Commercial
Ambetter
Credentialing and enrollment guides for Ambetter across 30 states.
60-90 days
CAQH Required
Re-credential every 3 yrs
Quick Overview
Timeline
60 - 90 days
CAQH
Required
Re-credentialing
Every 3 year(s)
States Available
30
How Ambetter Credentialing Actually Works
Verified July 2026Apply Through
Timeline
No published day count: decisions follow the credentialing committee cadence, which meets at least monthly. Do not promise a fixed date.
Recredentialing
Every 36 months
Ambetter is Centene's marketplace brand, sold through per state subsidiaries (Coordinated Care in Washington, Superior HealthPlan in Texas, Sunshine Health in Florida, and so on). You contract with the state entity; credentialing data flows from CAQH ProView through Availity Essentials.
Behavioral health routing: Behavioral health has historically run through Magellan, which Centene is divesting (sale pending as of spring 2026). Whether your state routes behavioral in house or through Magellan is state and date specific: resolve it before applying.
The stall to avoid: The classic stall is contracting the wrong entity: a national inquiry instead of the specific state plan. Find the state plan's own join page and route there.
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 Ambetter
Ambetter is a Marketplace health insurance brand offered by Centene Corporation subsidiaries in over 25 states. Ambetter plans are available through the Health Insurance Marketplace and provide coverage for individuals and families, including behavioral health, pharmacy, and preventive care services.
How to Get Credentialed
1
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.
2
Complete Your CAQH ProView Profile
Ambetter requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org.
3
Submit Your Application
Submit your completed enrollment package to Ambetter. Select your state below for state-specific submission details.
4
Track & Follow Up
Credentialing typically takes 60-90 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with Ambetter?
Our specialists handle the entire Ambetter 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 Degree
Medical License
NPI Certificate
Professional Reference
Enrollment Forms
CAQH ProView
Universal credentialing application used by most commercial and BCBS payers.
Online
Download
Contact Information
Provider Credentialing
1-877-687-1197
Mon-Fri 8am-6pm EST
Provider Services
1-877-687-1197
Mon-Fri 8am-6pm EST
Claims & Billing
1-877-687-1197
Fax: 1-844-346-8948
Quick Links
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 Ambetter-specific credentialing details including timelines, contacts, and local requirements.
Alabama
Open
Alaska
Arizona
Open
Arkansas
Open
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Open
Georgia
Open
Hawaii
Idaho
Illinois
Open
Indiana
Open
Iowa
Kansas
Open
Kentucky
Open
Louisiana
Open
Maine
Maryland
Massachusetts
Michigan
Open
Minnesota
Mississippi
Open
Missouri
Open
Montana
Nebraska
Open
Nevada
Open
New Hampshire
Open
New Jersey
Open
New Mexico
Open
New York
North Carolina
Open
North Dakota
Ohio
Open
Oklahoma
Open
Oregon
Pennsylvania
Open
Puerto Rico
Rhode Island
South Carolina
Open
South Dakota
Tennessee
Open
Texas
Open
Utah
Open
Vermont
Virginia
Open
Virgin Islands
Washington
Open
West Virginia
Open
Wisconsin
Open
Wyoming
Ambetter credentialing requirements by state
Ambetter enrollment is not identical everywhere. The table below lists what actually differs across the 30 states Ambetter operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Local plan | Network | Portal / phone | State-specific notes |
|---|---|---|---|---|
| Alabama | Ambetter (a Centene company) | Open | Provider portal | Ambetter is Centene's ACA Marketplace brand, operated through state-specific Centene subsidiaries (for example, Ambetter from Superior HealthPlan in Texas or Ambetter from Sunshine Health in Florida). Start at ambetterhealth.com and select your state to reach the local subsidiary's provider page. Because Marketplace is a commercial line, credentialing requires a complete CAQH profile with Centene authorized to access it. Credentialing commonly takes up to about 90 days once the committee has a complete application, varying by state and primary source verification. Recredentialing occurs at least every 36 months. |
| Arkansas | Ambetter (a Centene company) | Open | Provider portal | Ambetter is Centene's ACA Marketplace brand, operated through state-specific Centene subsidiaries (for example, Ambetter from Superior HealthPlan in Texas or Ambetter from Sunshine Health in Florida). Start at ambetterhealth.com and select your state to reach the local subsidiary's provider page. Because Marketplace is a commercial line, credentialing requires a complete CAQH profile with Centene authorized to access it. Credentialing commonly takes up to about 90 days once the committee has a complete application, varying by state and primary source verification. Recredentialing occurs at least every 36 months. |
