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Provider Services
Local: 410-770-3983
Toll Free: 866-571-3629

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Acute: 888-513-1995
LTC: 888-513-2002

Provider Quick Links

Online Forms

Temporary ID Request

See Announcements Section if you are experiencing technical issues with the form.

Acute Care
Medical Record Upload

Long-Term Care
Medical Record Upload

UB04 Authorization Number

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Contact Provider Services at
1-866-571-3629

Welcome to Delmarva’s New Maryland Medicaid Website!

This site is your one-stop shop for information about our work as the Utilization Control Agent for the Maryland Department of Health and Mental Hygiene (DHMH) External Website Icon.

Click here for additional information and details...

Provider Updates, Alerts & Announcements

iEXCHANGE® Browser Requirements ~ Mar 20, 2014

Medecision only supports the following web browsers and versions when accessing iEXCHANGE®:

  • Internet Explorer version 6.0, 7.0, 8.0 or 9.0
  • Firefox - All versions

Please note that using another browser or version not listed is not supported.

Providers should check the browser they are using. If using Internet Explorer, check the version to ensure it is listed above (from the IE menu bar select "Help...", then select "About Internet Explorer").

Alternatively, you may check your browser and version here: www.thismachine.info.

If you are not using a supported browser, you will need to contact your IT department or the individual that maintains and installs upgrades to your machine, and have the browser rolled back to a supported version.

Additionally, please note that using a higher version of the Internet Explorer browser in compatibility mode is also not supported.

Thank you in advance for your cooperation.

3808 Claims Extract Alert! ~ Mar 7, 2014

Delmarva has identified a technical issue related to completed claims that had not been assigned a UB04 number. This occurred with the claims extract on Monday, March 3, and Thursday, March 6. The issue has been resolved and the claims extract for this evening, Friday, March 7, will include the completed claims from March 3rd and 6th.

If you have any questions, please contact the Provider Support Line at (866) 571-3629.

Thank you for your patience.

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   Updates, Alerts, and Announcements Archive

Recommended Medical Records Packaging Procedures ~ Mar 4, 2014

Recommended packaging procedures for sending medical records to DFMC when shipped through the mail or other ground transportation service:

  • Use of a box for medical records as the preferred packaging.  Priority mailing boxes, for example.
  • Use of a heavy-duty envelope such as the Tyvek ©, or the bubble-wrapped type.
  • Avoid over-packing.  Overstuffed boxes and envelopes are more susceptible to tearing.
  • Double wrap the contents (an envelope within an envelope).
  • Use of bubble wrap around the medical record to keep the record intact within an envelope.
  • Stamp or label Confidential.

Thank you for your cooperation,  

Please contact Provider Services with questions or comments.

Delmarva Foundation Provider Services
Local: 410-770-3983
Toll Free: 1-866-571-3629

Aerial - iEXCHANGE® Upgrade Alert! ~ Feb 2, 2014

Delmarva Foundation’s upgrade to Medecision’s Aerial 4.1 has been successfully completed and iEXCHANGE® is now available for Provider use.

Please note that the iEXCHANGE® upgrade will not have a major impact on how you enter requests for Delmarva Foundation. However, there are a few changes and enhancements that providers will see now that the implementation is complete.

Please see the documentation, What’s New in iEXCHANGE®? [pdf] located on the Maryland Medicaid website to become familiar with the changes.

Please contact Provider Services with questions or problems.

Delmarva Foundation Provider Services
Local: 410-770-3983
Toll Free: 1-866-571-3629

Aerial - iEXCHANGE® Upgrade Alert! ~ Jan 31, 2014

Delmarva Foundation will be upgrading to Medecision’s latest version of Aerial 4.1 starting today Friday, January 31st. and continuing through the weekend. This is a major upgrade of the software which again is scheduled for today Friday, 1/31/14 at 4:30 pm EST to Monday, 2/3/14 at 8:00 am EST.

Please note that due to the upgrade iEXCHANGE® will be unavailable throughout the weekend in order to complete this implementation.

All users should log out of the system
by 4:30 pm EST today
!

The iEXCHANGE® upgrade will not have a major impact on how you enter requests for Delmarva Foundation. However, there are a few changes and enhancements that providers will see once the implementation is complete. Please see the documentation, What’s New in iEXCHANGE®? [pdf] on the Maryland Medicaid website to become familiar with the changes prior to the upgrade on February 3rd.

