{"id":397,"date":"2025-02-25T17:30:18","date_gmt":"2025-02-25T17:30:18","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dsamh\/dsamhreimbursement\/"},"modified":"2026-03-13T11:45:54","modified_gmt":"2026-03-13T15:45:54","slug":"dsamhreimbursement","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dsamh\/policies\/dsamhreimbursement\/","title":{"rendered":"policies\/DSAMHReimbursement ~  DSAMH Reimbursement and Billing Information  &#8211; Delaware Health and Social Services &#8211; State of Delaware"},"content":{"rendered":"<div data-swiftype-index=\"true\">\r\n\r\n\r\n  <br>\r\n\r\n\r\n  \r\n\r\n\r\n  <div class=\"container\" id=\"main_header\">\r\n\r\n\r\n     <!-- BEGIN readspeaker div -->\r\n\r\n\r\n    <div class=\"rs_skip rsbtn rs_preserve\" id=\"readspeaker_button1\">\r\n\r\n\r\n      <a class=\"rsbtn_play\" href=\"https:\/\/app-na.readspeaker.com\/cgi-bin\/rsent?customerid=7262&amp;lang=en_us&amp;readid=main_content&amp;url=https:\/\/dhss.delaware.gov\/dsamh\/policies\/DSAMHReimbursement.html\" title=\"Listen to this page using ReadSpeaker\">\r\n\r\n\r\n        <span class=\"rsbtn_left rsimg rspart\"><span class=\"rsbtn_text\"><span>Listen<\/span><\/span><\/span>\r\n\r\n\r\n        <span class=\"rsbtn_right rsimg rsplay rspart\"><\/span>\r\n\r\n\r\n      <\/a>\r\n\r\n\r\n    <\/div>\r\n\r\n\r\n    <!-- END readspeaker div -->\r\n\r\n\r\n\r\n\r\n\r\n    \r\n\r\n\r\n    <header class=\"pull-left\">\r\n\r\n\r\n      <h1><!--[type=EDIT name=\"Page Title\"]-->DSAMH Reimbursement and Billing information<!--[END]--><\/h1>\r\n\r\n\r\n    <\/header>\r\n\r\n\r\n  <\/div><br>\r\n\r\n\r\n \r\n\r\n\r\n  <div class=\"container\">\r\n\r\n\r\n    <div class=\"row\">\r\n\r\n\r\n      <div class=\"col-md-3\" id=\"leftCol\">\r\n\r\n\r\n        <div class=\"panel-group\" id=\"accordion\">\r\n\r\n\r\n          <div class=\"panel sectionmenu_panel\">\r\n\r\n\r\n            <div class=\"panel-heading\">\r\n\r\n\r\n              <p class=\"panel-title\"><a class=\"agency_nav\" data-parent=\"#accordion\" data-toggle=\"collapse\" href=\"#collapseOne\"><strong><i class=\"fa fa-align-justify fa-fw\"><\/i> Substance Abuse and Mental Health Menu<\/strong><\/a><\/p>\r\n\r\n\r\n            <\/div>\r\n\r\n\r\n\r\n\r\n\r\n            <div class=\"panel-collapse collapse in\" id=\"collapseOne\">\r\n\r\n\r\n              <div class=\"panel-body\" id=\"clf_nav\">\r\n\r\n\r\n                  <ul class=\"nav nav-stacked nav-pills-clf\" id=\"agency_sidebar\">\r\n    <li><a href=\"\/dsamh\/\"><h2>Home <i class=\"fa fa-home fa-fw\"><\/i><\/h2><\/a><\/li>\r\n    <li class=\"toplevel\"><a data-parent=\"#agency_sidebar\" data-toggle=\"collapse\" href=\"#HomeMenu\"><h2>About <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\r\n    <ul class=\"panel-collapse collapse\" id=\"HomeMenu\">\r\n    <li>\r\n      <a href=\"\/dsamh\/about.html\">About DSAMH<\/a>\r\n    <\/li>\r\n    <li>\r\n      <a href=\"\/dsamh\/sections.html\">Sections &amp; Programs<\/a>\r\n    <\/li>\r\n    <li>\r\n      <a href=\"\/dsamh\/faq.html\">FAQs<\/a>\r\n    <\/li>\r\n    \r\n    <li>\r\n      <a href=\"\/dsamh\/contact.html\">Contact Information<\/a>\r\n    <\/li>\r\n    <li>\r\n      <a href=\"\/dsamh\/ofclocations.html\">Office Locations<\/a>\r\n    <\/li>\r\n  <\/ul><\/li>\r\n    <li class=\"toplevel\"><a data-parent=\"#sidebar\" data-toggle=\"collapse\" href=\"#ServicesMenu\"><h2>Services <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\r\n    <ul class=\"panel-collapse collapse\" id=\"ServicesMenu\">  \r\n   &lt;!&#8211; <li>\r\n      <a href=\"\/dsamh\/cccp_red.html\">CCCP &amp; Residential Programs<\/a>\r\n    <\/li>&#8211;&gt;\r\n        <li>\r\n      <a href=\"\/988.html\">988<\/a>\r\n    <\/li>\r\n    <li>\r\n      <a href=\"\/dsamh\/crisis_intervention.html\">Crisis Intervention<\/a>\r\n    <\/li>\r\n    <li>\r\n      <a href=\"\/dsamh\/court_programs.html\">Court Programs<\/a>\r\n    <\/li>\r\n    <li>\r\n      <a href=\"\/dsamh\/mental_health_cmhc.html\">PROMISE Assessment Center&#8217;s<\/a>\r\n    <\/li>\r\n    <li>\r\n      <a href=\"\/dsamh\/dpc.html\">Delaware Psychiatric Center<\/a>\r\n    <\/li>\r\n    <li>\r\n      <a href=\"\/dsamh\/eeu_home.html\">Eligibility &amp; Enrollment Unit<\/a>\r\n    <\/li>\r\n   \r\n   \r\n      <li>\r\n      <a href=\"\/dsamh\/peerservices.html\">Peer