{"data":{"id":"us-de/18-del.-c.-3308b","jurisdiction":"us-de","citation":"18 Del. C. § 3308B","heading":"Provisional credentialing [Effective Jan. 1, 2028].","body":"(a) Carriers must provide provisional credentials to health-care professionals who have submitted the uniform credentialing application from the date of notice of a clean application, effective until the credentialing application is approved or denied, under any of the following circumstances:\n(1) When the carrier fails to make a credentialing decision on a clean credentialing application within the period required by § 6207(b) of this title.\n(2) When the health-care professional’s primary employment is serving in a relevant health professional shortage area as designated by the U.S. Health Resources and Services Administration.\n(3) When the health-care professional’s primary employment is within a federally-qualified health center.\n(4) When the health-care professional is actively credentialed by the carrier at a different facility or location within Delaware.\n(5) When the health-care professional is actively credentialed by the carrier in a different state with reciprocity of licensure to Delaware and relocating to Delaware or providing multistate care including care in Delaware.\n(b) The carrier may not issue provisional credentialing if the health-care professional disclosed a history of malpractice settlements within 5 calendar years of the application or licensing board disciplinary actions in its uniform credentialing application.\n(c) If, on completion of the credentialing process, the carrier denies an application for a health-care professional that has received provisional credentialing, the carrier may recover an amount equal to the reimbursements collected by the health-care professional within 120 days of the denial.","path":["Title 18. Insurance Code","Part I. Insurance","Chapter 33B. Health-Care Professional Access Act [Effective Jan. 1, 2028]."],"source_url":"https://delcode.delaware.gov/title18/title18.pdf","current_through":"2026-10-01 (85 Del. Laws, c. 550)","vintage":"","retrieved_at":"2026-10-21T05:49:49Z","sha256":"a07d5c86f43b0d86097fa564912810e9891c20f27fc1bacddc1464c695cff043","source_id":"us-de","stale":false,"prev":"us-de/18-del.-c.-3307b","next":"us-de/18-del.-c.-3309b"},"notice":"GroundRules: Original legal text. Not legal advice."}