Resources and required information for prospective or current DSAMH affiliated Behavioral Health service providers.

For additional information, please send your inquiry to DHSS_DSAMH_ProviderEnrollment@delaware.gov. 

Emergency Detention and Provisional Admission Forms

•  24 Hour Emergency Detention Form (Updated March 29, 2022)
  To be used for 24-hour emergency detention. Detainment shall not exceed 24 hours after transfer to a designated psychiatric facility.
•  Initial Behavioral Health Assessment Form (Added May 16, 2013)
•  Psychiatrists’ Certificate for Provisional Hospitalization (Civil Commitment Form) (Updated March 29, 2022)
  The Civil Commitment is to be completed only by a psychiatrist and may be used to hospitalize a person who is unable or unwilling to consent to voluntary treatment, is deemed to be a threat to himself, others or property or who is unable to make responsible decisions about his or her treatment and care. To be used by a psychiatrist in the event of determining an individual’s non-amenability to outpatient treatment.
•  Transportation Reimbursement Form (Uploaded April 26, 2013)
  To be used by law enforcement agencies requesting reimbursement for transfer of a client to a designated psychiatric facility. This is the only form that will be accepted after June 30, 2013.

Provider Enrollment

Division of Substance Abuse and Mental Health (DSAMH) Behavioral Health Licensing and Certification Overview and related resources and applications for initial enrollment, re-enrollment, changes in status, and other resources. 

• Provider Enrollment PowerPoint
• DSAMH License Application
• Provider Enrollment Q and A Introductory Session
• DSAMH Certified or Licensed Change of Ownership (CHOW) Responsibilities

Please direct any questions to DHSS_DSAMH_ProviderEnrollment@delaware.gov.

Reimbursement and Billing

General overview of Billing in Delaware and published Certification and Reimbursement Manuals.   Note: Providers must work directly with payor entities for billing guidance and processes required for billing such as Medicaid, Managed Care Organizations, private payors, or DSAMH contracting unit if applicable. 

• Delaware Adult Behavioral Health DHSS Service Certification and Reimbursement Manual – July, 2025
• PROMISE HCBS Service Certification Manual – April 29, 2019
• Provider Enrollment Billing Guide

Interpretive Guidelines

• Treatment Team Interventions Regarding SUD 
• Discharge Timelines

DocuWare Invoice Management

Use the DocuWare document management and workflow solution to submit, approve and store invoices. This seamless solution captures other electronic invoices and triggers approval workflows based on business rules to ensure accurate and rapid processing and payments.

• Policy Overview
• Eligibility and Enrollment
• Invoicing
• Invoice Monitoring for Cost Reimbursement Contracts
• DocuWare FTP Upload Overview

Wellsky Incident Reporting Portal

Medicaid Licensure Regulations, Standards and Certifications

• PROMISE HCBS Service Certification Manual
• Intensive Case Management Standards – 2021 
• Assertive Community Treatment​
  • ACT Provider Certification Manual (Standards)
  • Tool for Measurement of Assertive Community Treatment (TMACT)​
    • TMACT Summary Scale​
    • TMACT Protocol Appendix
    • TMACT Protocol Part 2
    • TMACT Protocol Part 1
• Mental Health Group Home Standards

Contracted Provider Policies

• DSAMH041 – Incident Notification Policy – October, 2025
• DSAMH042 – Staff Safety Policy – October, 2025
• DSAMH006 – Housing Policy – October, 2025
• DSAMH006A – Housing Occupancy Checklist – October, 2025
• DSAMH006B – Community Living Questionnaire – October, 2025
• DSAMH003 – EEU Provider Appeal Process
• DSAMH003A – Promise Appeal Form
• DSAMH003B – Inpatient Appeal Request Form
• DSAMH004 – Community Access Standards
• DSAMH007 – Contracted Religious Organizations
• DSAMH008 – Outpatient Treatment Over Objection OTOO
• DSAMH009 – Nicotine Policy
• DSAMH010 – DSAMH Capacity Management and Priority/Contractor Policy
• DSAMH011 – Trauma Informed Care
• DSAMH012 – Provision of Culturally and Linguistically Appropriate Services
• DSAMH013 – Discharge From Services Policy
• DSAMH014 – DSAMH Client Responsibility and Billing DSAMH for Uninsured clients
• DSAMH015 – Use of Gift Cards
• DSAMH018 – DSAMH Policy for Administrative Discharges (including
  Against Medical Advice (AMA) Discharges)
• DSAMH020 – Path to Full License or Certification
• DSAMH024 – Buprenorphine Prescribing Practitioners
• DSAMH025 – Waiver Processing Policy
• DSAMH025A – Waiver Letter Template
• DSAMH026 – Client Complaint and Grievance
• DSAMH026A – Sample Posting 
• DSAMH026B – Clients Rights and Responsibilities
• DSAMH026C – Complaint Response Letter
• DSAMH029 – Community Incident Reporting Policy
• DSAMH027 – Representative Payee
• DSAMH029 – Community Incident Reporting Policy
• DSAMH030 – PCWFD Program Closure Policy
• DSAMH031 – EEU Involuntary Inpatient Psychiatric Placement
• DSAMH032 – EEU Voluntary Inpatient Psychiatric Placement Policy
• DSAMH034 EEU Inpatient Initial UR
• DSAMH035 – EEU Inpatient Concurrent UR
• DSAMH036 – EEU Inpatient Discharge UR
• DSAMH037 – EEU Inpatient Retroactive UR
• DSAMH038 – Medication Unit and Mobile Unit Policy
• DSAMH038A – Medication Unit and Mobile Unit Application
• DSAMH039 – Satellite Location Policy
• DSAMH039A – Satellite Location Application
• DSAMH040 – Telemedicine Requirements for DSAMH Licensed and Certified Sites
• DSAMH043 – EEU Promise Application Policy
• DSAMH043A – EEU Application
• DSAMH046 – CMS Rules for HCBS Residential Settings
• DSAMH047 – EEU SUD Initial UR Policy
• DSAMH047A – UR Auth Form
• DSAMH048 – EEU SUD Continued Stay Utilization Review Policy
• DSAMH049 – EEU SUD Discharge Utilization Review Policy
• DSAMH050 – EEU SUD Retroactive Utilization Review Policy
• DSAMH053 – Provider Enrollment Engagement with Potential PROMISE Providers Policy
• DSAMH054 – DSAMH UM Common Criteria for All Levels of Care
• DSAMH055 – Medical Director Qualification Policy
• DSAMH056 – Guidelines for Use of Telehealth by ACT, ICM, & ACT Plus Teams Policy
• DSAMH057 – Substance Use Disorder Treament Licensure Guidelines for DSAMH Provider Enrollment
• Adult Behavioral Health Service Certification and Reimbursement Manual – July, 2025

Public Provider Directory

Legal Disclaimer:  Nothing contained herein shall be interpreted or construed as approving any act, action, or conduct which is or has been or may be in violation of existing state or federal law.  Federal and state laws and the standards, regulations, or certifications promulgated to comply with these laws are in a continual state of change. DSAMH will update our resource page as quickly as possible once notified of any outdated material or changes at the state and federal levels.  If you see any outdated or incorrect information, please let us know.   Always verify information with the primary regulatory authority and published regulations or standards.