Services<\/a>\r\n    <\/li>\r\n\r\n  \r\n    <li>\r\n      <a href=\"\/dsamh\/promise.html\">PROMISE<\/a>\r\n    <\/li>\r\n    <li>\r\n      <a href=\"\/dsamh\/gambling.html\">Problem Gambling<\/a>\r\n    <\/li>\r\n    \r\n    <li>\r\n      <a href=\"\/dsamh\/substance_abuse.html\">Substance Abuse<\/a>\r\n    <\/li>\r\n \r\n    <li>\r\n      <a href=\"\/dsamh\/tasc.html\">Treatment Access Centers<\/a>\r\n    <\/li>\r\n  <\/ul><\/li>\r\n    <li class=\"toplevel\"><a data-parent=\"#sidebar\" data-toggle=\"collapse\" href=\"#InformationMenu\"><h2>Information <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\r\n    <ul class=\"panel-collapse collapse\" id=\"InformationMenu\">\r\n    <li>\r\n      <a href=\"\/dsamh\/train.html\">Training<\/a>\r\n    <\/li>\r\n   \r\n    <li>\r\n      <a href=\"\/dsamh\/screenerscorner.html\">Mental Health Screener&#8217;s Corner<\/a>\r\n    <\/li>\r\n    <li>\r\n      <a href=\"\/dsamh\/recovery_resources.html\">Recovery Resources<\/a>\r\n    <\/li>\r\n    <li>\r\n      <a href=\"\/dsamh\/regs.html\">Regulations<\/a>\r\n    <\/li>\r\n \r\n    <li>\r\n      <a href=\"\/dsamh\/residency\/index.html\">Residency<\/a>\r\n    <\/li>\r\n   \r\n  \r\n         <li>\r\n      <a href=\"\/dsamh\/policies\/index.html\">Provider Policies  &amp; Resources<\/a>\r\n    <\/li>\r\n         \r\n        \r\n        \r\n        \r\n  <\/ul><\/li>\r\n\r\n\r\n\r\n\r\n\r\n              <\/div>\r\n\r\n\r\n            <\/div>\r\n\r\n\r\n          <\/div>\r\n\r\n\r\n        <\/div><br>\r\n\r\n\r\n      <\/div>\r\n\r\n\r\n\r\n\r\n\r\n      <div class=\"col-md-9\" id=\"main_content\"> \r\n\r\n\r\n  <!--[type=HTMLEDIT name=\"Content\"]-->\r\n\r\n\r\n<p>General overview of Billing in Delaware and published Certification and Reimbursement Manuals.\u00a0\u00a0 <em><strong>Note: Providers must work directly with payor entities for billing guidance and processes required for billing such as Medicaid, Managed Care Organizations, private payors, or DSAMH contracting unit if applicabl<\/strong><\/em>e.\u00a0<\/p>\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n<ol style=\"font-size: 16px;font-family:\">\r\n\r\n\r\n\r\n <li><a href=\"\/wp-content\/uploads\/sites\/12\/2026\/03\/Adult_Reimbursement_Manual_February_2026.pdf\" style=\"background-color: transparent\">SUD Adult Reimbursement Manual <\/a>\u00a0(February, 2026)<\/li>\r\n\r\n\r\n\r\n <li><a href=\"\/wp-content\/uploads\/sites\/12\/dsamh\/pdf\/PROMISEManual.pdf\" style=\"background-color: transparent\">PROMISE HCBS Service Certification Manual\u00a0<\/a>\u2013 April 29, 2019<\/li>\r\n\r\n\r\n\r\n <li>Provider Enrollment Billing Guide<\/li>\r\n\r\n\r\n\r\n<\/ol>\r\n\r\n\r\n\r\n  <!--[END]-->\r\n\r\n\r\n  \r\n\r\n\r\n      <\/div>\r\n\r\n\r\n    <\/div>\r\n\r\n\r\n  <\/div><!-- \/container -->\r\n\r\n\r\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Listen DSAMH Reimbursement and Billing information Substance Abuse and Mental Health Menu Home About About DSAMH Sections &amp; Programs FAQs Contact Information Office Locations Services &lt;!&#8211; CCCP &amp; Residential Programs &#8211;&gt; 988 Crisis Intervention Court Programs PROMISE Assessment Center&#8217;s Delaware Psychiatric Center Eligibility &amp; Enrollment Unit Peer Services PROMISE Problem Gambling Substance Abuse Treatment Access [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":0,"parent":395,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-397","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dsamh\/wp-json\/wp\/v2\/pages\/397","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dhss.delaware.gov\/dsamh\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dhss.delaware.gov\/dsamh\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dsamh\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dsamh\/wp-json\/wp\/v2\/comments?post=397"}],"version-history":[{"count":4,"href":"https:\/\/dhss.delaware.gov\/dsamh\/wp-json\/wp\/v2\/pages\/397\/revisions"}],"predecessor-version":[{"id":782,"href":"https:\/\/dhss.delaware.gov\/dsamh\/wp-json\/wp\/v2\/pages\/397\/revisions\/782"}],"up":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dsamh\/wp-json\/wp\/v2\/pages\/395"}],"wp:attachment":[{"href":"https:\/\/dhss.delaware.gov\/dsamh\/wp-json\/wp\/v2\/media?parent=397"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}