Health Options Delaware Medicaid

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DSS Medical Assistance Services: Medicaid

Details: Diamond State Health Plan - Delaware's Medicaid Managed Care Program The majority of people receiving Medicaid must choose a family doctor who, along with a managed care organization (MCO), will provide or arrange for all your preventive care and medical needs. The following individuals are not enrolled with a MCO: highmark health options

› Verified 7 days ago

› Url: https://www.dhss.delaware.gov/dss/medicaid.html Go Now

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Delaware Medicaid and Delaware Healthy Children Program (DHCP)

Details: 10 rows · Delaware Medicaid and Delaware Healthy Children Program (DHCP) Highmark Health … highmark health options prior auth form

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› Url: https://www.highmarkhealthoptions.com/members/de-medicaid-dhcp.html Go Now

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Medicaid Contact Us Delaware Highmark Health Options

Details: Call Us Delaware Medicaid and Delaware Healthy Children Program (DHCP) members and Long-Term Care (DSHP Plus) members should call 1-844-325-6251 with any questions or concerns about Highmark Health Options plans. TDD/TYY (711 OR 1-800-232-5460) highmark health options medicaid

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› Url: https://www.highmarkhealthoptions.com/contact.html Go Now

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Medicaid FAQ

Details: In Delaware, Medicaid benefits are provided mainly through a managed care organization, or MCO, under contract with the state. Managed care is an organized way to ensure that people receive the quality medical care they need in the most cost-effective manner. AmeriHealth Caritas and Highmark Health Options. The Medicaid MCO provides almost highmark health options delaware

› Verified 5 days ago

› Url: https://dhss.delaware.gov/dhss/dmma/faqs.html Go Now

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Division of Medicaid & Medical Assistance

Details: MEDICAID ACO APPLICATION FOR MCO CONTRACT PERIOD BEGINNING JANUARY 1, 2022 . In 2020, the Division of Medicaid & Medical Assistance (DMMA), under the direction of DHSS, continued its work toward TCOC APMs by creating a Medicaid/Children's Health Insurance Program (CHIP) Accountable Care Organization Program (Medicaid ACO Program) for the purpose of improving health … highmark health options provider enrollment

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› Url: https://www.dhss.delaware.gov/dhss/dmma/ Go Now

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2021 Preferred Drug List (PDL)

Details: codeine dihydrocodeine/APAP/ caffeine oxymorphone Ø oxycodone 15mg maximum of 240 units a year codeine/APAP fentanyl Dsuvia Ø oxycodone 20mg maximum of 120 units a year highmark health options prior authorization

› Verified 6 days ago

› Url: https://medicaidpublications.dhss.delaware.gov/docs/Search?Command=Core_Download&EntryId=940 Go Now

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Delaware Medicaid Eligibility: 2021 Income & Asset Limits

Details: Delaware Medicaid Definition. Medicaid in Delaware is a managed care program and is called the Diamond State Health Plan (DSHP). Long-term care Medicaid in Delaware is referred to as Diamond State Health Plan Plus (DSHP Plus). The Delaware Division of Medicaid & Medical Assistance (DMMA) administers the Medicaid program in Delaware. highmark health options provider

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› Url: https://www.medicaidplanningassistance.org/medicaid-eligibility-delaware/ Go Now

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Delaware Medical Assistance Portal for Providers > Home

Details: Welcome to the Delaware Medical Assistance Portal for Providers. This portal provides important information to health care providers about the Delaware Medical Assistance Program (DMAP). All of the information you need is located within the links located on the left side of this page. Looking for an important program update, check out our banners.

› Verified 1 days ago

› Url: https://medicaid.dhss.delaware.gov/provider/Home/tabid/135/Default.aspx Go Now

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DMMA Medical Assistance Services: Medicaid

Details: Delaware Diamond State Health Plan (DSHP) 1115 Demonstration Waiver Evaluation Plan. In compliance with the Special Terms and Conditions of the Diamond State Health Plan (DSHP), Section 1115 Demonstration, the State of Delaware (Delaware Health and Social Services/Division of Medicaid and Medical Assistance (DMMA)) publishes this Approved Evaluation Design.

