Provider Resources

Delaware First Health provides the tools and support you need to deliver the best quality of care. Please view our listing on the left, or below, that covers forms, guidelines, helpful links, and training.

View our listing of available resources on the left, or below, that covers forms, guidelines, helpful links, and training.

• Manuals, Forms and Resources 
• Prior Authorization
• Electronic Transactions
• Preferred Drug Lists
• Provider Training

Delaware First Health is committed to connecting our members to resources helping our members find resources in the community.  We have developed strategic partnerships with community-based organizations to ensure our members have access to receiving services. Through our FindHelp websiteExternal Link, members can search for free or reduced cost services like food pantries, job training, financial assistance and more.  

If you would like further assistance connecting with our community connections team call customer service at 1-877-236-1341 (TTY: 711)

Value-Added Benefits 

At Delaware First Health, we work to improve not only the health of our members, but also the economic and social issues that can act as barriers to proper care. We recognize that in addition to accessing the quality healthcare you provided by our network, social determinants of health (SDoH) also impact patient outcomes. 

We are proud to offer extra services to keep our members healthy by enhancing our programs and community connections. Our value-added benefits include:

• Adult Vision Services
• Community-Based Wellness Programs
• Diabetes Prevention Program
• Housing Resources
• ConnectionsPlus® program
  
• Tutoring & GED Testing
• My Health Pays® Activity Rewards
• Home-Based Asthma Interventions 
• and more!

We invite all providers to encourage members to take advantange of our value-added benefits and wellness programs. Feel free to refer memebers to these valuable resources by using the links below:

Diabetes Prevention Program (DPP)

• A lifestyle change program focused on healthy eating and physical activity for members at high risk for diabetes
• Medicaid members age 18+ who are not currently pregnant, have not been previously diagnosed with diabetes, and have a Body Mass Index (BMI) of 25 or higher (23 or higher if Asian American) can be referred to the program
• Program Referral LinkExternal Link (for Provider Use Only)

Community-Based Wellness Programs

• Children (5-18): Boys & Girls Clubs memberships and programs and Adults: 18+ with BMI 25+: Weight Watchers
• Weight Watchers Referral Form (for Primary Care Provider Use Only)

Learn more about these benefits by visiting our Value-Added Benefits page, or contact Provider Services at 1-877-236-1341 with additional questions.

Ambetter & Wellcare

Delaware First Health is pleased to introduce two affiliated products designed to meet healthcare needs in Delaware. With the addition of Ambetter Health of Delaware (Health Insurance Marketplace), we can provide affordable, comprehensive solutions for lower-income individuals and families who may not qualify for Medicaid or have access to employer coverage. And, by adding  Wellcare (Medicare/DSNP), we can better coordinate care for our DSNP members. All plans are designed to serve Delawareans as their life situation evolves.

For more information about any of our products, including provider manuals and upcoming provider orientations, visit the website(s) below. You can also reach out to your assigned Provider Engagement Administrator with any questions.

HEALTH INSURANCE MARKETPLACE
ambetterhealthofdelaware.comExternal Link
1-833-919-3214

MEDICARE
wellcarede.comExternal Link
NON-DUALS/C-SNP PLANS:
1-800-977-7522
DUALS/D-SNP PLANS:
1-844-796-6811