Dental Care Assistance for Single Mothers in Delaware

Last updated: September 2025

Welcome. This is a practical, no-fluff hub to help you get dental care for yourself and your kids in Delaware—fast, affordably, and with real contacts you can use today. You’ll find step‑by‑step actions, direct phone numbers, and verified links to state programs, managed care plans, and clinics. Throughout, we highlight timelines, common roadblocks, and Plan B options so you can keep moving.

If You Only Do 3 Things — Emergency Actions to Take

Quick Help Box — Numbers and Links to Keep Handy

Delaware Medicaid Dental — What’s Covered Right Now

Who Qualifies in 2025 — Income and Eligibility

How to Apply on ASSIST (10–45 days)

Find a Dentist That Takes Your Plan

Rides to the Dentist (Modivcare)

Low‑Cost and Free Dental Care Options

Local Charities, Churches, and Help Desks

Resources by Region

Diverse Communities — Inclusive Options

Common Mistakes to Avoid

Reality Check

Quick Reference Cheat Sheet

Application Checklist

If Your Application Gets Denied

County‑Specific Notes

FAQs

Resumen en español

About This Guide

Disclaimer

If You Only Do 3 Things — Emergency Actions to Take

• Call your Medicaid plan’s dental line now: If you’re enrolled, ask for the soonest in‑network appointment and note any prior authorization needs. Use AmeriHealth Caritas Delaware Dental, Highmark Health Options Dental, or Delaware First Health Dental to reach your plan. For eligibility or plan help, contact DMMA Customer Relations at 1-866-843-7212. (amerihealthcaritasde.com)
• If you’re uninsured or can’t get in fast: Book a low‑cost slot at Delaware Tech Dental Health Center, call Westside Family Healthcare Dental, or schedule at La Red Health Center (Dental). For kids on CHIP/Medicaid, ask the DPH Dentist Helpline at 1-302-318-8850 for provider matches. (dtcc.edu)
• Arrange transportation now if needed: Schedule a ride at least three business days ahead with Modivcare NEMT at 1-866-412-3778; check ride status at 1-866-896-7211. Your MCO can also help via AmeriHealth Caritas transportation page or your plan’s member services. (dhss.delaware.gov)

Quick Help Box

• Medicaid enrollment and plan choice: Apply or renew through Delaware ASSIST, or call the Medicaid Health Benefits Manager at 1-800-996-9969 for MCO help. For questions, call DMMA Customer Relations at 1-866-843-7212. (assist.dhss.delaware.gov)
• Find a dentist for your child: Use First Smile Delaware – Find a Dentist, check your MCO’s directory (Highmark, AmeriHealth, Delaware First Health), or call the DPH Dentist Helpline at 1-302-318-8850. (dhss.delaware.gov)
• Transportation to dental visits: Schedule rides with Modivcare at 1-866-412-3778; check “Where’s My Ride” at 1-866-896-7211. Members can also ask their plan for help via AmeriHealth Caritas DE or DMMA NEMT. (modivcare.com)
• Delaware Healthy Children Program (CHIP): Kids who earn too much for Medicaid may qualify for DHCP. See benefits (dental included) on the DHCP flyer and apply through ASSIST. (dhss.delaware.gov)
• General help finding resources: Call Delaware 211 (24/7, multilingual) or the ADRC at 1-800-223-9074 for dental referrals and senior/disabled services. (delaware211.org)

Delaware Medicaid Dental — What’s Covered Right Now

If you are on Delaware Medicaid, adult dental is not just emergency care anymore. Adults 21+ generally have a $1,000yearlydentalbenefitplusupto$1,500 in extra coverage for documented emergencies when medically necessary through your plan. Expect a $3 copay per adult visit. Confirm details with your MCO and ask about prior authorization for crowns, dentures, or root canals. See current plan pages for AmeriHealth Caritas Delaware, Highmark Health Options, and Delaware First Health. (amerihealthcaritasde.com)

• Key notes: Benefits and copays can change; see DMMA Adult Dental Benefit and watch for updates if lawmakers adjust annual limits (a 2025 proposal sought broader adult coverage). Always call your plan to confirm covered codes and copays before treatment. (dhss.delaware.gov)
• Kids under 21: Children on Medicaid/CHIP get comprehensive dental under EPSDT rules. Use your plan’s dentist finder (e.g., Highmark, AmeriHealth, Delaware First Health) or the state’s First Smile Delaware. EPSDT requires relief of pain, restoration, and maintenance of dental health, not just emergencies. (dhss.delaware.gov)

