Delaware News


Delaware Managed Care Only Providers Must Register with the Delaware Medical Assistance Program

News | Date Posted: Wednesday, April 5, 2023


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

image_printPrint


Graphic that represents delaware news on a mobile phone

Keep up to date by receiving a daily digest email, around noon, of current news release posts from state agencies on news.delaware.gov.

Here you can subscribe to future news updates.

Delaware Managed Care Only Providers Must Register with the Delaware Medical Assistance Program

News | Date Posted: Wednesday, April 5, 2023


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

image_printPrint


Graphic that represents delaware news on a mobile phone

Keep up to date by receiving a daily digest email, around noon, of current news release posts from state agencies on news.delaware.gov.

Here you can subscribe to future news updates.