Newsletters and Updates

2022 Provider forum presentation Opens a new window (PDF)

Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Dental communication for providers Opens a new window (PDF)

Overtime for Self-Directed Attendant Care (SDAC) providers Opens a new window (PDF)

School Based Wellness Center (SBWC) bulletin updates Opens a new window (PDF)

Bright Start Provider Training Guide - April 2022 Opens a new window (PDF)

Reminder: AmeriHealth Caritas Delaware members should not be balance billed by any participating provider Opens a new window (PDF)

2021 Virtual Provider Forums Opens a new window (PDF)

New program starting on September 1, 2021 - Condition Optimization Prospective Outreach Program Opens a new window (PDF)

July 2021 ProviderPost Opens a new window (PDF)

June 2021 ProviderPost Opens a new window (PDF)

Healthy Heart Ambassador Blood Pressure Self-Monitoring Program Opens a new window (PDF)

Update of Electronic Visit Verification (EVV) go-live date Opens a new window (PDF)

Introducing the AmeriHealth Caritas CARE Card Program for Members Opens a new window (PDF)

February 2021 ProviderPost Opens a new window (PDF)

January 2021 ProviderPost Opens a new window (PDF)

EVV update – The new EVV go-live date is July 1, 2021 Opens a new window (PDF)

December 2020 Provider Post  Opens a new window(PDF)

Providence Announces New Name - ModivCare Opens a new window (PDF)

Delaware EVV system (AuthentiCare) will NOT go live on January 1, 2021 Opens a new window (PDF)

Provider Bulletin: New Payer ID for Change Healthcare and ECHO Health Inc. Opens a new window (PDF)

Provider Bulletin: Healthcare Effectiveness Data and Information Set (HEDIS^®) Well Child Coding Tips Opens a new window (PDF)

October 2020 ProviderPost Opens a new window (PDF)

Provider Bulletin: New dental benefit for adult members Opens a new window (PDF)

Provider Bulletin: Reminder: Prior authorization for durable medical equipment (DME) rentals Opens a new window (PDF)

Your work is essential! Protect yourself and others from flu and COVID-19 this fall and winter Opens a new window (PDF)

Provider Bulletin: DMMA survey regarding electronic visit verification Opens a new window (PDF)

Provider Bulletin: Change of Prior Authorization Requirements for Certain Procedure Codes Opens a new window (PDF)

July 2020 ProviderPost Opens a new window (PDF)

Provider Bulletin: Preferred drug list Opens a new window (PDF)

Provider Bulletin: Quantitative drug testing policy notification Opens a new window (PDF)

June 2020 ProviderPost Opens a new window (PDF)

May 2020 ProviderPost Opens a new window (PDF)

Provider Bulletin: COVID-19 telehealth services important billing reminders Opens a new window (PDF)

Provider Bulletin: Home health telehealth services Opens a new window (PDF)

Provider Bulletin: New Applied Behavioral Analysis (ABA) and Health Behavior Assessment and Intervention (HBAI) CPT codes Opens a new window (PDF)

April 2020 ProviderPost Opens a new window (PDF)

Provider Bulletin: Preferred drug list Opens a new window (PDF)

March 2020 ProviderPost Opens a new window (PDF)

February 2020 ProviderPost Opens a new window (PDF)

January 2020 ProviderPost Opens a new window (PDF)

DPH Information on Monitoring Returning Travelers for Coronavirus Opens a new window (PDF)

December 2019 ProviderPost Opens a new window (PDF)

Provider Bulletin: New CPT Category II Codes Opens a new window (PDF)

Provider Bulletin: 2019 Provider Satisfaction Survey Opens a new window (PDF)

September 2019 ProviderPost Opens a new window (PDF)

2019 Provider Forum Schedule Opens a new window (PDF)

Provider Bulletin: Vitamin D 25 Hydroxy Claims Opens a new window (PDF)

2019 Provider Manual Now Available Online Opens a new window (PDF)

Provider Bulletin: HCPCS Medication Codes Requiring Prior Authorization, Effective September 1, 2019 Opens a new window (PDF)

Division of Medicaid and Medical Assistance Preferred Drug List Update Opens a new window (PDF).

Clinical Laboratory Improvement Amendments (CLIA) Update Opens a new window (PDF).

Opiate Prescription Update Opens a new window (PDF).

Instructional Videos Are Now Available for Expanded NaviNet Functionalities Opens a new window (PDF).

Obstetrical Needs Assessment Form Incentive Program Opens a new window (PDF).

Effective June 1, 2018 – Corrected Claims Must Contain Appropriate Identifiers to Avoid Rejection Opens a new window(PDF).

Claim payment during credentialing Opens a new window (PDF): AmeriHealth Caritas Delaware will continue to pay claims as participating while we complete provider credentialing.

Download the Claim Modifiers for Behavioral Health Services chart (PDF).

Behavioral health services claim modifiers notice Opens a new window (PDF): If you have submitted claims without appropriate modifiers, the claim will reject and will need to be resubmitted within 120 days of the original date of service.

AmeriHealth Caritas Delaware has updated its Provider Manual Opens a new window (PDF). The manual includes a change log that details the content that has changed.

AmeriHealth Caritas Delaware has updated its Claims Filing Instructions Opens a new window (PDF). The instructions booklet includes a change log that details the content that has changed.

AmeriHealth Caritas Delaware has updated the provider orientation and training presentations to include how to find your Account Executive.