Delaware Medicaid
Credentialing and enrollment guides for Delaware Medicaid across 1 states.
Quick Overview
Timeline
30 - 60 days
CAQH
Not Required
Re-credentialing
Every 5 year(s)
States Available
1
About Delaware Medicaid
Delaware DHSS, Division of Medicaid and Medical Assistance — Diamond State Health Plan
How to Get Credentialed
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.
Prepare Your Application
Complete Delaware Medicaid's provider enrollment application with all required information and supporting documentation.
Submit Your Application
Submit your completed enrollment package to Delaware Medicaid. Select your state below for state-specific submission details.
Track & Follow Up
Credentialing typically takes 30-60 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with Delaware Medicaid?
Our specialists handle the entire Delaware Medicaid enrollment process: applications, follow-ups, and approvals across all 50 states.
Required Documents
Background Check
CV/Resume
Malpractice Insurance
Required in most states; some state programs waive for government employees
Medical License
NPI Certificate
Enrollment Forms
Delaware Medicaid Provider Enrollment
Contact Information
Provider Credentialing
1-800-372-2022
Mon-Fri 8am-5pm
Provider Services
1-800-372-2022
Claims & Billing
1-800-372-2022
Quick Links
Need Help?
Let PayerReady handle your Delaware Medicaid credentialing and enrollment.
Get Started NowAvailable States
Reviewed by the PayerReady Credentialing Team
Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.
Select Your State
Choose your state for Delaware Medicaid-specific credentialing details including timelines, contacts, and local requirements.
Delaware Medicaid credentialing requirements by state
Delaware Medicaid enrollment is not identical everywhere. The table below lists what actually differs across the 1 state Delaware Medicaid operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Network | Timeline | State-specific notes |
|---|---|---|---|
| Delaware | Open | 30–60 days | Delaware Medicaid (Diamond State Health Plan) enrollment steps: (1) Obtain NPI via NPPES. (2) Register through the Delaware DHSS Medicaid provider enrollment portal. (3) Submit application with DE state license, proof of malpractice insurance, and required documentation. (4) Background check including state and federal criminal history is required for all providers. Delaware operates managed care through MCOs under the Diamond State Health Plan. Behavioral health providers accepted include LPCMH (Licensed Professional Counselor of Mental Health), LCSW, and Licensed Psychologist with active Delaware licensure. Revalidation is required every 5 years. |
Compiled and maintained by the PayerReady credentialing team from payer portals and direct payer contact. Last verified March 22, 2026. Network status changes without notice — confirm before you file.
Common questions about Delaware Medicaid credentialing
How long does Delaware Medicaid credentialing take?
Delaware Medicaid credentialing typically takes 30–60 days from a complete submission to an approved effective date. Incomplete applications are the main cause of delay: a missing document or an unattested CAQH profile restarts the clock rather than pausing it.
Does Delaware Medicaid require CAQH?
No. Delaware Medicaid does not enroll through CAQH ProView, so credentialing data is submitted directly on Delaware Medicaid's own application instead. You still need the same underlying documents — license, DEA where applicable, malpractice coverage and work history.
Which states does Delaware Medicaid operate in?
Delaware Medicaid has credentialing operations in 1 state. 1 of those 1 currently show an open panel. Requirements are not uniform: local plan names, provider portals and state-specific conditions differ, which is what the state-by-state table above records.