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  • Client Self-attestation Form - Dhss.delaware.gov - Dhss Delaware

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Client SelfAttestation Form Ineligible for Health Insurance Coverage or Exempt from the Federal Insurance Mandate With insurance opportunities under the Affordable Care Act, Delawares Community Healthcare.

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2022 Countable Income Limits for Federal Poverty Level Related Medical Assistance Programs Family SizeAnnual Income 100% FPLMonthly Income 212% FPL1$13,590$2,4022$18,310$3,2353$23,030$4,0684$27,750$4,9046 more rows

Timely filing of VFC claims is one year from the date of service. Denied claims will require resubmission through the DMES Portal. Resubmit denied claims 90 days after the initial submission. Keep in mind the timely filing limit of one year from the date of service.

(302) 571-4900 or (866) 843-7212.

Diamond State Health Plan - Delaware's Medicaid Managed Care Program.

By phone, you can contact Medicaid Customer Relations at 1-800-372-2022 or (302)255-9500 to be directed to the Division of Social Services (DSS) office closest to where you live.

Delaware Medicaid Medicaid pays for: doctor visits, hospital care, labs, prescription drugs, transportation, routine shots for children, mental health and substance abuse services.

A single individual applying for Nursing Home Medicaid in 2023 in DE must meet the following criteria: 1) Have income under $2,285 / month 2) Have assets under $2,000 3) Require the level of care provided in a nursing home facility.

Provider Relations helps Delaware Medical Assistance Program (DMAP) Providers enroll in the Medicaid program, receive and respond to provider inquiries, verify client eligibility and aid in submitting electronic claims.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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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
Content Takedown 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