Provider Resources

Our user-friendly tools and resources are designed to support Delaware’s Medicaid providers and your staff in giving members excellent and efficient health care.

We offer the following resources to assist you and your staff.

Working with AmeriHealth Caritas Delaware

• Fraud, waste, and abuse
• Frequently asked questions
• Let Us Know
• NaviNet
• Prior authorizations
• Peer-to-peer telephone line
• Peer review process (PDF)
• Provider complaints
• Reimbursement policies
• Sign up for email alerts

Member care

• Doula services
• Integrated health care management programs for members
• Member rights and responsibilities
• Preventive health resources
• Reducing disparities in the management of hypertension in African American patients
• Substance use disorder treatment
• Use of EPSDT Referral Codes and Modifiers for Specialty Care Claims (PDF)

Quality care

• Clinical resources
• HEDIS care gaps
• Quality Assurance and Performance Improvement program

If you need more information or can't find an answer to your question, check your provider manual (PDF). You can also call AmeriHealth Caritas Delaware Provider Services at 1-855-707-5818.

Programs

• PerformPlus True Care™ — Maternity Care Providers (PDF)
• Obstetrical needs assessment form incentive program (PDF)
• PerformPlus™ Total Cost of Care — Primary Care Providers (PDF)

Clinical resources

• EPSDT program schedule (PDF)