Credentialing and recredentialing [Effective Jan. 1, 2028].
Del. Code tit. 18, § 3307B
in effect(a) Within 15 days of receipt of a uniform credentialing application, a carrier shall send to the health-care professional notice of either of the following:
(1) The carrier’s confirmation that the submission was a clean application.
(2) Notice that the credentialing application is incomplete. Failure to provide notice within the required timeframe deems the application complete.
a. A carrier that receives an incomplete application shall return it to the health-care professional with a comprehensive list of all corrections needed.
b. If the requested information is not received within 30 days, the carrier may treat the application as withdrawn, and no further carrier action is required.
(b) If under subsection (a) of this section, a carrier provides confirmation of a clean application, the carrier will, within 30 days after the confirmation is provided, do 1 of the following:
(1) Accept the health-care professional’s credentialing application and issue notice to the health-care professional.
(2) Provide notice that the carrier needs additional time to render the credentialing decision, with an explanation of the reasons for the delay, an estimate of the time necessary to complete the review, and notice of provisional credentialing information as required by this chapter.
(3) Deny the health-care professional’s credentialing application.
(c) A carrier must provide each applicant notice of the outcome of the applicant’s credentialing within 10 calendar days after the conclusion of the process.
Source: DE Code (Official Site)URL: https://delcode.delaware.gov/title18/c033b/index.htmlFetched: 10/4/2026