How to Renew Delaware Medicaid
Updated August 2026
Delaware DMMA renews Medicaid eligibility annually. Delaware first attempts an ex parte review — using electronic data from the Social Security Administration, state wage records, and other federal databases to verify eligibility without requiring member action. When electronic verification succeeds, DMMA renews coverage and sends a notice.
Annual
Renewal frequency
ASSIST portal
Online renewal option
30 days
Deadline to respond to renewal packet
Keep your contact information current with DHSS
Delaware DHSS sends renewal notices by mail and through the ASSIST portal at assist.dhss.delaware.gov. Members with outdated addresses miss these notices and can lose coverage. Call Customer Relations at (866) 843-7212 to update your address or household information at any time.
How Delaware Medicaid renews your coverage
When electronic verification is insufficient, DMMA mails a renewal packet to the address on file. Members must complete and return the renewal form with required documentation by the deadline on the notice — typically 30 days. Missing the deadline results in coverage termination; members can reapply at any time through ASSIST.
How to renew
Return your renewal form using any of these methods.
- Online — assist.dhss.delaware.gov, the fastest option
- By phone — call (866) 843-7212
- By mail
- In person — at a DHSS office
Documents that may be needed at renewal
DMMA may ask for the following.
- Recent pay stubs (one to two months) or self-employment income records
- Social Security or SSI award letter if receiving benefits
- Proof of Delaware residency — utility bill, lease, bank statement
- Immigration documents if your status has changed
- Documentation of household changes (new members, income changes)
If your Delaware Medicaid coverage was terminated
If DMMA terminates your coverage and you believe you remain eligible, you have the right to request a fair hearing. Request within 30 days of the termination notice. If you request a hearing before your coverage end date, Delaware may continue your coverage while the hearing is pending — known as "aid paid pending."
Delaware offers retroactive Medicaid coverage going back up to three months before your application date. If you have outstanding medical bills from recent months, ask about retroactive coverage when you reapply — it can cover bills already received.
How to complete your Delaware Medicaid renewal
Follow these steps once your renewal period approaches.
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1
Watch for your renewal notice
DMMA sends renewal notices by mail approximately 60-90 days before your coverage anniversary date. Your renewal period falls on the same month each year as your initial enrollment. Keep your mailing address current — call (866) 843-7212 to update it.
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2
Review and update your information
Confirm that income, household members, address, and citizenship/immigration status are still accurate. Report any changes in income or household composition before the deadline.
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3
Gather documentation if requested
DMMA may ask for recent pay stubs, a Social Security award letter, proof of Delaware residency, or other documents. Respond by the deadline stated in your renewal notice.
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4
Submit your renewal
Return the completed renewal form online at assist.dhss.delaware.gov, by calling (866) 843-7212, by mail, or in person at a DHSS office. Online submission is fastest.
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5
Confirm your MCO enrollment is active
After DMMA processes your renewal, confirm your coverage is active with your MCO — Highmark Health Options or Molina Healthcare. Contact the Health Benefits Manager at (800) 996-9969 with plan-related questions.
If your renewal is denied
A denial must state the reason in writing and explain your right to appeal. You have 90 days from the date of the notice to request a fair hearing. File the appeal quickly — if you appeal before your coverage ends, you may be able to continue coverage during the appeal period, though this depends on timing and the reason for denial.
Common renewal denials include income that increased above the threshold, failure to respond to the renewal packet, a change in household size that affects eligibility, or immigration status questions.
Contact Delaware Medicaid within the 90-day window. A reconsideration or new application filed promptly can often restore coverage retroactively to the date it was lost.
Keeping your account information up to date
The most effective way to avoid renewal problems is to report changes promptly. Federal rules require Medicaid enrollees to report changes that may affect eligibility within a specified period — typically 10 to 30 days depending on the state.
Changes to report: new job or income change, move to a new address, change in household size (new baby, someone moves in or out), gaining or losing other health coverage. Contact Delaware Medicaid or update your information through the ASSIST portal.
Delaware Medicaid
- DHSS Customer Relations: (866) 843-7212
- ASSIST online portal: assist.dhss.delaware.gov
- Health Benefits Manager (MCO plan questions): (800) 996-9969