| Arizona | Ambetter (a Centene company) | Open | Provider portal | Ambetter is Centene's ACA Marketplace brand, operated through state-specific Centene subsidiaries (for example, Ambetter from Superior HealthPlan in Texas or Ambetter from Sunshine Health in Florida). Start at ambetterhealth.com and select your state to reach the local subsidiary's provider page. Because Marketplace is a commercial line, credentialing requires a complete CAQH profile with Centene authorized to access it. Credentialing commonly takes up to about 90 days once the committee has a complete application, varying by state and primary source verification. Recredentialing occurs at least every 36 months. |
| Florida | Ambetter (a Centene company) | Open | Provider portal | Ambetter is Centene's ACA Marketplace brand, operated through state-specific Centene subsidiaries (for example, Ambetter from Superior HealthPlan in Texas or Ambetter from Sunshine Health in Florida). Start at ambetterhealth.com and select your state to reach the local subsidiary's provider page. Because Marketplace is a commercial line, credentialing requires a complete CAQH profile with Centene authorized to access it. Credentialing commonly takes up to about 90 days once the committee has a complete application, varying by state and primary source verification. Recredentialing occurs at least every 36 months. |
| Georgia | Ambetter (a Centene company) | Open | Provider portal | Ambetter is Centene's ACA Marketplace brand, operated through state-specific Centene subsidiaries (for example, Ambetter from Superior HealthPlan in Texas or Ambetter from Sunshine Health in Florida). Start at ambetterhealth.com and select your state to reach the local subsidiary's provider page. Because Marketplace is a commercial line, credentialing requires a complete CAQH profile with Centene authorized to access it. Credentialing commonly takes up to about 90 days once the committee has a complete application, varying by state and primary source verification. Recredentialing occurs at least every 36 months. |
| Illinois | Ambetter (a Centene company) | Open | Provider portal | Ambetter is Centene's ACA Marketplace brand, operated through state-specific Centene subsidiaries (for example, Ambetter from Superior HealthPlan in Texas or Ambetter from Sunshine Health in Florida). Start at ambetterhealth.com and select your state to reach the local subsidiary's provider page. Because Marketplace is a commercial line, credentialing requires a complete CAQH profile with Centene authorized to access it. Credentialing commonly takes up to about 90 days once the committee has a complete application, varying by state and primary source verification. Recredentialing occurs at least every 36 months. |
| Indiana | Ambetter (a Centene company) | Open | Provider portal | Ambetter is Centene's ACA Marketplace brand, operated through state-specific Centene subsidiaries (for example, Ambetter from Superior HealthPlan in Texas or Ambetter from Sunshine Health in Florida). Start at ambetterhealth.com and select your state to reach the local subsidiary's provider page. Because Marketplace is a commercial line, credentialing requires a complete CAQH profile with Centene authorized to access it. Credentialing commonly takes up to about 90 days once the committee has a complete application, varying by state and primary source verification. Recredentialing occurs at least every 36 months. |
| Kansas | Ambetter (a Centene company) | Open | Provider portal | Ambetter is Centene's ACA Marketplace brand, operated through state-specific Centene subsidiaries (for example, Ambetter from Superior HealthPlan in Texas or Ambetter from Sunshine Health in Florida). Start at ambetterhealth.com and select your state to reach the local subsidiary's provider page. Because Marketplace is a commercial line, credentialing requires a complete CAQH profile with Centene authorized to access it. Credentialing commonly takes up to about 90 days once the committee has a complete application, varying by state and primary source verification. Recredentialing occurs at least every 36 months. |
| Kentucky | Ambetter (a Centene company) | Open | Provider portal | Ambetter is Centene's ACA Marketplace brand, operated through state-specific Centene subsidiaries (for example, Ambetter from Superior HealthPlan in Texas or Ambetter from Sunshine Health in Florida). Start at ambetterhealth.com and select your state to reach the local subsidiary's provider page. Because Marketplace is a commercial line, credentialing requires a complete CAQH profile with Centene authorized to access it. Credentialing commonly takes up to about 90 days once the committee has a complete application, varying by state and primary source verification. Recredentialing occurs at least every 36 months. |