What to do if this doesn’t work: Ask your MCO for case management and a sooner slot, request a list of dentists accepting new patients, and call the DPH Dentist Helpline at 1-302-318-8850 for added referrals. For urgent pain and no access, book a low‑cost emergency visit at the Delaware Tech Dental Health Center or a regional dental school (e.g., Temple Kornberg emergency clinic). (dhss.delaware.gov)

Who Qualifies in 2025 — Income and Eligibility

Delaware uses the federal 2025 Poverty Guidelines to set income cutoffs. Adults 19–64 usually qualify for Medicaid up to about 138% of the Federal Poverty Level (FPL). Pregnant people and infants have higher limits (around the low‑200% FPL range), and most children qualify for Medicaid/CHIP up to higher levels with modest premiums in CHIP. Use the official guidelines to estimate eligibility and then apply. See the 2025 FPL from HHS/ASPE, review CMS FPL guidance, and check DMMA’s latest thresholds before you apply. (aspe.hhs.gov)

• Quick reference 2025 FPL examples (48 states & DC):
  • 1 person: $15,650;138$21,597
  • 2 people: $21,150;138$29,187
  • 3 people: $26,650;138$36,777
  • 4 people: $32,150;138$44,367

  Use the ASSIST screener to pre‑check eligibility and call DMMA to verify current limits for adults, pregnancy, and kids. (assist.dhss.delaware.gov)

• Children’s coverage (CHIP): If your income is too high for Medicaid, kids may qualify for the Delaware Healthy Children Program with small monthly premiums ($15–$25 per family tier) and full dental benefits. Always confirm the current premium tier and income bands on the DHCP flyer or by calling 1-800-996-9969. (dhss.delaware.gov)
• Language access: For help in Spanish, Haitian Creole, Vietnamese, and more, call DMMA Customer Relations at 1-866-843-7212 or use Delaware Relay at 711. (dhss.delaware.gov)

What to do if this doesn’t work: If you’re over income for Medicaid but still can’t afford care, apply for sliding‑fee dental at an FQHC like Westside Family Healthcare, La Red Health Center, or the Delaware Tech Dental Health Center, and ask about payment plans. (westsidehealth.org)

How to Apply on ASSIST (10–45 days)

Apply, renew, or report changes through Delaware’s online portal. If you prefer phone or paper, the state can help.

• Apply online: Create an account on Delaware ASSIST and complete the application for Medicaid/CHIP. Use the built‑in screener if you’re unsure. (assist.dhss.delaware.gov)
• Need help choosing a plan: After you’re approved, call the Medicaid Health Benefits Manager at 1-800-996-9969 to pick or change your MCO (AmeriHealth Caritas Delaware, Highmark Health Options, or Delaware First Health). (dhss.delaware.gov)
• Expected timeline: Most non‑disability Medicaid decisions take about 30–45 days. CHIP decisions can be quicker if documents are complete. For pregnancy, ask about quicker processing or temporary coverage. Check your case status inside ASSIST and respond to notices fast. (assist.dhss.delaware.gov)
• Required documents: Photo ID, proof of Delaware address, proof of income (most recent month), plus immigration/citizenship proof as requested. If documents are missing, upload through ASSIST or call DMMA Customer Relations to ask what else is needed. (assist.dhss.delaware.gov)

What to do if this doesn’t work: Call DMMA Customer Relations at 1-866-843-7212 to check your case, ask for escalations, and confirm if anything is missing. For immediate care while pending, use low‑cost options like Delaware Tech DHC, Westside Family Healthcare Dental, or La Red Health Center. (dhss.delaware.gov)

Find a Dentist That Takes Your Plan

• Use your plan directory: Search for in‑network dentists via AmeriHealth Caritas DE, Highmark Health Options, or Delaware First Health. You can also browse the Delaware State Dental Society Find‑a‑Dentist tool. (highmark.com)
• Kids and teens: Try First Smile Delaware’s “Find a Dentist” and your MCO’s pediatric search filters. For school‑based screenings and help with referrals, ask the Delaware Smile Check Program. (dhss.delaware.gov)
• If you’re uninsured: Call Westside Family Healthcare (dental), book at Delaware Tech DHC, or schedule at La Red Health Center for sliding‑fee appointments. (westsidehealth.org)

What to do if this doesn’t work: Ask your MCO for case management to call offices for you, or contact the DPH Dentist Helpline at 1-302-318-8850 to find offices taking new patients. For seniors, see Nemours SeniorCare Dental if eligible. (dhss.delaware.gov)

Rides to the Dentist (Modivcare)

Schedule non‑emergency rides at least three business days before your visit. Have your Medicaid ID and clinic address ready.

