AmeriHealth Caritas
Credentialing and enrollment guides for AmeriHealth Caritas across 14 states.
Quick Overview
Timeline
60 - 90 days
CAQH
Required
Re-credentialing
Every 3 year(s)
States Available
14
How AmeriHealth Caritas Credentialing Actually Works
Verified July 2026Apply Through
Timeline
Not published by the payer
Recredentialing
Not published by the payer
AmeriHealth Caritas is a Medicaid focused family of per state plans: you contract with the specific state plan, not the national company. The federal Medicaid rule applies: an active state Medicaid ID is required first (42 CFR 438.602), and credentialing works from your CAQH data in most states.
The stall to avoid: Enroll with the state Medicaid program first, and route the application to the specific state plan's provider enrollment channel.
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 AmeriHealth Caritas
AmeriHealth is a managed care organization offering Medicaid, CHIP, and Medicare plans in multiple states including Pennsylvania, New Jersey, Delaware, and Washington D.C. AmeriHealth Caritas is one of the largest Medicaid managed care organizations in the country.
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
AmeriHealth Caritas requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org.
Submit Your Application
Submit your completed enrollment package to AmeriHealth Caritas. Select your state below for state-specific submission details.
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 AmeriHealth Caritas?
Our specialists handle the entire AmeriHealth Caritas 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.
Contact Information
Provider Credentialing
1-800-454-3730
Mon-Fri 8am-5pm ET
Provider Services
1-800-454-3730
Claims
1-800-454-3730
Quick Links
Need Help?
Let PayerReady handle your AmeriHealth Caritas credentialing and enrollment.
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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 AmeriHealth Caritas-specific credentialing details including timelines, contacts, and local requirements.
AmeriHealth Caritas credentialing requirements by state
AmeriHealth Caritas enrollment is not identical everywhere. The table below lists what actually differs across the 14 states AmeriHealth Caritas operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Network | State-specific notes |
|---|---|---|
| District Of Columbia | Open | — |
| Delaware | Open | — |
| Florida | Open | — |
| Georgia | Open | — |
| Iowa | Open | — |
| Louisiana | Open | — |
| Michigan | Open | — |
| North Carolina | Open | — |
| Nebraska | Open | — |
| New Hampshire | Open | — |
| New Jersey | Open | — |
| Pennsylvania | Open | — |
| South Carolina | Open | — |
| Washington | Open | — |
Compiled and maintained by the PayerReady credentialing team from payer portals and direct payer contact. Last verified April 2, 2026. Network status changes without notice — confirm before you file.
Common questions about AmeriHealth Caritas credentialing
How long does AmeriHealth Caritas credentialing take?
AmeriHealth Caritas 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 AmeriHealth Caritas require CAQH?
Yes. AmeriHealth Caritas pulls provider data from CAQH ProView, so your profile must be complete, attested and shared with AmeriHealth Caritas 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 AmeriHealth Caritas operate in?
AmeriHealth Caritas has credentialing operations in 14 states. 14 of those 14 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.