How to Get Credentialed with Centene Corporation in Missouri
Quick Overview
Timeline
60 - 90 days
CAQH
Required
Re-credentialing
Every 3 year(s)
Delegated
Yes
Missouri-Specific Requirements
Step-by-Step Enrollment Process
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Missouri.
Complete Your CAQH ProView Profile
Centene Corporation requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org and attest within 120 days.
Submit Your Application
Submit your completed enrollment package to Centene Corporation. You can start the process at their enrollment portal.
Track & Follow Up
Credentialing typically takes 60-90 days. Monitor your application status and respond promptly to requests for additional information.
Required Documents Checklist
Board Certification
ConditionalRequired if board certified; highly recommended
CV/Resume
5-year work history minimum; gaps > 6 months must be explained
DEA License
ConditionalRequired if prescribing controlled substances
Malpractice Insurance
Medical Degree
Medical License
NPI Certificate
Professional Reference
3 peer references required
W9_FORM
Required for EFT/tax reporting setup
Enrollment Forms
CAQH ProView
Universal credentialing application used by most commercial and BCBS payers.
RequiredCentene Provider Interest Form
RequiredContact Information
EDI Team
National1-800-225-2573 ext. 6075525
EDIBA@centene.com
EFT/ERA (PaySpan)
National1-877-331-7154
Facility/Provider Credentialing
Nationalfacilitycred@centene.com
Provider Relations
National1-866-874-0633