General responsibilities of carriers [Effective Jan. 1, 2028].
Del. Code tit. 18, § 3304B
in effect(a) A carrier that requires provider credentialling prior to the reimbursement or settlement of claims shall do all of the following:
(1) Establish written policies and procedures for credentialing of health-care professionals and apply these standards consistently.
(2) Verify the credentials of a health-care professional before entering into a contract with that health-care professional to be a participating provider.
(3) Establish a credentialing committee consisting of health-care professionals to review credentialing information and supporting documents and make decisions regarding credentialing denials or terminations.
(4) Make available for review by health-care professional applicants upon request all credentialing policies and procedures.
(5) Retain all records and documents relating to a health-care professional’s provisional credentialing, initial credentialing, and recredentialing for at least 3 years from date of the record’s creation.
(6) Keep confidential all information obtained in the credentialing verification process, except as otherwise provided by law.
(b) Nothing in this chapter may be construed to require a carrier to select a health-care professional as a participating provider solely because the health-care professional meets the carrier’s credentialing standards, or to prevent a carrier from utilizing separate or additional criteria in selecting the health-care professionals with whom it contracts.
Source: DE Code (Official Site)URL: https://delcode.delaware.gov/title18/c033b/index.htmlFetched: 10/4/2026