January 20, 2021
The new EVV go-live date is July 1, 2021. As the system implementation moves forward, please continue with your efforts towards implementation. If you are using a third-party EVV system, please continue to collect EVV visit data. This will enable you to upload your visit data to the AuthentiCare aggregator when AuthentiCare is implemented.
DMMA will communicate additional updates going forward. If you have any questions regarding EVV, please send an email to DHSS_DMMA_EVV@delaware.gov.
December 30, 2020
The launch of Electronic Visit Verification (EVV) on Jan. 1, 2021, has been postponed.
Highmark Health Options will notify you of the new go-live date. While the overall system implementation will be delayed, please continue with your efforts towards implementation. If you are using a third-party EVV system, please move forward with collecting EVV data as of Jan. 1, 2021. This will enable you to upload your visit data to the AuthentiCare aggregator when AuthentiCare is implemented. If you are planning to use AuthentiCare as your EVV solution, it is not necessary for you to collect visit data during this delay. If you have received state-issued devices, please ensure they are safely stored.
Electronic Visit Verification (EVV) is an electronic system that records the time your personal care, nursing, and home health services begin and end. Highmark Health Options uses EVV as required by the federal government.
December 1, 2020
Effective February 1, 2021, Highmark Health Options will require prior authorization from eviCore for the Medicaidmembership delegated for cardiology and radiology services on dates of service February 1, 2021 and beyond.
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The purpose of this information letter is to clarify the claim submission guidelines for Delaware Health Options Home-Delivered Meal Benefit.
November 12, 2020
Highmark Health Options is committed to the safety of our employees, providers, and members. To continue our ongoing communication and education of our provider community, and will be hosting two virtual provider forums.
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The State of Delaware requires health plans to conduct a quarterly outreach to verify provider data. Beginning in April 2019, Highmark Health Options started conducting quarterly outreaches to verify your provider data and has continued every quarter to date. Our Vendor, Atlas Systems, Inc., performs the quarterly outreach on our behalf.
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October 9, 2020
On October 9, 2020 at 11am, the Department of Labor will be hosting a drive-thru food pantry. In addition, wellness resources will be available to all who attend. To find out more, view the PDF below. The location for this event has changed and will now be held at: Minquadale Fire Co., 129 E Hazeldell Ave, New Castle, DE 19720.
The purpose of this information letter is to clarify the claim submission guidelines for Delaware Health Options Home Delivered Meal Benefit.
The Division of Medical Medicaid & Medical Assistance has partnered with Fiserv in the implementation of Electronic Visit Verification (EVV) effective January 2021.
Highmark Health Options has partnered with the YMCA of Delaware to provide the Diabetes Prevention Program to our members.
Highmark Health Options joined the Delaware Division of Medicaid and Medical Assistance (DMMA), as a founding member of the ﬁrst ever collective national insurance initiative: My Healthy Weight; A pledge to provide obesity prevention and treatment for individuals of all age.
As required by the Patient Protection and Affordable Care Act (ACA) regulation 42 CFR §455.410, all practitioners, including those who order, refer or prescribe items or services for Medical Assistance beneﬁciaries, must be enrolled as participating providers with the Medical Assistance Program. Consistent with CMS and guidance from the Delaware Division of Medicaid and Medical Assistance (DMMA), it is imperative that ordering, referring or prescribing providers register with the Delaware Medical Assistance Program immediately in order to prevent any disruption in the fulﬁllment of your prescribed medications and medical services to our members after January 1, 2019.
To enroll with DMMA, please visit: https://medicaid.dhss.delaware.gov/provider/Home/ ProviderEnrollment/tabid/477/Default.aspx.