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Member Handbooks and Forms
Handbooks
Delaware First Health members are able to get a member handbook at all times. You can get a handbook by calling Member Services at 1-877-236-1341 (TTY: 711) 8am-7pm EST or by downloading a copy below.
2025 LTSS Member Handbook
- Member Handbook - English LTSS (PDF)
- Member Handbook - Spanish LTSS (PDF)
- Member Handbook - Chinese LTSS (PDF)
- Member Handbook - Haitian Creole LTSS (PDF)
2025 DSHP & DHCP Member Handbook
- Member Handbook - English DSHP & DHCP (PDF)
- Member Handbook - Spanish DSHP & DHCP (PDF)
- Member Handbook - Chinese DSHP & DHCP (PDF)
- Member Handbook - Haitian Creole DSHP & DHCP (PDF)
Guides
- Quick Guide Benefits Booklet (English PDF)
- Quick Guide Benefits Booklet (Spanish PDF)
- Quick Guide Benefits Booklet (Haitian Creole PDF)
Provider Directories / Find a Provider in Your County
- Provider Directory (New Castle PDF)
- Provider Directory (Kent PDF)
- Provider Directory (Sussex PDF)
- Provider Directory (machine readable)
Preferred Drug List / Formulary
Over The Counter Brochures
Forms
- Request for Amendment of Health Information Form (PDF)
- Member Grievance Form (PDF)
- Member Appeal Form (PDF)
Notification of Pregnancy
- Notification of Pregnancy (NOP) Form (English PDF)
- Notification of Pregnancy (NOP) Form (Spanish PDF)
- Notification of Pregnancy (NOP) Form (Haitian Creole PDF)
Authorizations
- Authorization to Use and Disclose Health Information (PDF)
- Authorization to Use and Disclose Health Information (Spanish PDF)
- Authorization to Use and Disclose Health Information (Haitian Creole PDF)
- Revocation of Authorization to Use and/or Disclose Health Information (PDF)
Requests
- Request for Accessing/Inspecting/Copying Health Information (PDF)
- Request for Restrictions on Use and Disclosure of Health Information (PDF)
- Request for Accounting of Disclosures of Health Information (PDF)
Any documents and items offered in electronic format can be requested in paper format. To request a document in paper format, please contact Member Services at 1-877-236-1341 (TTY: 711). Once you have completed your request, the paper format item(s) will be mailed to you.