• How to schedule: Call Modivcare at 1-866-412-3778, check “Where’s My Ride” at 1-866-896-7211, or ask your plan for help (AmeriHealth). (dhss.delaware.gov)
• Who is eligible: Most full Medicaid and CHIP members when there’s no other way to get to a covered service. Confirm any escort rules when you call Modivcare. (dhss.delaware.gov)

What to do if this doesn’t work: Ask your plan for alternative options, contact Delaware 211 for local ride programs, or reschedule when transportation is available. (delaware211.org)

Low‑Cost and Free Dental Care Options

• Federally Qualified Health Centers (FQHCs): Sliding‑fee services for all patients regardless of insurance. Start with Westside Family Healthcare Dental, La Red Health Center, and the HRSA “Find a Health Center”. (westsidehealth.org)
• Dental teaching clinics: The Delaware Tech Dental Health Center offers low‑cost cleanings, fillings, and extractions; emergency exam fees are posted and financial assistance may reduce costs further. For additional regional care, consider Temple Kornberg. (dtcc.edu)
• DPH Smile Check and school screenings: Children on Medicaid/CHIP can get screenings, fluoride, and case management through the Delaware Smile Check Program; call the DPH Dentist Helpline at 1-302-318-8850 for help. (dhss.delaware.gov)
• Free clinic for uninsured adults: Hope Medical Dental Clinic (Dover) provides free, non‑emergency dental to uninsured Delaware adults who meet income guidelines; call 1-302-735-7551 for intake. Check eligibility pages and hours before going. (hopeclinicde.org)
• Senior dental: If you or a relative is 65+ with limited income, look at Nemours SeniorCare Dental in Wilmington and Milford for exams, dentures, and more. Call 1-800-292-9538 (New Castle) or 1-800-763-9326 (Kent/Sussex). (seniorcarenemours.org)
• Donated care (long waitlists): Adults who are elderly, have a permanent disability, or need medically necessary care can apply to Dental Lifeline Network – Delaware DDS. As of 2025, counties may be closed to new applicants due to waitlists—call to confirm. (dentallifeline.org)

What to do if this doesn’t work: Ask your local FQHC about cancellations, place yourself on lists at multiple clinics, and contact Delaware 211 for other charity clinics. For veterans with possible VA eligibility, call Wilmington VA Dental Service at 1-800-461-8262 ext. 35283. (delaware211.org)

Resources by Region

New Castle County

• Where to book first: Try Westside Family Healthcare – Wilmington, or call Henrietta Johnson Medical Center at 1-302-655-6187; for hospital‑based care, contact ChristianaCare Dentistry at 1-302-320-4850. For seniors, call Nemours SeniorCare Wilmington at 1-302-651-4400. (westsidehealth.org)
• If pediatric care is needed: Use First Smile Delaware and your MCO network; Nemours Children’s offers pediatric dentistry—call Nemours Children’s Hospital, Delaware at 1-800-416-4441. (dhss.delaware.gov)
• Backup options: For low‑cost hygienist or dentist visits, the Delaware Tech Dental Health Center posts fees and has emergency‑exam pricing. (dtcc.edu)

What to do if this doesn’t work: Call the DPH Dentist Helpline for provider matches, or ask your plan to locate dentists with the soonest openings in New Castle County. (dhss.delaware.gov)

Kent County

• Where to book first: Check Westside Family Healthcare – Dover for dental hours or use Hope Medical Dental Clinic if you’re uninsured and meet income guidelines. For pediatric dentists, combine your plan’s directory with First Smile Delaware. (westsidehealth.org)
• Backup options: If you can travel, the Delaware Tech DHC is a cost‑effective option with posted fees. (dtcc.edu)

What to do if this doesn’t work: Ask Modivcare for rides to clinics in New Castle or Sussex and request sooner appointments through your plan’s member services. (dhss.delaware.gov)

Sussex County

• Where to book first: Schedule at La Red Health Center – Georgetown, or ask Westside about Sussex‑area dental availability. For LGBTQ+ friendly referrals and support, reach out to CAMP Rehoboth. (laredhealthcenter.org)
• Regional free events: Sussex residents sometimes use Maryland’s Eastern Shore Mission of Mercy when scheduled; confirm dates and rules before traveling. (easternshoremom.org)

