Alignment Healthcare
Credentialing and enrollment guides for Alignment Healthcare across 5 states.
Quick Overview
Timeline
30 - 60 days
CAQH
Required
Re-credentialing
Every 3 year(s)
States Available
5
How Alignment Healthcare Credentialing Actually Works
Verified July 2026Apply Through
Timeline
Not published by the payer
Recredentialing
Not published by the payer
Alignment Health is a Medicare Advantage focused plan. Credentialing follows the standard CMS and NCQA rules and works from your CAQH ProView data; apply through the plan's provider enrollment channel and confirm its current service counties first.
The stall to avoid: Growth stage Medicare Advantage plans change service areas year to year: confirm the plan operates in your county for the current plan year before applying.
From PayerReady's payer enrollment research, built from the payer's own provider manuals and enrollment pages. Payer processes change; when a fact is not published by the payer, we say so rather than guess.
About Alignment Healthcare
Alignment Healthcare is a health insurance plan operated by Alignment Healthcare Inc., offering healthcare coverage and provider network services. They credential physicians, specialists, and allied health professionals for their managed care networks.
How to Get Credentialed
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.
Complete Your CAQH ProView Profile
Alignment Healthcare requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org.
Submit Your Application
Submit your completed enrollment package to Alignment Healthcare. Select your state below for state-specific submission details.
Track & Follow Up
Credentialing typically takes 30-60 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with Alignment Healthcare?
Our specialists handle the entire Alignment Healthcare enrollment process: applications, follow-ups, and approvals across all 50 states.
Required Documents
Board Certification
Required if board certified; highly recommended
CV/Resume
DEA License
Required if prescribing controlled substances
Malpractice Insurance
Medical License
NPI Certificate
Contact Information
Provider Credentialing
1-844-310-2247
Mon-Fri 8am-5pm
Provider Services
1-844-310-2247
Claims & Billing
1-844-310-2247
Quick Links
Need Help?
Let PayerReady handle your Alignment Healthcare credentialing and enrollment.
Get Started NowAvailable States
Reviewed by the PayerReady Credentialing Team
Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.
Select Your State
Choose your state for Alignment Healthcare-specific credentialing details including timelines, contacts, and local requirements.
Alignment Healthcare credentialing requirements by state
Alignment Healthcare enrollment is not identical everywhere. The table below lists what actually differs across the 5 states Alignment Healthcare operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Local plan | MA members | Network | Portal / phone | State-specific notes |
|---|---|---|---|---|---|
| Arizona | — | 10,044 | Open | — | Alignment Healthcare Arizona. Medicare Advantage plans for 65+ population. Service areas include Maricopa County (Phoenix metro). Apply via Alignment Healthcare provider portal or CAQH ProView. Technology-driven ACO model using ACCESS On-Demand care management platform. Focus on senior-centered care coordination with risk-based contracting. Active Arizona medical license, NPI, Medicare enrollment (PECOS), and malpractice insurance required. Processing: 30-60 days. |
| California | Alignment Health | 234,073 | Open |
Provider portal
1-844-310-2247
|
Alignment Health is a Medicare Advantage plan operating in California (and AZ, NV, NC, TX). To contract, email the provider/entity name, services, states and counties served, a letter of intent, W-9, and your NPI and CAQH numbers to the contracting team. Contracted providers use the AVA provider portal. |
| North Carolina | — | 14,932 | Open | — | Alignment Healthcare North Carolina. Medicare Advantage plans. Service areas include Wake County (Raleigh metro) and Mecklenburg County (Charlotte metro). Apply via Alignment Healthcare provider portal or CAQH ProView. ACCESS On-Demand care management platform for senior-centered care coordination. Value-based contracting model. Active North Carolina medical license, NPI, Medicare enrollment (PECOS), and malpractice insurance required. Processing: 30-60 days. |
| Nevada | — | 23,618 | Open | — | Alignment Healthcare Nevada. Medicare Advantage plans. Service areas include Clark County (Las Vegas metro). Apply via Alignment Healthcare provider portal or CAQH ProView. Technology-driven ACO model with ACCESS On-Demand platform. Senior-focused care management and risk-based contracting. Active Nevada medical license, NPI, Medicare enrollment (PECOS), and malpractice insurance required. Processing: 30-60 days. |
| Texas | — | 10,261 | Open | — | Alignment Healthcare Texas. Medicare Advantage plans. Service areas include Harris County (Houston metro) and Dallas-Fort Worth metro. Apply via Alignment Healthcare provider portal or CAQH ProView. ACCESS On-Demand care management platform. Technology-driven ACO model with value-based provider contracting. Senior-centered care coordination. Active Texas medical license, DEA registration (if prescribing), NPI, Medicare enrollment (PECOS), and malpractice insurance required. Processing: 30-60 days. |
MA member counts: CMS Medicare Advantage Plan Landscape (CY2026), verified July 2026. Compiled and maintained by the PayerReady credentialing team from payer portals and direct payer contact. Last verified June 10, 2026. Network status changes without notice — confirm before you file.
Common questions about Alignment Healthcare credentialing
How long does Alignment Healthcare credentialing take?
Alignment Healthcare credentialing typically takes 30–60 days from a complete submission to an approved effective date. Incomplete applications are the main cause of delay: a missing document or an unattested CAQH profile restarts the clock rather than pausing it.
Does Alignment Healthcare require CAQH?
Yes. Alignment Healthcare pulls provider data from CAQH ProView, so your profile must be complete, attested and shared with Alignment Healthcare before the application can move. CAQH re-attestation runs on a 120-day cycle, and a lapsed attestation stalls both new enrollments and recredentialing.
Which states does Alignment Healthcare operate in?
Alignment Healthcare has credentialing operations in 5 states. 5 of those 5 currently show an open panel. Requirements are not uniform: local plan names, provider portals and state-specific conditions differ, which is what the state-by-state table above records.