance (DMMA) to inform healthcare providers about updates, changes, and important information related to the Medicaid program.
Healthcare providers who participate in the Delaware Medical Assistance Program are required to file the Delaware Medical Assistance Program Provider Alert when they have significant information to report regarding their services or practices.
To fill out the Delaware Medical Assistance Program Provider Alert, providers should complete the designated form with accurate information, ensuring to include details about the service or situation being reported, and submit it through the appropriate channels established by DMMA.
The purpose of the Delaware Medical Assistance Program Provider Alert is to ensure timely communication of critical information to healthcare providers, facilitate compliance with program regulations, and improve the quality of care provided to Medicaid recipients.
Providers must report information such as changes in practice location, updates on billing practices, key staffing changes, and any incidents that may affect patient care or reimbursement within the Delaware Medical Assistance Program.
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