Credentialing in Delaware
Soft Home Global provides payer enrollment, revalidation and follow-up for Delaware practices and billing companies at $2,250 per seat per month. Full time, worked during Delaware business hours, inside your own system.
What is specific to Delaware
Delaware runs nearly all of its Medicaid through the Diamond State Health Plan managed care waiver, and because the state is small a practice deals with only a handful of plans statewide.
Delaware’s Medicaid programme is Delaware Medicaid (Diamond State Health Plan). Practices with a meaningful Delaware Medicaid (Diamond State Health Plan) mix usually need it worked as its own queue rather than mixed into commercial follow-up, because the submission path, the timely filing window and the appeal route are all different.
What a credentialing seat does in Delaware
Applications, revalidations and payer follow-up, with every enrollment's status visible.
Delaware Medicaid (Diamond State Health Plan) is not one enrollment but one per plan, and every one of them has a revalidation date that stops payment when it passes. That calendar is the work.
- Initial applications prepared and submitted
- Revalidations tracked ahead of the deadline
- CAQH kept current
- Payer follow-up until an effective date is issued
- Status of every enrollment visible to you
- Worked during Delaware business hours, not queued overnight
For the statute behind all of this — Delaware’s prompt-pay deadline, its Medicaid filing limit, and the wrinkle that catches people out here — see the Delaware billing page.
Delaware Medicaid (Diamond State Health Plan), in practice
Comprehensive risk-based managed care: KFF's 2024 table records 219,167 Delaware Medicaid enrollees in "comprehensive risk-based managed care" (about the whole program), so providers contract with plan networks rather than billing the state directly. The number and names of the contracted MCOs could not be sourced from a reachable official page. Source
Working Delaware hours
Delaware runs on Eastern time, 10 hours behind our floor in Rawalpindi. To be at a desk for your nine to five, the shift here runs 7pm to 3am, and 6pm to 2am once the clocks go forward. Pakistan does not observe daylight saving, so the shift moves on this side rather than yours.
That is the part that decides whether follow-up happens at all: a payer’s phone lines are open on Delaware hours and nobody else’s.
What it costs in Delaware
$2,250
Per seat, per month, in US dollars — $27,000 a year for one full-time person, forty hours a week, on Delaware hours. No annual contract, no percentage of collections, no setup fee and no software to buy. Seat prices across all roles in Delaware run $1,550 to $2,550; the full list is published.
That is the entire invoice. Run your own figures against a percentage vendor or a hire rather than take ours.
Getting started in Delaware
About a week from a signed agreement to a person working your queue, and that week of training on your workflow is not billed on top. The work happens in your own system under a login you issue, so there is nothing to migrate and nothing to install. The week, step by step, and what is signed before anyone has access.
Questions
Do you work with Delaware practices?
Yes. Delaware accounts are worked during Delaware office hours rather than queued overnight, because a payer's phone lines are open then and at no other time.
What is different about Delaware?
Delaware runs nearly all of its Medicaid through the Diamond State Health Plan managed care waiver, and because the state is small a practice deals with only a handful of plans statewide.
When does a Delaware payer have to pay a clean claim?
30 days after receipt of a clean claim for the carrier to pay in full, pay in part with written explanation, deny in writing, or request additional documentation; then 15 days to act after the requested information arrives. No electronic/paper split. A claim sitting past that is not merely late, it is late against a statute, and the follow-up call changes from "when might this be paid" to "this passed your statutory window on a specific date".
How much does credentialing cost in Delaware?
$2,250 per seat per month — $27,000 a year for a full-time person, forty hours a week. Every seat price is published at softhomeglobal.com/pricing.
What hours will somebody actually be working our Delaware queue?
Delaware is on Eastern time, 10 hours behind Rawalpindi. The shift here runs 7pm to 3am so your seat is at a desk for your full working day, shifting to 6pm to 2am while daylight saving is in force — Pakistan does not observe it, so the change happens on our side.
Do you handle Delaware Medicaid (Diamond State Health Plan) as well as commercial payers?
Yes, and as its own queue rather than mixed into commercial follow-up. Delaware Medicaid (Diamond State Health Plan) has its own submission path, its own filing window and its own appeal route, and working it in the same worklist as commercial claims is how the deadlines get missed.
Is this a percentage of what you collect?
No — a flat monthly rate per seat, published at softhomeglobal.com/pricing. A percentage bills you most in your best month and points the vendor at the easy accounts.
What is the minimum commitment, and how quickly can somebody start?
One seat for one month, cancellable on thirty days notice, and about a week from a signed agreement to a person working your queue. The week of training is not billed. The steps are at softhomeglobal.com/how-it-works.
Is our patient data safe offshore?
A Business Associate Agreement is signed before anyone has access, and the work happens in your own system under a login you issue, so every action is attributable to a person in your audit trail. The controls are listed at softhomeglobal.com/security.
Next step
One seat on your Delaware work
Twenty minutes on a call is enough to tell whether this fits. If it does not, I will say so.
Or write to ops@softhomeglobal.com