[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-288930-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-288930-en":127},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","how-to-submit-a-medical-prior-authorization-request-through-the-portal-request-submission-steps","How to Submit a Medical Prior Authorization Request through the Portal - Request Submission Steps","","User guide describing the step-by-step process for submitting a medical prior authorization (PA) request through the DMAP Provider Portal. It outlines how to access the portal, log in, navigate to Care Management, create an authorization, choose authorization type, process type, and urgency, and complete member, provider, diagnosis, and service details. It also covers attaching supporting documents, submitting, confirming for review, viewing an authorization receipt, and using print preview while following HIPAA guidance and avoiding PHI/PII in correspondence.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/how-to-submit-a-medical-prior-authorization-request-through-the-portal-request-submission-steps/288930/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/how-to-submit-a-medical-prior-authorization-request-through-the-portal-request-submission-steps/288930.png","ImageObject",442,249,{"name":42,"@type":43},"Emma Mercer","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-12","2026-09-17",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",10,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What steps are required to create and submit a medical prior authorization (PA) request?","Question",{"text":63,"@type":64},"Access the portal, log in, go to Care Management, select Create Authorization, choose Medical authorization type and required process/urgency options, complete member and provider details, add diagnosis and service information, attach required documents, then click Submit and Confirm for review.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"Where can the user find required fields and how do they proceed after confirmation?",{"text":68,"@type":64},"Required fields are marked with a red asterisk. After clicking Confirm, an Authorization Receipt with the Authorization Tracking Number is displayed, and the user can use Print Preview to view details before printing or saving a copy.",{"name":70,"@type":61,"acceptedAnswer":71},"What restrictions apply to email and correspondence when submitting PA information?",{"text":72,"@type":64},"Do not send correspondence containing protected health information (PHI) to the provided mailbox. Follow HIPAA compliance procedures for personally identifiable information (PII) and PHI.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},288930,1791662825,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,104,109,113,118,123],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},15,"Posters",60,"posters",{"id":105,"doc_module":22,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},16,"Social Media",50,"social-media",{"id":110,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":111,"slug":112},17,40,"forms",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},18,"Letters",30,"letters",{"id":119,"doc_module":22,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},21,"Paper Templates",5,"papers-templates",{"id":124,"doc_module":22,"doc_module_name":25,"category_name":125,"show_sort_weight":4,"slug":126},158,"General","general-158",{"code":4,"msg":82,"data":128},{"doc_id":79,"user_id":129,"nickname":42,"user_avatar":130,"doc_module":22,"category_id":110,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":136,"language":137,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":12,"update_tm":141,"read_time":30},962084925502,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","How to: Submit a Medical Prior Authorization (PA) Request through the Portal Please Note: This document contains fictitious information and does not contain protected health information (PHI) or personally identifiable information (PII) data.  \nINTRODUCTION: This user guide provides the steps required to submit a medical prior authorization (PA) request through the DMAP Provider Portal.  \nNeed Assistance?  \nCall Us: Provider Relations at 1-800-999-3371; Option 0 , then Option 4.  \nMessage Us: Secure Correspondence: Log in to the Provider Portal.  \nEmail* Us: [delawarepret@gainwelltechnologies.com](delawarepret@gainwelltechnologies.com) – *Reminder: Do not send any correspondence that has protected health information (PHI) to this mailbox.  \n\n| Steps |  |\n| --- | --- |\n| 1. | Go to the Delaware Medical Assistance Portal: [https://medicaid.dhss.delaware.gov/](https://medicaid.dhss.delaware.gov/) . |\n| 2. | Click Click Here to enter the Provider Portal.\u003Cbr>|\n\n\n| Steps |  |\n| --- | --- |\n| 3. | Log in by entering the User ID, Challenge Question, and Password.\u003Cbr>|\n\n\n| Steps |  |\n| --- | --- |\n| 4. | From the Home page, click the Care Management tab and then click on Create Authorization.\u003Cbr>|\n\n\n| Steps |  |\n| --- | --- |\n| 5. | In the Create Authorization panel, select Medical as the authorization type. Select the process type from the Process Type drop-down menu. Select the urgency from the Urgency Indicator drop-down menu. The Requesting Provider Information section will display.\u003Cbr>Required fields are marked with a red asterisk (*) .\u003Cbr>|\n\n\n| Steps |  |\n| --- | --- |\n| 6. | Enter the Member ID. The Member Information will auto-populate. Required fields are marked with a red asterisk (*) .\u003Cbr>|\n| 7. | If the Referring and Service Provider Information is the same as the Requesting Provider, check the box(es) . If different , complete the required information in the Referring Provider Information and Service Provider Information sections. Select Place of Service from the drop-down menu. Required fields are marked with a red asterisk (*) .\u003Cbr>|\n\n\n| Steps |  |\n| --- | --- |\n| 8. | In the Diagnosis Information and Service Details sections, enter required information. Click Add Service.\u003Cbr>Required fields are marked with a red asterisk (*) .\u003Cbr>|\n| 9. | In the Attachments section, attach any supporting documentation to be submitted with the prior authorization. Click Add.\u003Cbr>Required fields are marked with a red asterisk (*) .\u003Cbr>|\n\n\n| Steps |  |\n| --- | --- |\n| 10. | Click Submit.\u003Cbr>|\n\n\n| Steps |  |\n| --- | --- |\n| 11. | Review the information entered in all fields. If edits are needed, click Back. If the information is correct, click Confirm to submit the PA request for review. After clicking Confirm , an Authorization Receipt with the Authorization Tracking Number will display.\u003Cbr>|\n| 12. | Click Print Preview to view the PA request details and Authorization Receipt. Click Print and follow the prompts to print or save a copy of the PA request for your records.\u003Cbr>|\n\n\n| Steps |  |\n| --- | --- |\n|  | Reminder: Follow the procedures for HIPAA Compliance for Personally Identifiable Information (PII) and Protected Health Information (PHI) . |\n\nNeed Assistance?  \nCall Us: Provider Relations at 1-800-999-3371; Option 0 , then Option 4.  \nMessage Us: Secure Correspondence: Log in to the Provider Portal.  \nEmail* Us: [delawarepret@gainwelltechnologies.com](delawarepret@gainwelltechnologies.com) – *Reminder: Do not send any correspondence that has protected health information (PHI) to this mailbox.","cbCaipD1anhQodyh","https://ap.wps.com/l/cbCaipD1anhQodyh","pdf",1312385,9,"English","# Introduction\n# Submit a Medical Prior Authorization Request\n## Access and Log In\n## Create Authorization\n## Enter Required Information\n## Attachments and Submission\n## Review, Confirm, and Receipt\n# Assistance and PHI/PII Reminder","[{\"question\":\"What steps are required to create and submit a medical prior authorization (PA) request?\",\"answer\":\"Access the portal, log in, go to Care Management, select Create Authorization, choose Medical authorization type and required process/urgency options, complete member and provider details, add diagnosis and service information, attach required documents, then click Submit and Confirm for review.\"},{\"question\":\"Where can the user find required fields and how do they proceed after confirmation?\",\"answer\":\"Required fields are marked with a red asterisk. After clicking Confirm, an Authorization Receipt with the Authorization Tracking Number is displayed, and the user can use Print Preview to view details before printing or saving a copy.\"},{\"question\":\"What restrictions apply to email and correspondence when submitting PA information?\",\"answer\":\"Do not send correspondence containing protected health information (PHI) to the provided mailbox. Follow HIPAA compliance procedures for personally identifiable information (PII) and PHI.\"}]","How to Submit a Medical Prior Authorization Request through the Portal - Request Submission Steps | PDF",1789634239]