Commercial
Centene Corporation
Credentialing and enrollment guides for Centene Corporation across 51 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
51
How Centene Corporation 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
Centene operates through per state subsidiary brands, so you contract with the state entity, not the national company. Credentialing data flows from CAQH ProView, and for Medicaid products an active state Medicaid enrollment comes first.
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 Centene Corporation
Operates through dozens of state-specific subsidiaries (Ambetter, WellCare, etc.). Credentialing with one subsidiary does NOT transfer to another.
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
Centene Corporation 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 Centene Corporation. 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 Centene Corporation?
Our specialists handle the entire Centene Corporation 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
W9_FORM
Enrollment Forms
CAQH ProView
Universal credentialing application used by most commercial and BCBS payers.
Online
Download
Centene Provider Interest Form
Online
Contact Information
EDI Team
1-800-225-2573 ext. 6075525
EDIBA@centene.com
EFT/ERA (PaySpan)
1-877-331-7154
Facility/Provider Credentialing
1-866-567-9188
facilitycred@centene.com
Provider Relations
1-866-874-0633
Quick Links
Need Help?
Let PayerReady handle your Centene Corporation credentialing and enrollment.
Get Started NowAvailable States
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
District Of Columbia
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
+ 36 more states below
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 Centene Corporation-specific credentialing details including timelines, contacts, and local requirements.
Alabama
Open
Alaska
Open
Arizona
Open
Arkansas
Open
California
Open
Colorado
Open
Connecticut
Open
Delaware
Open
District Of Columbia
Open
Florida
Open
Georgia
Open
Hawaii
Open
Idaho
Open
Illinois
Open
Indiana
Open
Iowa
Open
Kansas
Open
Kentucky
Open
Louisiana
Open
Maine
Open
Maryland
Open
Massachusetts
Open
Michigan
Open
Minnesota
Open
Mississippi
Open
Missouri
Open
Montana
Open
Nebraska
Open
Nevada
Open
New Hampshire
Open
New Jersey
Open
New Mexico
Open
New York
Open
North Carolina
Open
North Dakota
Open
Ohio
Open
Oklahoma
Open
Oregon
Open
Pennsylvania
Open
Puerto Rico
Rhode Island
Open
South Carolina
Open
South Dakota
Open
Tennessee
Open
Texas
Open
Utah
Open
Vermont
Open
Virginia
Open
Virgin Islands
Washington
Open
West Virginia
Open
Wisconsin
Open
Wyoming
Open
Centene Corporation credentialing requirements by state
Centene Corporation enrollment is not identical everywhere. The table below lists what actually differs across the 51 states Centene Corporation 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 |
|---|---|---|---|---|---|
| Alaska | Centene | 8,778 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Alabama | Centene | 75,445 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Arkansas | Centene | 94,408 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Arizona | Centene | 252,260 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| California | Centene | 1,107,850 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Colorado | Centene | 171,671 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Connecticut | Centene | 95,627 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| District Of Columbia | Centene | 16,017 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Delaware | Centene | 45,107 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Florida | Centene | 725,980 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Georgia | Centene | 283,015 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Hawaii | Centene | 9,851 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Iowa | Centene | 165,387 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Idaho | Centene | 49,107 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Illinois | Centene | 497,470 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Indiana | Centene | 206,282 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Kansas | Centene | 58,953 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Kentucky | Centene | 146,216 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Louisiana | Centene | 89,091 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Massachusetts | Centene | 208,252 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Maryland | Centene | 213,457 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Maine | Centene | 64,652 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Michigan | Centene | 230,131 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Minnesota | Centene | 145,545 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Missouri | Centene | 219,111 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Mississippi | Centene | 126,279 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Montana | Centene | 49,006 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| North Carolina | Centene | 279,348 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| North Dakota | Centene | 32,623 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Nebraska | Centene | 83,271 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| New Hampshire | Centene | 78,679 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| New Jersey | Centene | 279,730 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| New Mexico | Centene | 40,045 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Nevada | Centene | 77,905 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| New York | Centene | 488,921 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Ohio | Centene | 410,512 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Oklahoma | Centene | 80,332 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Oregon | Centene | 141,439 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Pennsylvania | Centene | 386,757 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Rhode Island | Centene | 21,853 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| South Carolina | Centene | 210,155 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| South Dakota | Centene | 49,917 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Tennessee | Centene | 186,734 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Texas | Centene | 775,667 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Utah | Centene | 35,837 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Virginia | Centene | 218,408 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Vermont | Centene | 42,936 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Washington | Centene | 205,992 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Wisconsin | Centene | 160,588 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| West Virginia | Centene | 43,023 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
| Wyoming | Centene | 24,524 | Open | Provider portal | Centene is the largest Medicaid managed-care company, operating through state-specific brands — Sunshine Health (FL), Superior HealthPlan (TX), Buckeye Health Plan (OH), Peach State Health Plan (GA), Fidelis Care (NY) and others — plus Wellcare for Medicare Advantage and Ambetter for the ACA Marketplace. Join through the local state brand. State Medicaid enrollment is a prerequisite to plan credentialing. CAQH is the credentialing data source for Commercial, Marketplace, and Medicare lines; Medicaid-only providers may use a state-mandated repository such as Availity. The credentialing-verification organization varies by state. Recredentialing occurs every 36 months. |
MA member counts: CMS Monthly Enrollment by Contract/Plan/State/County (2026-07), 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 Centene Corporation credentialing
How long does Centene Corporation credentialing take?
Centene Corporation 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 Centene Corporation require CAQH?
Yes. Centene Corporation pulls provider data from CAQH ProView, so your profile must be complete, attested and shared with Centene Corporation 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 Centene Corporation operate in?
Centene Corporation has credentialing operations in 51 states. 51 of those 51 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.