| Louisiana | Ambetter (a Centene company) | Open | Provider portal | Ambetter is Centene's ACA Marketplace brand, operated through state-specific Centene subsidiaries (for example, Ambetter from Superior HealthPlan in Texas or Ambetter from Sunshine Health in Florida). Start at ambetterhealth.com and select your state to reach the local subsidiary's provider page. Because Marketplace is a commercial line, credentialing requires a complete CAQH profile with Centene authorized to access it. Credentialing commonly takes up to about 90 days once the committee has a complete application, varying by state and primary source verification. Recredentialing occurs at least every 36 months. |
| Michigan | Ambetter (a Centene company) | Open | Provider portal | Ambetter is Centene's ACA Marketplace brand, operated through state-specific Centene subsidiaries (for example, Ambetter from Superior HealthPlan in Texas or Ambetter from Sunshine Health in Florida). Start at ambetterhealth.com and select your state to reach the local subsidiary's provider page. Because Marketplace is a commercial line, credentialing requires a complete CAQH profile with Centene authorized to access it. Credentialing commonly takes up to about 90 days once the committee has a complete application, varying by state and primary source verification. Recredentialing occurs at least every 36 months. |
| Missouri | Ambetter (a Centene company) | Open | Provider portal | Ambetter is Centene's ACA Marketplace brand, operated through state-specific Centene subsidiaries (for example, Ambetter from Superior HealthPlan in Texas or Ambetter from Sunshine Health in Florida). Start at ambetterhealth.com and select your state to reach the local subsidiary's provider page. Because Marketplace is a commercial line, credentialing requires a complete CAQH profile with Centene authorized to access it. Credentialing commonly takes up to about 90 days once the committee has a complete application, varying by state and primary source verification. Recredentialing occurs at least every 36 months. |
| Mississippi | Ambetter (a Centene company) | Open | Provider portal | Ambetter is Centene's ACA Marketplace brand, operated through state-specific Centene subsidiaries (for example, Ambetter from Superior HealthPlan in Texas or Ambetter from Sunshine Health in Florida). Start at ambetterhealth.com and select your state to reach the local subsidiary's provider page. Because Marketplace is a commercial line, credentialing requires a complete CAQH profile with Centene authorized to access it. Credentialing commonly takes up to about 90 days once the committee has a complete application, varying by state and primary source verification. Recredentialing occurs at least every 36 months. |
| North Carolina | Ambetter (a Centene company) | Open | Provider portal | Ambetter is Centene's ACA Marketplace brand, operated through state-specific Centene subsidiaries (for example, Ambetter from Superior HealthPlan in Texas or Ambetter from Sunshine Health in Florida). Start at ambetterhealth.com and select your state to reach the local subsidiary's provider page. Because Marketplace is a commercial line, credentialing requires a complete CAQH profile with Centene authorized to access it. Credentialing commonly takes up to about 90 days once the committee has a complete application, varying by state and primary source verification. Recredentialing occurs at least every 36 months. |
| Nebraska | Ambetter (a Centene company) | Open | Provider portal | Ambetter is Centene's ACA Marketplace brand, operated through state-specific Centene subsidiaries (for example, Ambetter from Superior HealthPlan in Texas or Ambetter from Sunshine Health in Florida). Start at ambetterhealth.com and select your state to reach the local subsidiary's provider page. Because Marketplace is a commercial line, credentialing requires a complete CAQH profile with Centene authorized to access it. Credentialing commonly takes up to about 90 days once the committee has a complete application, varying by state and primary source verification. Recredentialing occurs at least every 36 months. |
| New Hampshire | Ambetter (a Centene company) | Open | Provider portal | Ambetter is Centene's ACA Marketplace brand, operated through state-specific Centene subsidiaries (for example, Ambetter from Superior HealthPlan in Texas or Ambetter from Sunshine Health in Florida). Start at ambetterhealth.com and select your state to reach the local subsidiary's provider page. Because Marketplace is a commercial line, credentialing requires a complete CAQH profile with Centene authorized to access it. Credentialing commonly takes up to about 90 days once the committee has a complete application, varying by state and primary source verification. Recredentialing occurs at least every 36 months. |