› Verified 3 days ago

› Url: https://www.dhss.delaware.gov/dhss/dmma/medicaid.html Go Now

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Health Options Provider Manual

Details: Health Options is a Highmark Blue Cross Blue Shield Delaware owned and administered managed care organization contracted with the State of Delaware's Department of Health and Social Services (DHSS), Division of Medicaid and Medical Assistance (DMMA), to provide health services to Medicaid-eligible individuals.

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› Url: https://hdebcbs.highmarkprc.com/Education-Manuals/The-Health-Options-Provider-Manual Go Now

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Dental Coverage for Low-Income Adults in Delaware Begins

Details: About 200,000 of the 235,000 Medicaid clients (adults and children) in Delaware are served by one of two managed care organizations, Highmark Health Options Blue Cross Blue Shield Delaware and AmeriHealth Caritas Delaware.

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› Url: https://news.delaware.gov/2020/09/30/dental-coverage-for-low-income-adults-in-delaware-begins-oct-1/ Go Now

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Division of Medicaid and Medical Assistance

Details: Highmark Health Options: 1-844-325-6253 Bin: 004336; PCN: MCAIDDE There may be a small population of members who are NOT enrolled in a managed care program. For these members, the drug benefit will be processed under Delaware Medical Assistance Program (DMAP)/Traditional Fee-for-Service (FFS) Medicaid.

› Verified 6 days ago

› Url: https://medicaidpublications.dhss.delaware.gov/docs/Search?Command=Core_Download&EntryId=893 Go Now

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AmeriHealth Caritas Delaware

Details: AmeriHealth Caritas Delaware Per Governor Carney’s executive order issued on September 25, copayments for the new Medicaid adult dental services benefit have been suspended until further notice. During this time, AmeriHealth Caritas Delaware members ages 21 and older will not be charged the normal $3 copay. Take care with coronavirus

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› Url: https://www.amerihealthcaritasde.com/ Go Now

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Formulary Search

Details: Welcome to the Highmark Health Options Medicaid Formulary. This formulary includes medications in the Delaware Medical Assistance Program (DMAP) Preferred Drug List (PDL) and medications which are not otherwise covered in the PDL. You can search the formulary in several ways.

› Verified 9 days ago

› Url: https://client.formularynavigator.com/Search.aspx?siteCode=9768635417 Go Now

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Substance Abuse Detox & Treatment Covered by Medicaid in

Details: Medicaid is a low-cost or free health insurance provider for many Americans living in Delaware, and Medicaid can cover some or all the cost of drug and alcohol treatment. Anyone living in Delaware who is covered by Medicaid can access inpatient or outpatient Medicaid drug rehabilitation service providers.

› Verified 7 days ago

› Url: https://www.addicted.org/delaware-medicaid-drug-alcohol-rehabs.html Go Now

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Search Providers

Details: Delaware Medical Assistance Portal for Providers. Enter your Address (City and State, County and State, or ZIP Code only).

› Verified 2 days ago

› Url: https://medicaid.dhss.delaware.gov/provider/Resources/SearchProviders/tabid/220/Default.aspx Go Now

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Find the Best Medicaid Psychiatrists in Delaware

Details: Find Medicaid Psychiatrists in Delaware, Health Options Highmark Psychiatric nurse practitioners in Delaware, or mental health nurse practitioners, generally have a MS degree in nursing

› Verified 6 days ago

› Url: https://www.psychologytoday.com/us/psychiatrists/medicaid/delaware Go Now

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Health Options Drug Formulary Available for Prescribers

Details: Highmark Health Options follows the preferred drug list (PDL) of Delaware’s Division of Medicaid & Medical Assistance. Additional non-PDL medications, for example, over-the-counter drugs, are included as covered for our members as well.

