18 Del. C. § 3302B: Purpose and intent [Effective Jan. 1, 2028].

(a) This chapter requires carriers regulated by, or contracted with, this State and that require provider credentialing prior to the reimbursement or settlement of claims to participate in a comprehensive uniform health-care professional credentialing program to ensure that health-care professionals meet specific minimum standards of qualification for reimbursement and to ensure that the credentialing process is clearly defined and not limiting access to health-care services.

(b) Credentialing standards in this chapter are designed to promote uniformity and efficiencies among processes, set certain response standards to improve health-care professional speed-to-market, and reduce the administrative burden of completing multiple, complex, and different processes.

(c) Notwithstanding any other provision of law, this chapter establishes state standards for credentialing of health-care professionals and applies to all carriers that require provider credentialing prior to the reimbursement or settlement of claims and that contract with health-care professionals to provide health-care services under state-regulated plans or contracts delivered or issued under any of the following:

(1) Title 18.

(2) Title 19.

(3) Title 29.

(4) Title 31.