What to do if this doesn’t work: Ask the DPH Dentist Helpline for new provider lists and screening events in Sussex schools (Smile Check). Use Modivcare if you need a ride to another county. (dhss.delaware.gov)

Diverse Communities — Inclusive Options

• LGBTQ+ single mothers: For a welcoming provider list and community support, use CAMP Rehoboth’s provider directory and resource hub, and book covered care through your plan’s network at AmeriHealth Caritas Delaware or Highmark Health Options. If you face bias, call your plan’s Member Services and file a grievance. (camprehoboth.org)
• Single mothers with disabilities or a disabled child: Ask your MCO for case management and dentists with wheelchair‑accessible operatories. For adults with complex needs, the Delaware Tech DHC accepts referrals from disability programs; kids are covered under EPSDT via First Smile Delaware. Call the DPH Dentist Helpline for help. (dtcc.edu)
• Veteran single mothers: Confirm VA dental eligibility and services at the Wilmington VA Medical Center – Dental/Oral Surgery or call 1-800-461-8262 ext. 35283. If not eligible, use Medicaid/CHIP and FQHC options like Westside or La Red, and ask Modivcare about rides. (va.gov)
• Immigrant and refugee single moms: Get navigation help from community centers like the Latin American Community Center (LACC) for referrals and translation; for state programs, call DMMA for language support at 1-866-843-7212 and use ASSIST to apply. Kids may qualify for CHIP (DHCP) even if parents are not eligible. (dhss.delaware.gov)
• Tribal‑specific resources: Delaware has recognized tribes like the Nanticoke Indian Tribe. IHS clinics are not based in Delaware; if you identify as American Indian/Alaska Native, you can still use Medicaid dental and FQHCs, and ask your MCO about culturally competent providers. For help, call DMMA and your plan. (nanticokeindians.org)
• Rural single moms (limited providers): Use the HRSA locator to find the nearest FQHC and ask for tele‑triage and Saturday slots. For kids, rely on Smile Check screenings at school to identify needs and set up referrals. Arrange rides through Modivcare. (data.hrsa.gov)
• Single fathers: All programs above apply equally. Use the same MCO dental networks (AmeriHealth, Highmark, Delaware First Health) and the DPH Dentist Helpline if you get stuck. (amerihealthcaritasde.com)
• Language and accessibility: Ask for TTY via 711, request large‑print or translated materials from DMMA, and notify clinics you need interpreters. Many offices work with your plan to provide this at no cost. (dhss.delaware.gov)

What to do if this doesn’t work: Contact Delaware 211 to locate advocacy and legal help. For appeal support, see Community Legal Aid Society contacts on your plan’s appeals page. (delaware211.org)

Common Mistakes to Avoid

• Missing prior authorization: Before crowns, root canals, or dentures, ask your dentist to verify coverage with AmeriHealth, Highmark, or Delaware First Health. (amerihealthcaritasde.com)
• **Not budgeting for the $3adultcopay\ast \ast :Adults21+usuallypay$3 per visit—bring your card and a small payment. Confirm on your plan’s site or with the office. See state notices and plan pages for details. (highmark.com)
• Letting transportation slide: Rides must be booked at least three business days ahead with Modivcare or your plan. Late calls often lead to missed visits. (dhss.delaware.gov)
• Waiting until pain is severe: Call early. Use First Smile Delaware for kids, and set 6‑month cleanings through your plan’s directory (Highmark, AmeriHealth). (dhss.delaware.gov)

What to do if this doesn’t work: Switch providers within your MCO network, ask for a case manager, and keep a written record of calls and denials for appeals. Use ASSIST to update address/phone so you don’t miss letters. (assist.dhss.delaware.gov)

Reality Check

Funding, clinic staffing, and appointment supply change month to month. Expect wait times to stretch during school breaks and flu season. Keep multiple leads open: a plan dentist, an FQHC, and a teaching clinic. Reconfirm your slot 24–48 hours ahead and line up Modivcare rides early. For kids, press your school about Smile Check dates and referrals. (dhss.delaware.gov)

Quick Reference Cheat Sheet

• Apply / renew: Use ASSIST; questions go to DMMA Customer Relations at 1-866-843-7212 or the Health Benefits Manager at 1-800-996-9969. (assist.dhss.delaware.gov)
• Choose a plan: AmeriHealth Caritas DE, Highmark Health Options, Delaware First Health. (delawarefirsthealth.com)
• Find a dentist: First Smile Delaware, DSDS Find‑a‑Dentist, or your plan’s directory. (dhss.delaware.gov)
• Transportation: Modivcare 1-866-412-3778; “Where’s My Ride” 1-866-896-7211. (dhss.delaware.gov)
• Non‑network, low‑cost care: Delaware Tech DHC, Westside Dental, La Red Dental. (dtcc.edu)

Application Checklist

Print or screenshot this list.