| New Jersey | Ambetter (a Centene company) | Open | Provider portal | Ambetter is Centene's ACA Marketplace brand, operated through state-specific Centene subsidiaries (for example, Ambetter from Superior HealthPlan in Texas or Ambetter from Sunshine Health in Florida). Start at ambetterhealth.com and select your state to reach the local subsidiary's provider page. Because Marketplace is a commercial line, credentialing requires a complete CAQH profile with Centene authorized to access it. Credentialing commonly takes up to about 90 days once the committee has a complete application, varying by state and primary source verification. Recredentialing occurs at least every 36 months. |
| New Mexico | Ambetter (a Centene company) | Open | Provider portal | Ambetter is Centene's ACA Marketplace brand, operated through state-specific Centene subsidiaries (for example, Ambetter from Superior HealthPlan in Texas or Ambetter from Sunshine Health in Florida). Start at ambetterhealth.com and select your state to reach the local subsidiary's provider page. Because Marketplace is a commercial line, credentialing requires a complete CAQH profile with Centene authorized to access it. Credentialing commonly takes up to about 90 days once the committee has a complete application, varying by state and primary source verification. Recredentialing occurs at least every 36 months. |
| Nevada | Ambetter (a Centene company) | Open | Provider portal | Ambetter is Centene's ACA Marketplace brand, operated through state-specific Centene subsidiaries (for example, Ambetter from Superior HealthPlan in Texas or Ambetter from Sunshine Health in Florida). Start at ambetterhealth.com and select your state to reach the local subsidiary's provider page. Because Marketplace is a commercial line, credentialing requires a complete CAQH profile with Centene authorized to access it. Credentialing commonly takes up to about 90 days once the committee has a complete application, varying by state and primary source verification. Recredentialing occurs at least every 36 months. |
| Ohio | Ambetter (a Centene company) | Open | Provider portal | Ambetter is Centene's ACA Marketplace brand, operated through state-specific Centene subsidiaries (for example, Ambetter from Superior HealthPlan in Texas or Ambetter from Sunshine Health in Florida). Start at ambetterhealth.com and select your state to reach the local subsidiary's provider page. Because Marketplace is a commercial line, credentialing requires a complete CAQH profile with Centene authorized to access it. Credentialing commonly takes up to about 90 days once the committee has a complete application, varying by state and primary source verification. Recredentialing occurs at least every 36 months. |
| Oklahoma | Ambetter (a Centene company) | Open | Provider portal | Ambetter is Centene's ACA Marketplace brand, operated through state-specific Centene subsidiaries (for example, Ambetter from Superior HealthPlan in Texas or Ambetter from Sunshine Health in Florida). Start at ambetterhealth.com and select your state to reach the local subsidiary's provider page. Because Marketplace is a commercial line, credentialing requires a complete CAQH profile with Centene authorized to access it. Credentialing commonly takes up to about 90 days once the committee has a complete application, varying by state and primary source verification. Recredentialing occurs at least every 36 months. |
| Pennsylvania | Ambetter (a Centene company) | Open | Provider portal | Ambetter is Centene's ACA Marketplace brand, operated through state-specific Centene subsidiaries (for example, Ambetter from Superior HealthPlan in Texas or Ambetter from Sunshine Health in Florida). Start at ambetterhealth.com and select your state to reach the local subsidiary's provider page. Because Marketplace is a commercial line, credentialing requires a complete CAQH profile with Centene authorized to access it. Credentialing commonly takes up to about 90 days once the committee has a complete application, varying by state and primary source verification. Recredentialing occurs at least every 36 months. |
| South Carolina | Ambetter (a Centene company) | Open | Provider portal | Ambetter is Centene's ACA Marketplace brand, operated through state-specific Centene subsidiaries (for example, Ambetter from Superior HealthPlan in Texas or Ambetter from Sunshine Health in Florida). Start at ambetterhealth.com and select your state to reach the local subsidiary's provider page. Because Marketplace is a commercial line, credentialing requires a complete CAQH profile with Centene authorized to access it. Credentialing commonly takes up to about 90 days once the committee has a complete application, varying by state and primary source verification. Recredentialing occurs at least every 36 months. |
| Tennessee | Ambetter (a Centene company) | Open | Provider portal | Ambetter is Centene's ACA Marketplace brand, operated through state-specific Centene subsidiaries (for example, Ambetter from Superior HealthPlan in Texas or Ambetter from Sunshine Health in Florida). Start at ambetterhealth.com and select your state to reach the local subsidiary's provider page. Because Marketplace is a commercial line, credentialing requires a complete CAQH profile with Centene authorized to access it. Credentialing commonly takes up to about 90 days once the committee has a complete application, varying by state and primary source verification. Recredentialing occurs at least every 36 months. |
