Application for credentialing, recredentialing [Effective Jan. 1, 2028].
Del. Code tit. 18, § 3305B
in effect(a) Beginning January 1, 2028, a carrier or its credentialing intermediary may not use any credentialing application other than the uniform credentialing application.
(b) A carrier shall do all of the following:
(1) Except as otherwise permitted in paragraph (b)(3) of this section, accept the uniform credentialing application as the sole application for a health-care professional to become credentialed or recredentialed.
(2) Make the uniform credentialing application available to any health-care professional to be credentialed or recredentialed by that carrier or credentialing intermediary.
(3) Accept the credentialing application of other states when a health-care professional practices outside this State and prefers to use the credentialing application required by their primary or home state.
(4) Accept applications through an online credentialing system.
(c) (1) A carrier may not require a health-care professional to complete recredentialing within 3 years of the health-care professional’s most recent successful credentialing application, except as necessary to address any activity that could disqualify a health-care professional from credentialing in accordance with NCQA standards.
(2) A carrier shall notify health-care professionals in writing not less than 90 days before recredentialing is required. The notices required therein must be delivered to the health-care professional electronically and by certified mail or by USPS Intelligent Mail barcode, or electronic delivery that meets the requirements of the Uniform Electronic Transactions Act (Chapter 12A of Title 6). Proof of mailing such notices are subject to the records retention requirements of this chapter.
(d) A carrier may not charge a fee to health-care professionals for processing a credentialing application.
(e) If a credentialed health-care professional changes employment or location, opens an additional location, or joins a new health-care facility, a carrier may only require submission of the new information as it is necessary to continue the health-care professional’s credentials and may not require a new credentialing application.
Source: DE Code (Official Site)URL: https://delcode.delaware.gov/title18/c033b/index.htmlFetched: 10/4/2026