Get the free Delaware Title XIX Point-of-Sale (POS) Certification Agreement

This document is an agreement for providers wishing to participate in the submission of Point-of-Sale (POS) claims under Delaware's Medicaid Program, outlining the requirements and obligations for

How to fill out delaware title xix point-of-sale

How to fill out Delaware Title XIX Point-of-Sale (POS) Certification Agreement

1. Obtain the Delaware Title XIX Point-of-Sale (POS) Certification Agreement form from the Delaware Medicaid website.
2. Read the instructions carefully before filling out the form.
3. Provide the necessary personal information, including your name, address, and contact details.
4. Fill in the Medicaid provider number assigned to you.
5. Indicate the services you will provide under this agreement.
6. Include any required supporting documentation as specified in the instructions.
7. Review the completed form for accuracy and completeness.
8. Sign and date the form at the designated section.
9. Submit the form to the appropriate Medicaid office as directed in the instructions.

Who needs Delaware Title XIX Point-of-Sale (POS) Certification Agreement?

1. Healthcare providers who intend to bill Delaware Medicaid for services provided to Title XIX beneficiaries.
2. Pharmacies participating in the Delaware Medicaid program.
3. Doctors, dentists, and specialists who will use the Point-of-Sale system for claims processing.

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What is the lookback period for Medicaid in Delaware?

In Delaware, the Look-Back Period is 60 months, which means the state will look back into the applicant's financial history for the 60 months prior to their application date to see if they have given away any assets or sold them at less than fair market value.

Is Medicaid a government contract?

Under managed care, Medicaid enrollees get some or all of their services through an organization under contract with the state. Most states use a combination of FFS and managed care. The federal government and the states jointly finance Medicaid.

What is the Medicaid state contract in Delaware?

Delaware's Medicaid state plan is an agreement between the state and the federal government that describes how Delaware administers its Medicaid program. The plan gives an assurance that the state will abide by federal rules and may claim federal matching funds for its program activities.

What is the income limit for Medicaid in Delaware?

Information Family SizeAnnual Income 100% FPLMonthly Income 133% FPL 1 $15,060 $1,669 2 $20,440 $2,265 3 $25,820 $2,862 4 $31,200 $3,4586 more rows

For pdfFiller’s FAQs

What is Delaware Title XIX Point-of-Sale (POS) Certification Agreement?

The Delaware Title XIX Point-of-Sale (POS) Certification Agreement is a formal agreement that outlines the standards and process for pharmacies and healthcare providers to certify their compliance with the Medicaid reimbursement requirements for services rendered at the point of sale.

Who is required to file Delaware Title XIX Point-of-Sale (POS) Certification Agreement?

Pharmacies, healthcare providers, and any entities that provide services reimbursable under the Title XIX Medicaid program are required to file the Delaware Title XIX Point-of-Sale (POS) Certification Agreement.

How to fill out Delaware Title XIX Point-of-Sale (POS) Certification Agreement?

To fill out the Delaware Title XIX Point-of-Sale (POS) Certification Agreement, entities should complete the designated sections of the form, providing accurate information regarding their services, compliance measures, and any necessary identification numbers, then submit it to the appropriate state authority.

What is the purpose of Delaware Title XIX Point-of-Sale (POS) Certification Agreement?

The purpose of the Delaware Title XIX Point-of-Sale (POS) Certification Agreement is to ensure that providers meet the necessary standards for Medicaid reimbursement, thereby facilitating efficient and compliant operations within the state's Medicaid program.

What information must be reported on Delaware Title XIX Point-of-Sale (POS) Certification Agreement?

The information that must be reported on the Delaware Title XIX Point-of-Sale (POS) Certification Agreement includes the provider's identification, details about the services offered, compliance with state regulations, and evidence of proper licensing and certifications.