Welcome to Delmarva’s New Maryland Medicaid Website!

iEXCHANGE® Outage Alert! ~ March 12, 2013
On Sunday, March 17th a system outage is required to perform network switch maintenance. In order to complete this maintenance, iEXCHANGE® will be unavailable from approximately 5:00 am – 4:00 pm EST.

We apologize in advance for any inconvenience.

DHMH Bedhold Policy Memo Announcement! ~ Jul 12, 2012
In response to questions from providers regarding changes to Long Term Care Bedhold policy Delmarva Foundation for Medical Care has uploaded the memo from DHMH regarding the changes to our website.  Please visit the long term care section and review the memo [pdf].  If you have further questions please call our provider services line at 1-866-571-3629.

Attention ~ Upload Medical Records and UB04 Login ~ Jun 20, 2012
Effective Wednesday, June 20, 2012, the first time you access the Upload Medical Records or UB04 Authorization Number links on the Maryland Medicaid Website, you will need to register to use these website tools.  This change is required in order to improve our website security. The login information you are currently using to access these tools will no longer be active.

The system will step you through the self-registration process. Once you have registered and created your new username and password, you will use this to login and access these functions going forward. See the registration instructions [pdf] to get started!

If you have any questions, please direct them to our Provider Support line at 866-571-3629.

We apologize in advance for any inconvenience. Thank you!

DHMH 3808 Process Failure ~ May 17, 2012
Delmarva Foundation experienced issues processing 3808 data files from MEDecision on Tuesday and Wednesday evening. We are in the process of correcting the problem and expect to export a file to the Department of Health and Mental Hygiene this evening. The 3808 reviews completed 5/15, 5/16, and 5/17 will have UB04 numbers available tomorrow May 18, 2012. We apologize for the inconvenience. 

iEXCHANGE® Ver 8.4 Upgrade Announcement! ~ Mar 14, 2012
On Sunday March 18th, an enhanced version of iEXCHANGE (version 8.4) will be implemented during the Monthly Maintenance Outage. With this new version, the providers will see a few changes to the application (Questionnaire (3871b) Printing and Improved Navigation) which are described in the following document:

• iEXCHANGE® Version 8.4 (Enhancements documentation) [pdf]

If you have any questions, please direct them to our Provider Support line at 866-571-3629.

DHMH 257 Informational Announcement! ~ Feb 6, 2012
Please note that Delmarva Foundation will not certify a 257 using an Advisory Level of Care. If a Resident has an Advisory Level of Care, it is the Nursing Facility’s responsibility to submit a request for a NF LOC via the iEXCHANGE® system.  Once a level of care has been granted by the UCA, the Nursing Facility can submit the required documents along with a 257 for certification. 

DHMH Revised 3871B & BIMS Announcement! ~ Dec 15, 2011
Effective January 1, 2012 facilities will be required to use the revised DHMH 3871B form and BIMS. The DHMH nursing home Transmittal 237, the revised 3871b, 3871B instructions, BIMS tool, and BIMS instructions are now posted on our website under the Long Term Care tab.

DHMH 3871B Announcement! ~ Dec 5, 2011
The Utilization Control Agent (Delmarva Foundation) for DHMH is requesting that all AERS, Hospitals and MDC providers submitting a DHMH 3871B for Medical Day Care Waiver Services include a current address for the participant. This information should be entered in the iEXCHANGE notes. The MMIS II system is not up to date with Medical Assistance participants' demographics and at times this has caused a denial or approval letter to be returned to the Division of Community Long Term Care.

Attention: New DHMH 257 Form! ~ Aug 4, 2011
To request hard copies of the DHMH 257 (in triplicate) please write or by fax to the attention of Ms. Kimberly Quick.  Please include your provider name, provider number and address with your request.

Long Term Care Announcement ~ Jul 25, 2011
For all temporary ID request numbers, please use this template [pdf] to obtain the information before calling or faxing your request. This will assist Delmarva Foundation to process your request more efficiently. Thank you!

"Retrospective Review (3808)" Announcement ~ Mar 25, 2011
Until further notice, requests for corrections to a 3808 (whether processed by KePRO or Delmarva) can no longer be submitted thru iEXCHANGE. The Acute Hospital 3808 Correction Request Form [pdf] should be completed and faxed to Kaitlin Johnston at 888-513-1995.

Upon completion by Delmarva, the request will be sent to the State for further processing. Providers will receive the correction verification for KePRO cases via fax and for Delmarva cases via iEXCHANGE. Hospitals should not resubmit their claim until this verification is received.

"Contacting Delmarva" Announcement ~ Feb 24, 2011
During this implementation period and high call volume it is important that providers direct any questions regarding cases or the review process directly through Provider Services Line using the telephone numbers provided. This will ensure that we provide you with a timely response and  the correct resources to address your question or concern.

ALERT ~ Feb 11, 2011
Use the procedure code 99.9 for Other Requests Only!  The category "Other Request" includes all Medical Waiver Programs.

ALERT ~ Feb 7, 2011
Please submit all 3808 requests via iEXCHANGE.

ALERT ~ Jan 31, 2011
Because Medicaid recipients may have multiple ID numbers in the Medicaid eligibility files, it is necessary to ensure that the ID number presented to the provider can be matched back to the correct recipient. Therefore, please enter the full 11 digit Medicaid ID number that appears on the member’s ID card in the “MA Number on Card” field in your iEXCHANGE request. When searching for a treatment update (status of your request) both the original recipient MA # as well as the current MA # (if different from the original ID) will appear on the treatment update.

Attention ~ 3871B Reviews
If additional information is required please complete the Additional Information Form and fax to DFMC at 888-513-2002.