Commercial

How to Get Credentialed with Alignment Healthcare in Texas

Network: Open
30-60 Days CAQH Required

Quick Overview

Timeline

30 - 60 days

CAQH

Required

Re-credentialing

Every 3 year(s)

Delegated

No

Texas-Specific Requirements

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.

Step-by-Step Enrollment Process

1

Gather Required Documents

Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Texas.

2

Complete Your CAQH ProView Profile

Alignment Healthcare requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org and attest within 120 days.

3

Submit Your Application

Submit your completed enrollment package to Alignment Healthcare.

4

Track & Follow Up

Credentialing typically takes 30-60 days. Monitor your application status and respond promptly to requests for additional information.

Required Documents Checklist

Board Certification

Conditional

Required if board certified; highly recommended

CV/Resume

5-year work history minimum

DEA License

Conditional

Required if prescribing controlled substances

Malpractice Insurance

Current malpractice insurance certificate

Medical License

Active state medical license required

NPI Certificate

Active NPI number required

Contact Information

Alignment Healthcare Credentialing

National

Alignment Healthcare General

National

Quick Links

Alignment Healthcare Website

Need Help?

Let PayerReady handle your Alignment Healthcare enrollment in Texas.

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Alignment Healthcare in Other States

Arizona California North Carolina Nevada

Other Payers in Texas

Aetna UnitedHealthcare Cigna Healthcare Anthem / Elevance Health Humana Centene Corporation Molina Healthcare Blue Cross and Blue Shield of Texas Texas Medicaid UnitedHealthcare Community Plan
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