The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Delaware other services schedule has 52 codes.
- Every code on all 51 published schedules
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Published codes
52
Other Services procedures on the 2026 schedule
Median % of Medicare
98%
vs national Medicare, GPCI-neutral
Effective vintage
2026
latest effective year on the schedule
Common other services procedures and what Delaware Medicaid pays
A curated sample of recognizable procedures from the 52-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.
| Code | Procedure | Delaware rate | % of Medicare |
|---|---|---|---|
| T1019 | Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | $14.75 | -- |
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. Rows marked * show the schedule's representative published variant.
More Delaware Medicaid fee schedules
- Delaware physician fee schedule · 6,378 codes
- Delaware lab & imaging fee schedule · 2,020 codes
- Delaware dme & supplies fee schedule · 1,164 codes
- Delaware anesthesia fee schedule · 278 codes
- Delaware vision fee schedule · 129 codes
- Delaware behavioral health fee schedule · 36 codes
Other Services rates in neighboring states
Frequently asked questions
What does Delaware Medicaid pay for other covered services?
Delaware Medicaid publishes 52 other services procedure rates effective 2026, paying a median 98% of the national Medicare amount for the same services. The schedule covers clinic encounters, screenings, and state-specific service codes. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.
How do Delaware's other services rates compare with Medicare?
Across other services codes with a national Medicare comparator, Delaware Medicaid pays a median 98% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.
Do other services services need prior authorization in Delaware?
Delaware does not publish prior-authorization indicators on this fee schedule, so PA requirements must be confirmed through the state's provider manual or portal. Absence of a flag here means "not published", never "no PA required".
Where do these rates come from?
Directly from Delaware's published Medicaid fee-for-service schedule (effective 2026), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.
Get an email the next time Delaware changes these rates.