DHSS Press Release

Molly Magarik, Secretary
Jen Brestel, Director of Communications  
302-605-0577
Email: Jennifer.brestel@delaware.gov

Date: April 5, 2023
DHSS-4-2023

DIVISION OF MEDICAID AND MEDICAL ASSISTANCE ANNOUNCES THAT ALL DELAWARE MANAGED CARE ONLY PROVIDERS MUST REGISTER WITH THE DELAWARE MEDICAL ASSISTANCE PROGRAM

NEW CASTLE, Del. (April 5, 2023) - The Delaware Division of Medicaid and Medical Assistance (DMMA) is urging all Managed Care Organization-Only Providers enrolled with a DMMA Managed Care Organization (MCO) to register with the Delaware Medical Assistance Program as required by federal law. Providers who fail to register by Sept. 30, 2023, face having their contracts with Medicaid terminated.

All In-Network Managed Care Organization Providers are required to verify and enroll their correct ID and address with the Delaware Medical Assistance Program (DMAP) to continue to receive Medicaid reimbursement for services. DMAP sent registration letters to all current In-Network Managed Care Organization Providers in June 2022 to initiate the screening and enrollment process. A large number of providers still have not registered and could be in jeopardy of having their MCO contract terminated.

"We are very concerned that many providers could have their contracts terminated from the Delaware Medicaid program after September for failure to take this step to meet the federal regulatory requirements," said Theodore Mermigos, acting director of Division of Medicaid and Medical Assistance. "DMMA has extended the deadline to register before, but we are at the point where there needs to be compliance. Extending beyond Sept. 30, 2023, may not be an option."

Providers are strongly encouraged to enroll all their service locations on the DMAP Provider Portal as soon as possible and not wait until the deadline. Providers currently engaged with DMAP are not at risk of suspended payment and/or termination from Delaware Managed Care Organization network participation.

For more information:

Find the Announcement Section on the DMAP Provider Portal for MCO Provider Screening and Enrollment updates at Delaware Medical Assistance Portal for Providers-Home
Contact DMAP Provider Services at (800) 999-3371; Option 0 then Option 2 or email:delawarepret@gainwelltechnologies.com

Delaware Health and Social Services is committed to improving the quality of the lives of Delaware's citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations.

DIVISION OF MEDICAID AND MEDICAL ASSISTANCE ANNOUNCES THAT ALL DELAWARE MANAGED CARE ONLY PROVIDERS MUST REGISTER WITH THE DELAWARE MEDICAL ASSISTANCE PROGRAM

Delaware's Government