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  • Adjustment Form - De Medical Assistance Program

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Delaware Medical Assistance Program Adjustment Request Form 1. Provider Medicaid Number: 5. Claim ICN: 2. Taxonomy: 6. Client Medicaid Number: 3. Prov. Name: 7. Client Name: 4. Prov. Address: 8. RA.

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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).

To be eligible for Delaware Medicaid, you must be a resident of the state of Delaware, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.

Specific Delaware Medicaid Programs DSHP-Plus provides supportive services to program participants living at home, in assisted living, adult foster care, and nursing homes. Benefits may include adult day care, home health services, meal delivery, private duty nursing, home modifications, respite care, and more.

You can apply for Medicaid online at HealthCare.gov or through Delaware ASSIST. You can fill out a paper application and return it by mail. Call 1-800-372-2022 or 302-255-9500 to have an application mailed to you.

ASSIST is an online application for Delawareans to apply for health and social service programs.

Delaware is 1 of only 4 states without Medicaid coverage for adult dental care, forcing patients to pay out of pocket for care considered to be the first line of defense against health risks, including premature births, heart disease and complications from diabetes.

Visit Healthcare.gov to see your plan options and enroll in a plan. 8 out of 10 Delawareans who qualify for coverage through the Marketplace qualify for some level of financial assistance to help pay for monthly premiums. Links: Special Enrollment Periods for Complex Issues.

Members with Standard Medicaid benefits are eligible for almost all dental and denturist services when they are medically necessary. ... Adult members are responsible to pay for non-covered dental services and any dental treatment services received above the annual $1,125 limit.

People Over Age 21. Each state can choose to cover adults over age 21. Medicaid programs that offer dental care to adults usually cover annual dental exams, preventive care and treatment of problems such as cavities, gum disease and other damage as necessary.

Adult dental coverage is optional for state Medicaid programs, but most offer at least an emergency dental benefit. In Delaware, Medicaid and the Children's Health Insurance Program (CHIP) provide no-cost or low-cost health coverage for eligible children.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232