Join Our Network

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Join Our Network

Thank you for your interest in joining the Highmark Health Options Delaware network.

We appreciate your interest in becoming a contracted provider with Highmark Health Options Delaware. This application is designed for new providers and groups seeking to establish their initial contract with our network.

Already Contracted? If your group is currently contracted with Highmark Health Options Delaware and you need to add an individual provider to your existing practice, please contact Provider Services directly at 1-844-325-6251 for prompt assistance.

Next Steps: Upon submission, your application will be carefully reviewed. Our team will reach out to you by phone or email within 12 business days with an update regarding your application's status.

 This form is for inquiry purposes only and not for official registration.

Per Delaware Health and Human Services (DHSS), all providers must be enrolled in the DE Medical Assistance Portal (DMAP) and have an active Provider ID.

* denotes required field

Are you currently participating with Highmark Health Options Delaware?
Do you currently accept DE Medicaid?
Do you currently accept Medicare?
Which line(s) of business are you interested in applying?
  • Delaware
  • Maryland
  • New Jersey
  • Pennsylvania
  • Virginia
Do you treat pediatric patients?
Are you Board Certified?
Is your practice a Federally Qualified Heath Center (FQHC) or Rural Health Clinic (RHC)?
  • Delaware
  • Kentucky
  • Maryland
  • Pennsylvania
  • Ohio
  • Virginia
  • West Virginia

Provide any additional information relevant to this request (e.g., supplemental information, special services offered, etc.):