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Attention Users!

This is a Test site for training purposes or data validation, this is not a real production site. If you are a Provider or a Member and you want to Submit real data. Please go to: Delaware Medicaid Enterprise System

Provider Enrollment: Resume Enrollment

Enter your assigned Tracking Number, Tax ID and Password in order to resume an existing provider enrollment application. For further questions, please contact Provider Services at (800) 999-3371 opt. 0 then 4.

* Indicates a required field.

*Tracking Number

*Tax ID

*Password