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› Url: https://hdebcbs.highmarkprc.com/pnews/pn-1-2017/hho_health_options_formulary.html Go Now

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Home page for Delaware Children’s Health Insurance Plans

Details: Attachment 1 - 6.2.6.1- List of NQTLS Highmark Health Options; Attachment 2 - 6.2.6.1- List of NQTLS UnitedHealth Care Community Plan; Attachment 3 - 6.2.6.1 - NQTL Analysis UnitedHealth care Community Plan; Attachment 4 - 6.2.6.1 - NQTL Analysis Highmark Health Options

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› Url: https://www.dhss.delaware.gov/dhss//dmma/dchip.html Go Now

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Delaware health insurance plans UnitedHealthcare

Details: Find Delaware health insurance options at many price points. Explore health plans for you and your family, including short-term gap coverage and more. Get an online quote today.

› Verified 7 days ago

› Url: https://www.uhc.com/individual-and-family/health-insurance-delaware Go Now

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Find a Doctor

Details: Health Options at Member Services phone number 1-844-325-6251, TTY 711 or 1-800-232-5460. Provider Services phone number 1-844-325-6252; Member Services phone number

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› Url: http://healthoptions.prismisp.com/ Go Now

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DHSS Announces Highmark and AmeriHealth Caritas Selected

Details: NEW CASTLE (Sept. 29, 2017) – The Department of Health and Social Services announced today that it has selected two companies to operate its Medicaid Managed Care Program. DHSS’ Division of Medicaid and Medical Assistance will continue its MCO partnership with Highmark Health Options Blue Cross Blue Shield, which began in 2015. In addition, DHSS […]

› Verified 8 days ago

› Url: https://news.delaware.gov/2017/10/02/dhss-announces-highmark-amerihealth-caritas-selected-operate-medicaid-managed-care-program/ Go Now

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Free Delaware Medicaid Prior (Rx) Authorization Form

Details: The State of Delaware has medicaid-managed services provided through the Delaware Medicaid and Medical Assistance (DMMA) division of Delaware Health and Social Security (DHSS). Healthcare providers wishing to request Medicaid coverage for a patient’s prescription may need to log into the Delaware Medical Assistance Portal

› Verified 7 days ago

› Url: https://eforms.com/prior-authorization/medicaid/delaware/ Go Now

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Delaware Medicaid Therapist

Details: Find Medicaid Therapists, Psychologists and Medicaid Counseling in Delaware, get help for Medicaid in Delaware. Health Options HealthFirst HealthPartners Highmark

› Verified 3 days ago

› Url: https://www.psychologytoday.com/us/therapists/medicaid/delaware Go Now

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Delaware Health and Social Services

Details: Delaware: 1115 Waiver—1st Quarter 2019 CMS report Page 2 Introduction The Diamond State Health Plan (DSHP) is a mandatory Medicaid managed care program operating under an 1115 waiver from CMS. Diamond State Health Plan covers approximately ninety percent (90%) of Delaware’s Medicaid …

› Verified 5 days ago

› Url: https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/de/Diamond-State-Health-Plan/de-dshp-qtrly-rpt-jan-mar-2019.pdf Go Now

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Delaware DE Medicaid Dentist Public Dental Health Provider

Details: Delaware Dentists DE - Medicaid Public Health Care: State - Regional - Private Resources In most instances the contacts listed below are regional providers within a given zip code area. To add cities not already listed that may have approved Medicaid resources contact the Webmaster.

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› Url: https://medicaiddentistry.com/delaware.html Go Now

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Registration

Details: For the purposes of the portal, anyone aged 14 years or older and covered under a health insurance plan, an enrollee or eligible dependent. Highmark Blue Cross Blue Shield Delaware and Health Options are Independent licensees of the Blue Cross and Blue Shield Association.

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› Url: https://admin.gatewayhealthplan.com/web/gateway-de/registration Go Now

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