Delaware Department of Labor
Requirements for Health Care Providers
As a health care provider in Delaware, you’ll play an important role in the new Delaware Paid Leave claims process. When a Delaware employee files for medical or family caregiver leave, their or their loved one’s health care provider will be required to complete a Certification of Serious Health Condition (CSHC) before the employer can adjudicate the claim.
You may already be used to completing certifications for the Family and Medical Leave Insurance Program (FMLA). The CSHC is similar, but it’s accessed and completed online.
Flyer for Health Care Providers
A single-sided document with a brief overview of Delaware Paid Leave, specifically for health care providers.
FAQs for Health Care Providers
A more in-depth, double-sided document with answers to health care providers’ frequently asked questions about Delaware Paid Leave.
What are you responsible for?
As the employee’s health care provider, you will help the employer determine:
- If the illness or injury meets the FMLA definition of a serious health condition.
- How many weeks the employee should take off.
- Which type of leave is appropriate (continuous, intermittent, or reduced).
Who provides the CSHC?
- For medical claims, your patient who is requesting time off will provide the CSHC.
- For family caregiver claims, the loved one who is requesting time off to care for your patient will provide the CSHC.
How does the process work?
- Employee files their claim, and Delaware LaborFirst checks for ineligible claims.
- Employee receives the CSHC access form and code.
- Employee provides the CSHC access form and code to you, as their or their loved one’s health care provider.
- You or your staff will use the code to access Delaware LaborFirst and complete the CSHC.
Employee Protections
Health care providers will never be asked for private medical information protected by HIPAA.
You will not be required to provide a patient’s diagnosis or any other supporting medical materials (EKGs, X-rays, etc.).
In other words, you are entrusted by Delaware Paid Leave with the final decision on your patient’s eligibility.
Have questions?
Contact us at PFML@delaware.gov or call 302-761-8375.
Watch to learn more about how Delaware Paid Leave works.
Sign Up for Emails to Stay Informed
If you are a Claimant and have a question about Delaware Paid Leave, email PFMLClaims@delaware.gov or call 302-761-8375.
If you are an Employer or TPA and have a question about Delaware Paid Leave or would like to schedule a presentation for your business, email PFML@delaware.gov or call 302-761-8375.