• Photo ID: State ID, driver’s license, or other accepted ID for ASSIST.
• Proof of Delaware address: Lease, utility bill, or letter; questions to DMMA Customer Relations.
• Proof of income: Last 30 days of pay stubs or self‑employment records; see HHS FPL 2025 for thresholds.
• Citizenship/immigration: Submit requested documents through ASSIST.
• Select an MCO: Choose AmeriHealth, Highmark, or Delaware First Health. (assist.dhss.delaware.gov)

If Your Application Gets Denied

• Read the denial notice: It should explain the reason and how to appeal. If unclear, call DMMA Customer Relations at 1-866-843-7212. (dhss.delaware.gov)
• File an appeal: Request a Fair Hearing in writing. See DMMA Fair Hearings and timelines (decisions typically issued within 30 days after the hearing). Your plan may require an internal appeal before the state hearing if the issue involves plan coverage. (dhss.delaware.gov)
• Get free legal help: Check your plan’s appeals page for contacts like Community Legal Aid Society and Delaware Volunteer Legal Services. You can also ask Delaware 211 for legal aid listings. (highmark.com)

What to do if this doesn’t work: Reapply if your income or household size changed, or ask for supervisory review at DMMA. While waiting, use FQHCs and Delaware Tech DHC. (data.hrsa.gov)

County‑Specific Notes

• New Castle: Strongest supply of providers; use Westside Wilmington, HJMC, and ChristianaCare Dentistry. Seniors: Nemours SeniorCare Wilmington. (westsidehealth.org)
• Kent: Check Westside Dover. Uninsured adults: Hope Medical Dental Clinic. (westsidehealth.org)
• Sussex: Use La Red Health Center and watch for regional free events like Mission of Mercy (Salisbury, MD). (laredhealthcenter.org)

How to Stop Dental Pain in Delaware This Week

• Call your MCO’s dental line: Use AmeriHealth Dental, Highmark Dental, or Delaware First Health Dental and ask for same‑week urgent care. Remind them adult benefits include extra emergency coverage up to $1,500 when criteria are met. (amerihealthcaritasde.com)
• No coverage yet: Book the next available emergency exam at the Delaware Tech DHC, ask about reduced fees, and arrange a ride via Modivcare. If traveling is hard, request local sliding‑fee visits at Westside or La Red. (dtcc.edu)
• Kids in pain: Tell the office this is an EPSDT urgent need. Use First Smile Delaware to find a pediatric dentist and call your plan for authorizations. Consider Nemours Children’s as directed by your plan. (dhss.delaware.gov)

What to do if this doesn’t work: Call the DPH Dentist Helpline for added referrals, and ask your plan for an out‑of‑network authorization if access is a problem. (dhss.delaware.gov)

Tables You Can Use

Overview of Dental Pathways in Delaware (2025)

2025 FPL Quick Look (Selected)

Sources: HHS/ASPE, Federal Register – 200% FPL reference. (aspe.hhs.gov)

Key Contacts and Hotlines

Major MCO Dental Links

Low‑Cost Clinics Snapshot (verify hours)

Local Charities, Churches, and Help Desks

• State help desks: Call Delaware 211 to locate church‑based dental days and funds; reach the ADRC at 1-800-223-9074 for seniors and disability supports; ask DPH Oral Health for child dental guides. (delaware211.org)
• Community centers: For LGBTQ+ families, see CAMP Rehoboth; for immigrant families, the LACC can help with navigation and referrals; for refugees, contact your case manager and ask about FQHC dental at Westside. (camprehoboth.org)
• Volunteer/free days: Watch for large events like Mission of Mercy on the Delmarva peninsula (travel required). Confirm dates and patient eligibility before you go. (easternshoremom.org)

What to do if this doesn’t work: Keep checking Delaware 211 for new listings and ask your school nurse about Smile Check events. (delaware211.org)

