Sign Up for Provider Updates

Delaware First Health is pleased to offer participating providers with the opportunity to sign up to receive emails from us with updates on important topics from our plan, including provider news, education and training, initiatives, policy changes, billing updates and much more. Please complete the form below.

Required fields are marked with an asterisk (*).

Product Selection * WellCare (Medicare) Ambetter (Maketplace) Delaware First Health (Medicaid)

First Name *

Last Name *

I affirm our office would like to receive communications via email from the above selected health plans.

Email Address *

Professional Title *

Organization Name *

Provider Tax Identification Number *

Provider Type (Select all that apply) *

Please List Other Provider Type (If applicable)

Is your office registered with either of our provider portals? If yes, select the portal(s) below. * Yes - Availity Essentials Yes - Legacy Portal No

Phone Number *

Fax Number

Address Line 1 *

Address Line 2

City *

State *

Zip Code *