We understand this may have an impact on the work that you or your staff may normally perform over the weekends.

Acute Care Requests:
Delmarva will allow a 1-2 day grace period related to Acute CSR/Pre-Auth requests and submission of clinicals for concurrent review due on February 3rd.

Keep in mind that for inpatient admissions on Friday, Saturday, and Sunday, the initial notification and clinical review is due by COB on Tuesday. And for inpatient admissions on Monday, the initial notification and clinical review is due by COB on Wednesday.

LTC MER Requests:
Please submit any LTC MER request by 4:00 pm today Friday, 1/31/2014 in order for Delmarva to process the LOC. If it is an urgent request, please call Provider Services and notify the staff.

Please contact Provider Services with questions or issues after the implementation.

Delmarva Foundation Provider Services
Local: 410-770-3983
Toll Free: 1-866-571-3629

New Temporary ID Request Form ~ Jan 14, 2014

On Wednesday, January 15, 2014, a new process will be implemented for submitting Maryland Medicaid Temporary Member ID Requests. These requests will now be submitted via a form on the Maryland Medicaid website.This process has been changed to provide efficiency for submitting and creating Temporary ID’s. Once available you should begin to use this method to submit all Temporary ID Requests. After Friday, February 7, 2014 requests will no longer be accepted through the phone line or fax.

NOTE: If you experience issues with the new online form, please submit your request via phone or the fax form [pdf]

The Temporary Member ID Request Form is currently accessibile from the Maryland Medicaid website home page on Wednesday, January 15th. To access the form, you must have a login to our website. If this is your first time access login on the Maryland Medicaid Website, you will need to register to create an account to use the secure site - see instructions below. If you already have an account setup for using the Upload Medical Records or UB04 Lookup functions, this account will also be used to access the Temporary Member ID Request Form.

MDMA Website Self-Registration & Login Instructions [pdf]

LOC Requirements Associated with Bedhold ~ Dec 19, 2013

To clarify the Bedhold memo with regards to the need for a Level of Care, there are two aspects; Financial and Medical.

For Financial purposes, the Nursing Facilities (NF) will not be reimbursed during the time a resident is out of their facility. The memo does encourage the Nursing Facilities to re-admit previous residents. 

For Medical eligibility, the following decision tree applies:

  • If the patient has been in the Hospital for 15 days or less and is returning to the Same Nursing Facility – No Level of Care is required
  • If the patient has been in the Hospital for 15 days or less and is being discharged to a New Nursing Facility – A Level of Care is required
  • A Hospital stay of 16 days or more – A Level of Care is required
  • If the patient is either being admitted or returning to any Nursing Facility under Medicare as the primary payor – A Level of Care is NOT required

iEXCHANGE® 9.0 Upgrade Alert! ~ April 19, 2013
On Sunday, April 21st MEDecision will implement an upgrade to iEXCHANGE during the regular monthly maintenance. The maintenance and upgrade are scheduled from 12:00 pm to 4:00 pm EST at which time iEXCHANGE will be unavailable.

At this time the iEXCHANGE upgrade will not have any major impact on how you enter requests for Delmarva Foundation. However, for facilities processing LTC Level of Care requests, you should be aware that the format has changed for entering dates on the 3871b questionnaire. In the 3871b questionnaire you must enter dates in mm/dd/yyyy format, including the slashes. This is different from how the date entries were made previously and how they are entered in the Inpatient and Outpatient request form, which has not changed.

Please contact Provider Services with questions or issues after the implementation.

Delmarva Foundation Provider Services
Local: 410-770-3983
Toll Free: 1-866-571-3629

New Acute Care Resources! ~ March 18, 2013
X02 Coverage Group references, resources and DES 401 form are now available on our website. You can complete the DES 401 form online and then print and fax or mail with the medical record to Delmarva Foundation. Please visit the Acute Care section and review the X02 Coverage Group information.

If you have any questions, please direct them to our Provider Support line at 1-866-571-3629.

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:

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.

Ms. Kimberly Quick
Budget Specialist
Department of Health and Mental Hygiene
Office of Eligibility Services
201 West Preston Street, Room L-9
Baltimore, MD 21201

Phone: 410-767-6899
Fax: 410-333-5046 

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.

Educational Information

Please visit our training center, where you can select from a number of presentations that will describe what the transition to Delmarva as the Utilization Control Agent means for providers.