Newsletters and Updates

Balance Billing for Members

Balance billing members (PDF)

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Previous newsletters

Provider alerts

March 27, 2024
Change Healthcare timely filing deadline extension (PDF)
March 27, 2024
Electronic remittance advice access (PDF)
March 20, 2024
Availity additional information (PDF)
October 19, 2023
Balance billing members (PDF)
August 23, 2023
Job fair for providers (PDF)
August 22, 2023
Balance billing members (PDF)
August 18, 2023
Fall ECHO clinic session agenda (PDF)
August 10, 2023
Dental provider complaint form (PDF)
August 9, 2023
Echo mini-series maternal health sud stigma and bias (PDF)
June 1, 2023
Balance billing members June update (PDF)
May 2, 2023
Pregnant and post-partum people with OUD provider survey (PDF)
April 6, 2023
Balance billing members (PDF)
January 27, 2023
Change managed care organization provider notification (PDF)

Previous provider alerts

2022
October 11, 2022
2022 Provider forum presentation (PDF)
July 29, 2022
Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Dental communication for providers (PDF)
July 18, 2022
Overtime for Self-Directed Attendant Care (SDAC) providers (PDF)
July 12, 2022
School Based Wellness Center (SBWC) bulletin updates (PDF)
April 28, 2022
Bright Start Provider Training Guide - April 2022 (PDF)
February 22, 2022
Reminder: AmeriHealth Caritas Delaware members should not be balance billed by any participating provider (PDF)
2021
October 15, 2021
2021 Virtual Provider Forums (PDF)
September 1, 2021
New program starting on September 1, 2021 - Condition Optimization Prospective Outreach Program (PDF)
August 16, 2021
July 2021 ProviderPost (PDF)
August 3, 2021
June 2021 ProviderPost (PDF)
July 30, 2021
Healthy Heart Ambassador Blood Pressure Self-Monitoring Program (PDF)
June 30, 2021
Update of Electronic Visit Verification (EVV) go-live date (PDF)
April 13, 2021
Introducing the AmeriHealth Caritas CARE Card Program for Members (PDF)
March 30, 2021
February 2021 ProviderPost (PDF)
March 4, 2021
January 2021 ProviderPost (PDF)
February 4, 2021
EVV update – The new EVV go-live date is July 1, 2021 (PDF)
January 29, 2021
December 2020 Provider Post (PDF)
January 21, 2021
Providence Announces New Name - ModivCare (PDF)
January 5, 2021
Delaware EVV system (AuthentiCare) will NOT go live on January 1, 2021 (PDF)
2020
December 16, 2020
Provider Bulletin: New Payer ID for Change Healthcare and ECHO Health Inc. (PDF)
December 15, 2020
Provider Bulletin: Healthcare Effectiveness Data and Information Set (HEDIS®) Well Child Coding Tips (PDF)
November 9, 2020
October 2020 ProviderPost (PDF)
November 5, 2020
Provider Bulletin: New dental benefit for adult members (PDF)
October 20, 2020
Provider Bulletin: Reminder: Prior authorization for durable medical equipment (DME) rentals (PDF)
October 12, 2020
Your work is essential! Protect yourself and others from flu and COVID-19 this fall and winter (PDF)
October 2, 2020
Provider Bulletin: DMMA survey regarding electronic visit verification (PDF)
September 3, 2020
Provider Bulletin: Change of Prior Authorization Requirements for Certain Procedure Codes (PDF)
September 3, 2020
July 2020 ProviderPost (PDF)
August 19, 2020
Provider Bulletin: Preferred drug list (PDF)
July 28, 2020
Provider Bulletin: Quantitative drug testing policy notification (PDF)
July 16, 2020
June 2020 ProviderPost (PDF)
May 26, 2020
May 2020 ProviderPost (PDF)
May 15, 2020
Provider Bulletin: COVID-19 telehealth services important billing reminders (PDF)
May 12, 2020
