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$29/mo7-day free trialThese pages show common-procedure samples per category. The complete all-codes Delaware schedules export as CSV with the Rates plan.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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Delaware's published schedules by category
Codes on the current schedule, the newest effective date, the median published rate as a percentage of national Medicare where a comparator exists, and one recognizable procedure's rate per category. Open a category for its common-procedure table.
| Category | Codes | Effective | Median % of Medicare | Example rate | PA required |
|---|---|---|---|---|---|
| Physician | 6,378 | 2026 | 96.9% | $92.63 Office visit, established patient, low complexity (20-29 min) (99213) | -- |
| Lab & Imaging | 2,020 | 2026 | 98% | $32.08 Chest X-ray, 2 views (71046) | -- |
| DME & Supplies | 1,164 | 2026 | 98.1% | -- | -- |
| Drugs | 7 | 2026 | -- | -- | -- |
| Vision | 129 | 2026 | 100.2% | $145.78 Eye exam, new patient, comprehensive (92004) | -- |
| Behavioral Health | 36 | 2026 | 98% | $163.75 Psychotherapy, 60 minutes (90837) | -- |
| Anesthesia | 278 | 2026 | -- | -- | -- |
| Hearing | 5 | 2026 | -- | -- | -- |
| Transport | 15 | 2026 | -- | $35.00 Ambulance service, basic life support, non-emergency transport, (bls) (A0428) | -- |
| State-Specific Services | 52 | 2026 | 98% | $31.21 Telehealth originating site facility fee (Q3014) | -- |
| Dental | Delaware's dental Medicaid rates live in the dental section, with their own per-state page. | ||||
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one.
Where Delaware publishes its fee schedules
- Publisher
- Delaware Division of Medicaid and Medical Assistance (DMMA)
- Program
- Delaware Medicaid
- Official source
- https://medicaidpublications.dhss.delaware.gov/docs/search
- Last checked
- Aug 23, 2026
ProviderSignal collects every category from the state's publication, standardizes the rows and labels each code in its own plain language. Rates are the published amounts; the state's page remains the legal source.
These are common-procedure samples. The complete Delaware schedules, every category and every code, export as CSV on the Rates plan.
Compare Delaware nationally
Frequently asked questions
Does Delaware publish a Medicaid fee schedule?
Yes. Delaware publishes 10,084 Medicaid fee-for-service procedure rates across 10 service categories, effective through 2026, all collected and normalized here with plain-language procedure names. Delaware Division of Medicaid and Medical Assistance (DMMA) publishes Delaware's Medicaid fee schedules.
Who publishes Delaware's Medicaid fee schedule?
Delaware Division of Medicaid and Medical Assistance (DMMA) publishes Delaware's Medicaid fee schedules. The state's own fee-schedule page is https://medicaidpublications.dhss.delaware.gov/docs/search. ProviderSignal collects every category from it, standardizes the rows and re-checks the source on a rolling cadence (last checked Aug 23, 2026).
What does Delaware Medicaid pay for common services?
An established-patient office visit (99213) pays $92.63, a two-view chest X-ray (71046) $32.08 and a new-patient comprehensive eye exam (92004) $145.78. Every figure is the state's published fee-for-service amount for the code's benchmark locality; managed-care plans can pay differently. The category pages list common procedures with plain-language names, and the complete all-codes schedules export as CSV on the Rates plan.
How do Delaware's Medicaid rates compare with Medicare?
Pooled across categories with a national Medicare comparator, Delaware's published rates run a median 97% of the Medicare amount, ranking 10 of 49 jurisdictions with a comparable basis.
What service categories does Delaware publish?
Physician (6,378 codes), Lab & Imaging (2,020 codes), DME & Supplies (1,164 codes), Drugs (7 codes), Vision (129 codes), Behavioral Health (36 codes), Anesthesia (278 codes), Hearing (5 codes), Transport (15 codes), State-Specific Services (52 codes). Dental rates have their own section with per-state pages.
How current are these rates?
Rates come from Delaware's currently published fee schedules, the newest effective 2026, and are re-collected on a rolling monthly cadence. This page updates automatically after each collection sweep.