| Texas | Ambetter (a Centene company) | Open | Provider portal | Ambetter is Centene's ACA Marketplace brand, operated through state-specific Centene subsidiaries (for example, Ambetter from Superior HealthPlan in Texas or Ambetter from Sunshine Health in Florida). Start at ambetterhealth.com and select your state to reach the local subsidiary's provider page. Because Marketplace is a commercial line, credentialing requires a complete CAQH profile with Centene authorized to access it. Credentialing commonly takes up to about 90 days once the committee has a complete application, varying by state and primary source verification. Recredentialing occurs at least every 36 months. |
| Utah | Ambetter (a Centene company) | Open | Provider portal | Ambetter is Centene's ACA Marketplace brand, operated through state-specific Centene subsidiaries (for example, Ambetter from Superior HealthPlan in Texas or Ambetter from Sunshine Health in Florida). Start at ambetterhealth.com and select your state to reach the local subsidiary's provider page. Because Marketplace is a commercial line, credentialing requires a complete CAQH profile with Centene authorized to access it. Credentialing commonly takes up to about 90 days once the committee has a complete application, varying by state and primary source verification. Recredentialing occurs at least every 36 months. |
| Virginia | Ambetter (a Centene company) | Open | Provider portal | Ambetter is Centene's ACA Marketplace brand, operated through state-specific Centene subsidiaries (for example, Ambetter from Superior HealthPlan in Texas or Ambetter from Sunshine Health in Florida). Start at ambetterhealth.com and select your state to reach the local subsidiary's provider page. Because Marketplace is a commercial line, credentialing requires a complete CAQH profile with Centene authorized to access it. Credentialing commonly takes up to about 90 days once the committee has a complete application, varying by state and primary source verification. Recredentialing occurs at least every 36 months. |
| Washington | Ambetter (a Centene company) | Open | Provider portal | Ambetter is Centene's ACA Marketplace brand, operated through state-specific Centene subsidiaries (for example, Ambetter from Superior HealthPlan in Texas or Ambetter from Sunshine Health in Florida). Start at ambetterhealth.com and select your state to reach the local subsidiary's provider page. Because Marketplace is a commercial line, credentialing requires a complete CAQH profile with Centene authorized to access it. Credentialing commonly takes up to about 90 days once the committee has a complete application, varying by state and primary source verification. Recredentialing occurs at least every 36 months. |
| Wisconsin | Ambetter (a Centene company) | Open | Provider portal | Ambetter is Centene's ACA Marketplace brand, operated through state-specific Centene subsidiaries (for example, Ambetter from Superior HealthPlan in Texas or Ambetter from Sunshine Health in Florida). Start at ambetterhealth.com and select your state to reach the local subsidiary's provider page. Because Marketplace is a commercial line, credentialing requires a complete CAQH profile with Centene authorized to access it. Credentialing commonly takes up to about 90 days once the committee has a complete application, varying by state and primary source verification. Recredentialing occurs at least every 36 months. |
| West Virginia | Ambetter (a Centene company) | Open | Provider portal | Ambetter is Centene's ACA Marketplace brand, operated through state-specific Centene subsidiaries (for example, Ambetter from Superior HealthPlan in Texas or Ambetter from Sunshine Health in Florida). Start at ambetterhealth.com and select your state to reach the local subsidiary's provider page. Because Marketplace is a commercial line, credentialing requires a complete CAQH profile with Centene authorized to access it. Credentialing commonly takes up to about 90 days once the committee has a complete application, varying by state and primary source verification. Recredentialing occurs at least every 36 months. |
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 Ambetter credentialing
How long does Ambetter credentialing take?
Ambetter credentialing typically takes 60–90 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 Ambetter require CAQH?
Yes. Ambetter pulls provider data from CAQH ProView, so your profile must be complete, attested and shared with Ambetter 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 Ambetter operate in?
Ambetter has credentialing operations in 30 states. 30 of those 30 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.