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Attention Medicaid Participants: Eligibility Renewals Restarted April 1, 2023

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Medicaid Eligibility

 

Important Information for Medicaid and CHIP Members

Delaware Medicaid Eligibility Renewals Restarted April 1, 2023

On April 1, 2023, the DHSS Division of Medicaid and Medical Assistance (DMMA) and the Division of Social Services (DSS) re-started annual Medicaid eligibility renewals.

Don't risk a gap in your health coverage. Take action to keep your Medicaid or Delaware Children's Health Insurance Program (CHIP) benefits.

Not all members will be renewed at the same time. Delaware will take 12 months (14 months including noticing) to renew members based on your annual renewal date. Some people will be automatically renewed based on the most recent information already on file with the state. Other people will need to take action and complete the renewal packet to see if they still qualify for Medicaid coverage.

There is assistance available and you may qualify for other high-quality insurance if you no longer qualify for Medicaid. This page will provide Information and resources for Medicaid members, health care providers and community partners.

 

Follow our Progress HereMedicaid Continuous Coverage Unwinding Report

 

What You Need to Know

1. Make Sure your Contact Info is Up to Date

The most important thing you can do right now is to make sure your contact information is up to date with Delaware Medicaid. Contact information includes name changes (your name and those in your household), mailing address, email address, and phone number.

You can make any updates to your contact information by:

  • Logging onto your Delaware ASSIST account at ASSIST Home
  • Calling the Change Report Center at (302) 571-4900, Option 2
  • Sending changes via fax to (302) 571-4901
    • TTY users: Call 1-855-889-4325
    • Español, Kreyól ayisy, ربية, Tiếng Việt, or other languages: 1-866-843-7212.
 

2. Check your Mail and Email

Make sure to watch your mail and email for letters from the Department of Health and Social Services (DHSS), Division of Medicaid and Medical Assistance (DMMA), and the Division of Social Services (DSS).

 

3. Fill Out the Form & Return It

If you receive a Delaware Medicaid renewal form, complete it and return it by following the instructions on the form.

Note: Mailed renewal notices will come from Delaware Division of Social Services or Delaware Division of Medicaid and Medical Services. Look for the the DHSS logo on the envelope.

If you have questions about your benefits or the renewal process, call the Division of Social Service Customer Support Unit at 1-866-843-7212.

If You Lose Medicaid Coverage

If it is determined that you are no longer eligible for insurance through Delaware Medicaid or the CHIP, also known as the Delaware Children's Health Insurance Program, you may qualify for other health care coverage. Find more information at ChooseHealthDE.com.

In Delaware, there are two organizations - Westside Family Healthcare and Quality Insights - with certified staff called Health Insurance Marketplace Navigators who help people learn about and enroll in the health plans on the Health Insurance Marketplace. They can help you find and choose the best health insurance plan for you.

Certified Health Insurance Marketplace Navigators:

Westside Family Healthcare

New Castle County:

302-472-8655

Kent/Sussex:

302-678-2205

Website:

https://www.westsidehealth.org/marketplace/

Quality Insights

State-wide Telephone Number:

1-844-238-1189

Website:

https://www.qualityinsights.org/navigator

Four out of 5 enrollees can find plans that cost less than $10 a month, and plans cover services like prescription drugs, doctor visits, urgent care, hospital visits, and more.

You may also qualify for financial aid to help pay for the premiums of health plans from the Health Insurance Marketplace.

Health Insurance Marketplace Special Enrollment Period:
In order to help individuals who lose Medicaid coverage, the federal government has authorized a Special Enrollment Period for the Health Insurance Marketplace. Individuals who lose insurance coverage through Medicaid or the Delaware Children's Health Insurance Program (CHIP) any time between March 31, 2023 and July 31, 2024 will be eligible for a marketplace Special Enrollment Period. After a person is determined eligible for the marketplace, they will have 60 days to choose a plan, and their coverage will start the first day of the month after they choose a plan.

For more information about health care and health insurance options in Delaware, visit the Choose Health Delaware website: ChooseHealthDE.com

Communications Tools for Providers and Partners

Download or request additional high-quality materials here.

Department of Health and Social Services (DHSS) Medicaid Unwinding Plan:

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Additional Resources

Delaware Medicaid COVID-19 Public Health Emergency Waivers

Additional Languages

Select language in dropdown box below to view documents in other languages.

 

 


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