19 Del. Admin. Code § 1401-14.0
Current through Reigster Vol. 28, No. 6, December 1, 2024
Section 1401-14.0 - Family and Medical Leave Insurance Program14.1 The Division shall establish and make available on the Division's online portal system, reasonable procedures, and forms for filing claims for benefits and other required or requested processes and shall specify the supporting documentation necessary to support a claim for benefits, including any documentation required from a health care provider for proof of a serious health condition.14.2 The Division shall provide employers and employees with online tools, exportable reports, and forms to submit applications for leave, whether full-time, reduced, or intermittent, and to track the amount of leave taken and still available to be taken under the rules of the PFML insurance program. The Division shall provide all covered individuals or the covered individuals' designated assistants and employers with any necessary assistance completing all the Division's online forms.14.3 In order to provide an incentive to healthcare providers to encourage the timely completion and submission of a claimant's medical certification documentation, the following schedule of payments to the healthcare providers shall be used for claims submitted through the public plan: | Medical certification documentation is completed in full and submitted to the Division via the online portal system within 10 calendar days of the Division's request: | $20 per claim |
Medical certification documentation is completed in full and submitted to the Division via the online portal system within 11-30 calendar days of the Division's request: | $10 per claim |
14.4 Healthcare providers may not charge employees or the employee's designated assistants a fee for the completion of this form.19 Del. Admin. Code § 1401-14.0
28 DE Reg. 147 (8/1/2024) (Final)