Provider Announcements

January 20, 2021

Electronic Visit Verification New Start Date

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

Electronic Visit Verification Launch Postponed

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

Highmark Health Options and eviCore Prior Authorization

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.

View the PDF document


December 1, 2020

Billing for Home-Delivered Meals

The purpose of this information letter is to clarify the claim submission guidelines for Delaware Health Options Home-Delivered Meal Benefit.

View the PDF document


November 12, 2020

November Virtual Provider Forum

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. 

View the PDF document 


November 12, 2020

Atlas Quarterly Outreach

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. 

View the PDF document 


October 9, 2020

Drive-Thru Food Pantry and Wellness Resources

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.

View the PDF document 


Billing for Home Delivered Meals

10/26/2020

The purpose of this information letter is to clarify the claim submission guidelines for Delaware Health Options Home Delivered Meal Benefit.

Delaware Division of Medicaid and Medical Assistance Electronic Visit Verification (EVV) Provider Overview Training

10/16/2020

The Division of Medical Medicaid & Medical Assistance has partnered with Fiserv in the implementation of Electronic Visit Verification (EVV) effective January 2021.

New Diabetes Prevention Program (DPP)

6/20/2019

Highmark Health Options has partnered with the YMCA of Delaware to provide the Diabetes Prevention Program to our members.

Highmark Health Options’ New Healthy Weight Management Program

6/20/2019

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.

Providers Must Enroll to Prescribe for Medicaid Members

4/9/2019

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.