Del. Code Ann. tit. 29, § 5224
Primary care coverage
85 Del. Laws, c. 348, § 10;
The plan shall do all of the following:
- (1) Provide coverage in compliance with § 5204(c) of this title.
- (2) Exclude certain high-cost claims in calculating the total cost of medical care for purposes of this section, as authorized by the State Employee Benefits Committee.
- (3) Report data to the Office of Value-Based Health Care Delivery on high-cost claims and on the percentage of primary care spending as a percentage of total medical costs for plan year 2027 by July 1, 2029, and for plan year 2028 by July 1, 2030.
- (4) In plan year 2029, increase primary care spending by 1% from the higher of the 2 prior plan years.
- (5) In plan years 2030, 2031, and additional plan years as necessary, increase primary care spending by 1% until primary care spending reaches 11.5% of total medical costs.
- (6) Spend at least 11.5% of total cost of medical care on primary care each plan year thereafter.