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Medicaid & Medical Assistance

Section 9817 of the American Rescue Plan (ARP)

Delaware's Initial HCBS Spending Plan July 2021

Coronavirus Disease (COVID-19) Update:

HHS Announces the Availability of $25.5 Billion in COVID-19 Provider Funding

Click Here for information regarding Delaware's response to Coronavirus

Updated on 10/28/2021 Click Here here for information regarding the Division of Medicaid and Medical Assistance's response to Coronavirus (COVID-19).

Medicaid Members: Click Here If you need transportation for the vaccine.




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Division of Medicaid & Medical Assistance (DMMA) Medicaid Managed Care RFP

The State of Delaware Department of Health and Social Services (DHSS), Division of Medicaid and Medical Assistance (DMMA) has released a Request for Proposal RFP # HSS-22-008, to seek Professional Services for Managed Care Medicaid Service Delivery. The release date was December 15, 2021, with responses due March 15, 2022 by 1:00pm.

https://mmp.delaware.gov/Bids/

The proposed schedule of events subject to the RFP is outlined below:

Public Notice: December 15, 2021
RSVP for Pre-Bid Meeting January 11, 2022
Pre-Bid Meeting January 12, 2022 at 3:00 PM (Local Time)
Deadline for Questions January 14, 2022
Deadline for Notice of Intent to Bid January 14, 2022
Response to Questions Posted by February 8, 2022
Deadline for Receipt of Proposals March 15, 2022 at 1:00 PM (Local Time)
Estimated Notification of Award June 1, 2022
Implementation and Readiness Review June through December, 2022
Contract Effective Date and Start Date of Operations January 1, 2023

 

RFP Designated Contact

As provided in Section IV.B.15, RFP Question and Answer Process, all questions related to this RFP must be submitted in the Q/A section of the project listing in the Bonfire Procurement Portal. Address all other RFP communications to the person listed below; communications made to other State of Delaware personnel or attempting to ask questions by phone or in person will not be allowed or recognized as valid and may disqualify the bidder. Bidders should rely only on written statements issued by the RFP Designated Contact or responses posted under the project listing in Bonfire.

DHSS/DMMA Contact:
Cynthia Powell Cynthia.Powell@delaware.gov

Contracts, Management and Procurement (CMP) Contact:
Chevis Fennell
Purchasing Services Administrator DHSS_DMS_dmsprocure@delaware.gov

To ensure that communications are received and answered in a timely manner, please use electronic mail (e-mail).

Medicaid Adult Dental Benefit

Update 10/12/2020

Several updates have been made to the Adult Dental Fee Schedule. These updates include coverage of D1206 (Topical Application of Fluoride Varnish) and D1208 (Topical Application of Fluoride-Excluding Fluoride Varnish). A provider may bill one or the other of these fluoride codes 1x every 12 months. Additionally, clarification was made to the note on D0120.

Senate Substitute 1 for Senate Bill 92, enacted in 2019, directs the Division of Medicaid and Medical Assistance (DMMA) to establish an adult dental benefit. Adult dental coverage is optional for state Medicaid programs, but most offer at least an emergency dental benefit. It has been a long-standing priority of DMMA to offer preventive and restorative dental treatment for our adult population to address negative health outcomes associated with the lack of oral health care. The benefit will enable Medicaid-enrolled adults to receive up to $1,000 of dental care per year. An additional $1,500 may be available for qualifying emergency or supplemental care when medically necessary.

Unfortunately, we will be unable to meet the April 1, 2020, implementation date included in the legislation. We are working closely with the Centers for Medicare and Medicaid Services, but estimate an additional six months will be needed to receive all the necessary federal approvals and complete the subsequent administrative tasks necessary to begin the program. The projected implementation date is now October 1, 2020. The full benefit will be available upon the implementation of the program.

We apologize for the inconvenience this will cause to our beneficiaries who are waiting for these critically needed services and assure you that we will continue to move forward as quickly and expeditiously as possible.

We want to express our appreciation for the continued support and collaboration of Governor Carney, Lt. Governor Hall-Long, members of the General Assembly, the Dental Society, and other stakeholders.

If you have questions you can reach us by emailing: MedicaidInfo@delaware.gov

Medicaid Adult Dental Services

Correction Posted 10/06/2020

An announcement posted on the State of Delaware/DHSS website announcing Medicaid's new adult benefit contained incorrect information regarding the age group for adult dental benefits.

This announcement indicated that beginning October 1, 2020 individual's age 19-65 who are enrolled in managed care would receive their adult dental services through their managed care organization. This information is incorrect.

The adult dental benefit begins at age 21 not 19 as described in this announcement. Adults age 19-20 will continue to receive their dental benefits through the FFS program.

There is no age limit on who can receive adult dental services. Adults over the age of 65 may receive adult dental services.

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Medicaid

Medicaid

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.   Apply for Medicaid  |  Learn about Medicaid

Healthy Children Program

Healthy Children Program

The Delaware Healthy Children Program (CHIP) features the same high-quality coverage you'd get with some of the best private insurance plans.   Apply for CHIP  |  Learn about CHIP

 
Delaware Prescription Assistance Program

Prescription Assistance Program

Delaware Prescription Assistance Program has been reinstated as of January 1, 2019 and is currently accepting applications.

Chronic Renal Disease Program

Chronic Renal Disease Program

The Chronic Renal Disease Program (CRDP) was established to provide assistance to Delaware residents diagnosed with End Stage Renal Disease (ESRD).   Contact our Office  |  Learn about CRDP

 

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Medical Assistance & Support Services...



Customer Relations

Customer Relations

Customer Relations provides general information, referrals and assistance to DMMA and Division of Social Services applicants, clients, staff and others inquiring about Medicaid benefits and services. (302) 571-4900 or (866) 843-7212.

Provider Relations

Provider Services

Provider Services helps Delaware Medical Assistance Program (DMAP) Providers enroll in the Medicaid program, receive and respond to provider inquiries, verify client eligibility and aid in submitting electronic claims. (800) 999-3371.

 
Dental Resources

Dental Resources

The Delaware Aging and Disability Resource Center can help eligible individuals find dental care and many other services. If you need a dentist for a child, use this Dentist Locator to find a dentist near you who sees children and accepts Medicaid and CHIP.

Administration Notices

Administration Notices

Administrative Notices are used to provide updates and instruction to operational staff on Medicaid policy.

Public Information & Statistics

Public Information & Statistics

Find monthly enrollment totals for Medicaid and CHIP plus other reports and information.

Health Benefits Manager

Health Benefits Manager

The Medicaid Health Benefits Manager helps you enroll in a Managed Care Organization (MCO) and understand your benefits and prescriptions. (800) 996-9969.

The State Plan

The State Plan

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. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative activities underway in the state.

Delaware Healthy Children Program (CHIP)

Delaware Healthy Children Program (CHIP)

Delaware Healthy Children Program (CHIP) The Delaware Health Program (CHIP) is a partnership between the federal and state governments that provides low-cost health coverage to children in families that earn too much money to qualify for Medicaid.


Email, Phone Numbers and Service Hotlines

MedicaidInfo@delaware.gov

Customer Relations: (866) 843-7212
Provider Services: (800) 999-3371
Health Benefits Manager: (800) 996-9969

 

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