Update for Delaware Providers: Authorization Submissions

Date: 01/02/26

We want to make you aware of an issue currently impacting Delaware Medicare providers:

What’s happening?

The ability to submit authorizations through the Secure Provider Portal is currently down.

What does this mean for you?

Providers may still view existing authorizations, but new authorizations must be submitted through Availity Essentials provider portal. 

In Availity Essentials, you can:

• Verify Eligibility
  • Check eligibility with the integrated Member ID (single ID for both Medicaid and Medicare)
  • Receive Provider Alerts for a Member in deeming status so you can clearly see their eligibility
    start date 
• View Member Benefits 
  • View Medicare and Medicaid Benefits in a single screen within the tool 

• Submit or search for a single authorization 
• Submit Claims & Claims Appeals 
  • Submit and search for a single Claim (by using the integrated Member ID)
  • Look up a claim and submit a reconsideration or appeal of the payment decision 
• Look up the details of a member’s care plan 

If you are already working in Availity Essentials, you can log in to your existing account through the Availity Essentials portal. If you are new to Availity Essentials, getting your Availity Essentials account is the first step. Visit the Register and Get Started with Availity Essentials webpage for training and to access
other helpful resources. 

You may also access additional resources for Wellcare and Wellcare by Delaware First Health, our new integrated duals special needs plan (D-SNP) and guides for Wellcare on our Provider Resources webpage. 

Our teams are actively working on a fix, and we’ll keep you updated as soon as we have more information.

Thank you for your patience and partnership!