Provider Bulletin: Home health telehealth services (PDF)
April 21, 2020
Provider Bulletin: New Applied Behavioral Analysis (ABA) and Health Behavior Assessment and Intervention (HBAI) CPT codes (PDF)
April 21, 2020
April 2020 ProviderPost (PDF)
March 27, 2020
Provider Bulletin: Preferred drug list (PDF)
March 23, 2020
March 2020 ProviderPost (PDF)
February 19, 2020
February 2020 ProviderPost (PDF)
February 10, 2020
January 2020 ProviderPost (PDF)
February 10, 2020
DPH Information on Monitoring Returning Travelers for Coronavirus (PDF)
2019
December 19, 2019
December 2019 ProviderPost (PDF)
December 18, 2019
Provider Bulletin: New CPT Category II Codes (PDF)
December 5, 2019
Provider Bulletin: 2019 Provider Satisfaction Survey (PDF)
October 1, 2019
September 2019 ProviderPost (PDF)
September 19, 2019
2019 Provider Forum Schedule (PDF)
September 11, 2019
Provider Bulletin: Vitamin D 25 Hydroxy Claims (PDF)
August 5, 2019
2019 Provider Manual Now Available Online (PDF)
August 2, 2019
Provider Bulletin: HCPCS Medication Codes Requiring Prior Authorization, Effective September 1, 2019 (PDF)
July 30, 2019
July 2019 ProviderPost (PDF)
June 25, 2019
June 2019 ProviderPost (PDF)
June 25, 2019
Provider Bulletin: YMCA Diabetes Prevention Program (PDF)
June 25, 2019
Provider Bulletin: Late and Missed Shifts Care Reporting (PDF)
May 31, 2019
May 2019 ProviderPost (PDF)
May 22, 2019
Provider Bulletin: Intellectual and Developmental Disabilities (PDF)
May 1, 2019
April 2019 ProviderPost (PDF)
March 29, 2019
March 2019 ProviderPost (PDF)
March 4, 2019
Children With Medical Complexity (PDF)
March 1, 2019
Provider Bulletin: Intensive Behavioral Therapy for Obesity (PDF)
February 28, 2019
February 2019 ProviderPost (PDF)
February 1, 2019
Provider Bulletin: Alprazolam (Xanax) Will Become Non-Preferred (PDF)
January 30, 2019
January 2019 ProviderPost (PDF)
January 15, 2019
Provider Bulletin: Home and Community-Based Service (HCBS) Providers (PDF)
January 14, 2019
Provider Bulletin: Oral Contraceptives (PDF)
January 11, 2019
Provider Bulletin: Narcan Policy (PDF)
2018
December 17, 2018
Division of Medicaid and Medical Assistance Preferred Drug List Update (PDF).
October 2, 2018
Clinical Laboratory Improvement Amendments (CLIA) Update (PDF).
October 1, 2018
Opiate Prescription Update (PDF).
September 25, 2018
Instructional Videos Are Now Available for Expanded NaviNet Functionalities (PDF).
August 8, 2018
Obstetrical Needs Assessment Form Incentive Program (PDF).
May 1, 2018
Effective June 1, 2018 – Corrected Claims Must Contain Appropriate Identifiers to Avoid Rejection (PDF).
March 29, 2018
Claim payment during credentialing (PDF): AmeriHealth Caritas Delaware will continue to pay claims as participating while we complete provider credentialing.
January 30, 2018
Download the Claim Modifiers for Behavioral Health Services chart (PDF).
January 30, 2018
Behavioral health services claim modifiers notice (PDF): If you have submitted claims without appropriate modifiers, the claim will reject and will need to be resubmitted within 120 days of the original date of service.
January 5, 2018
AmeriHealth Caritas Delaware has updated its Provider Manual (PDF). The manual includes a change log that details the content that has changed.
January 5, 2018
AmeriHealth Caritas Delaware has updated its Claims Filing Instructions (PDF). The instructions booklet includes a change log that details the content that has changed.
January 5, 2018
AmeriHealth Caritas Delaware has updated the provider orientation and training presentations to include how to find your Account Executive.
Providers