FAQs

1. How much adult dental does Delaware Medicaid cover: Adults 21+ typically have $1,000peryearplusupto$1,500 for medical‑necessity emergencies; $3 copay per visit applies. Always confirm with your plan (AmeriHealth, Highmark, Delaware First Health). (amerihealthcaritasde.com)
2. Do kids on Medicaid/CHIP get full dental: Yes. Under EPSDT, kids get comprehensive preventive and restorative dental as needed. Use First Smile Delaware and your MCO’s directory to book. (hhs.gov)
3. How long will my application take: Expect 30–45 days, faster if all documents are complete; pregnancy cases may move sooner. Track progress in ASSIST and call DMMA with questions. (assist.dhss.delaware.gov)
4. Can I get a ride to dental visits: Most Medicaid/CHIP members can book rides with Modivcare at 1-866-412-3778 if there’s no other transport. Book at least three business days ahead. (dhss.delaware.gov)
5. What if no dentist is taking new patients: Ask your plan for help finding openings, call the DPH Dentist Helpline at 1-302-318-8850, or book at FQHCs like Westside or La Red. (dhss.delaware.gov)
6. I’m over income for Medicaid, but my child needs dental: Apply for CHIP (DHCP) and ask about $15–$25 family premiums; CHIP includes dental. Apply on ASSIST. (dhss.delaware.gov)
7. I’m a veteran—do I qualify for VA dental: Eligibility varies. Call Wilmington VA Dental at 1-800-461-8262 ext. 35283 to check. If not eligible, use your Medicaid plan or FQHCs. (va.gov)
8. Where can I get free or low‑cost care if I’m uninsured: Try Delaware Tech DHC, Westside, La Red, or Hope Clinic. For donated care (long wait), see DLN DDS. (dtcc.edu)
9. How do I appeal a denial: Request a state Fair Hearing—see DMMA Fair Hearings and your plan’s appeals page. Get help from Community Legal Aid Society. (dhss.delaware.gov)
10. Who can help me in Spanish or with TTY: Call DMMA at 1-866-843-7212; TTY 711. You can also ask your plan for interpreter services at no cost. (dhss.delaware.gov)

Resumen en español

Esta es una guía breve en español (traducción generada con herramientas de IA). Para inscribirse o renovar Medicaid/CHIP, use Delaware ASSIST y pida ayuda al Administrador de Beneficios de Salud al 1-800-996-9969. Para encontrar dentistas para niños, consulte First Smile Delaware o el directorio de su plan (AmeriHealth Caritas Delaware, Highmark Health Options, Delaware First Health). Si necesita transporte, prográmelo con Modivcare al 1-866-412-3778 con al menos 3 días laborales de anticipación. Para clínicas de bajo costo, vea Westside Family Healthcare, La Red Health Center y Delaware Tech Dental Health Center. Para ayuda general, llame a Delaware 211.

About This Guide

Compiled by the ASingleMother.org Editorial Team.

This guide uses official sources including:

• Delaware Division of Medicaid & Medical Assistance (DMMA)
• Delaware ASSIST
• AmeriHealth Caritas Delaware — Dental
• Highmark Health Options — Dental
• Delaware First Health — Dental Coverage
• First Smile Delaware (DPH)
• Modivcare NEMT — Delaware
• HHS/ASPE — 2025 Poverty Guidelines
• Delaware Tech Dental Health Center

Last verified September 2025, next review January 2026.

Disclaimer

This guide is for general information. It is not legal, medical, or financial advice. Program rules, benefits, copays, and provider availability change. Always verify with your plan, clinic, or state office before you spend money or travel. We strive for accuracy using official sources, but errors may occur. Email info@asinglemother.org with corrections; we respond within 72 hours.

Citations: Adult dental benefit structure and copays from DMMA and MCO pages. EPSDT requirements from HHS. Transportation details from DMMA NEMT/Modivcare. 2025 income levels from ASPE/HHS.

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What to do if information differs from what you are told by an office

• Ask for the written policy: Request a link or document from your plan or the clinic’s billing office. Use AmeriHealth, Highmark, or Delaware First Health member portals. (amerihealthcaritasde.com)
• Escalate: Call the Health Benefits Manager at 1-800-996-9969 and, if needed, file an appeal per your plan’s process and then via DMMA Fair Hearings. (dhss.delaware.gov)
• Verify again before your visit: Confirm the appointment, authorization, copay, and transportation two business days ahead using your plan’s contact and Modivcare. (dhss.delaware.gov)

This guide aims to be useful on the first read. Keep these links and numbers handy, and don’t hesitate to ask for help—case managers, helplines, and community clinics exist to make sure you get care.

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