How to Get Credentialed with Megellan in California
Quick Overview
Timeline
60 - 90 days
CAQH
Required
Re-credentialing
Every 3 year(s)
Delegated
No
How Megellan Credentialing Actually Works
Verified July 2026Apply Through
Magellan's provider network channels
Timeline
Not published by the payer
Recredentialing
Not published by the payer
Magellan Health is a behavioral health network organization, acquired by Centene in 2022. In December 2025 Centene signed a definitive agreement to sell Magellan, and as of the spring 2026 filings the sale was still pending. Magellan continues to administer behavioral benefits for various plans and states while the transition completes.
Behavioral health routing: Whether your target plan routes behavioral health through Magellan or in house is state and product specific, and it is changing while the divestiture completes.
The stall to avoid: Confirm the behavioral counterparty for your specific state and plan before applying. A Magellan application filed for a state that has moved behavioral health in house goes nowhere.
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.
California-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 California.
Complete Your CAQH ProView Profile
Megellan 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 Megellan.
Track & Follow Up
Credentialing typically takes 60-90 days. Monitor your application status and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with Megellan?
Our specialists handle the entire Megellan enrollment process: applications, follow-ups, and approvals in California.
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
Enrollment Forms
CAQH ProView
Universal credentialing application used by most commercial and BCBS payers.
RequiredFree Tools for Your Megellan Enrollment
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Key Credentialing Terms
- CAQH
- The Council for Affordable Quality Health Care, an organization that maintains a universal provider database (CAQH ProVi...
- Collaborative Practice Agreement
- A formal written agreement between a physician and a nurse practitioner or physician assistant defining the terms of the...
- Credentialing
- The process of verifying a healthcare provider's qualifications, training, licensure, and professional background to ens...
- Effective Date
- The date on which a provider's enrollment or network participation becomes active, allowing them to begin billing a paye...
- NPI
- The National Provider Identifier is a unique 10-digit identification number issued by CMS to healthcare providers, requi...
- Peer Review
- A process in which a provider's clinical performance, decision-making, and outcomes are evaluated by other qualified pro...
- Primary Source Verification
- The process of verifying a provider's credentials directly from the original issuing source, such as medical schools, li...
- Provider Enrollment
- The process by which a healthcare provider applies to participate in an insurance payer's network, allowing the provider...
Credentialing Checklist
Make sure you have everything ready before applying to Megellan.
View Physician Credentialing Checklist →Contact Information
Provider Enrollment
National1-800-788-4005
Mon-Fri 8am-5pm ET
Provider Relations
National1-800-788-4005
Behavioral Health Services
National1-800-788-4005
Quick Links
Megellan in Other States
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.