21st Century Cures Act

In accordance with the 21^st Century Cures Act, all billing, rendering, attending, ordering, referring and prescriber providers of services/items to Medicaid beneficiaries must register/enroll with the Delaware Medical Assistance Program (DMAP).   For dates of services on and after October 1, 2023, claims will deny if the providers are not registered/enrolled with DMAP or otherwise deemed “engaged” by DMAP. Enroll with DMAP today

Delaware First Health is doing what we can to avoid 21^st Century Cures Act claims rejections and denials. Our providers have access to a weekly report to confirm whether the provider data billed on claims matches the information registered on DMAP and on the engaged list.  To access the report, sign in to Delaware First Health Provider Portal, scroll down to the bottom, click on the “Reports” and download the latest version of the “DMAP Registration Report.

Below are additional resources to assist:

• DFH 21^st Century Cures Act Validations Guidance (PDF) (updated on 1/19/2024)
• 21^st Century Cures Act Tips to Prevent Claims Rejections and Denials (PDF)
• 21^st Century Cures Act Reporting Guide for DFH Custom Reports (PDF) (updated on 1/2/2024)
• 21^st Century Cures Act Joint MCO Presentation (PDF)
• Joint MCO FAQ Cures Act document(PDF)
• DMAP 21^st Century Cures Act FAQs and How-to-Guides 
• 21^st Century DMAP’s Engaged Provider List (Excel Doc provided to MCOs on 10/2/23)
• 21^st Century Cures Act DMAP December 2023 Engaged List (coming soon via the Delaware First Health Provider Portal)
• Provider Services at  1-800-999-3371, option 0 then option 4 or delawarepret@gainwelltechnologies.com. Contact DMAP for any questions regarding registration, DMAP application or status as an “engaged provider”.

Please review our Provider News page for up-to-date announcements, including upcoming forums on the 21^st Century Cures Act.

If you have any questions, please contact your Provider Engagement Administrator or call Provider Services at 1-877-236-1341.