Anthem HealthKeepers / Hoosier Healthwise
Credentialing and enrollment guides for Anthem HealthKeepers / Hoosier Healthwise across 5 states.
Quick Overview
Timeline
30 - 60 days
CAQH
Required
Re-credentialing
Every 3 year(s)
States Available
5
How Anthem HealthKeepers / Hoosier Healthwise Credentialing Actually Works
Verified July 2026Apply Through
Timeline
Committee review typically lands about 45 days after a complete application; plan on 90 to 120 days end to end
Recredentialing
Every 36 months, with CAQH re-attestation roughly every 120 days
This is an Elevance Health (Anthem) Medicaid brand. The federal Medicaid rule applies: an active state Medicaid ID is required first (42 CFR 438.602). Credentialing then flows from CAQH ProView through Availity's Digital Provider Enrollment.
Behavioral health routing: Behavioral health is carved out to Carelon Behavioral Health. Behavioral clinicians credential with Carelon, not with Anthem medical.
The stall to avoid: Enroll with the state Medicaid program before applying, and route behavioral applications to Carelon, not the medical network.
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 Anthem HealthKeepers / Hoosier Healthwise
Anthem HealthKeepers / Hoosier Healthwise is a Medicaid managed care organization, a subsidiary of Elevance Health, providing healthcare coverage to eligible low-income populations. They credential physicians, specialists, therapists, and other healthcare providers for their managed care networks.
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
Anthem HealthKeepers / Hoosier Healthwise requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org.
Submit Your Application
Submit your completed enrollment package to Anthem HealthKeepers / Hoosier Healthwise. Select your state below for state-specific submission details.
Track & Follow Up
Credentialing typically takes 30-60 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with Anthem HealthKeepers / Hoosier Healthwise?
Our specialists handle the entire Anthem HealthKeepers / Hoosier Healthwise 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
Contact Information
Provider Credentialing
1-800-624-0756
Mon-Fri 8am-5pm
Provider Services
1-800-624-0756
Claims & Billing
1-800-624-0756
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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 Anthem HealthKeepers / Hoosier Healthwise-specific credentialing details including timelines, contacts, and local requirements.
Anthem HealthKeepers / Hoosier Healthwise credentialing requirements by state
Anthem HealthKeepers / Hoosier Healthwise enrollment is not identical everywhere. The table below lists what actually differs across the 5 states Anthem HealthKeepers / Hoosier Healthwise operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Local plan | Network | State-specific notes |
|---|---|---|---|
| Georgia | Anthem Blue Cross Blue Shield of Georgia (Medicaid) | Unknown | Anthem BCBS of Georgia participates in the Georgia Families Medicaid managed care program administered by DCH. Providers must first enroll with Georgia Medicaid through GAMMIS, then apply to Anthem via CAQH ProView. Active Georgia medical license and NPI are required. Service areas cover select counties across the state. The plan also participates in PeachCare for Kids (CHIP) and accepts a broad range of provider types. |
| Indiana | Anthem Hoosier Healthwise | Open | Anthem Hoosier Healthwise participates in the Hoosier Healthwise and Healthy Indiana Plan (HIP) programs. Providers must first enroll with Indiana Medicaid through IHCP, then apply to Anthem via CAQH ProView. Active Indiana medical license and NPI are required. Service areas cover all 92 Indiana counties statewide. The plan covers Hoosier Healthwise (children and pregnant women), HIP (adults), and Hoosier Care Connect populations. |
| Kentucky | Anthem Blue Cross Blue Shield of Kentucky (Medicaid) | Open | Anthem BCBS of Kentucky participates in the Kentucky Medicaid managed care program. Providers must first enroll with Kentucky Medicaid through DMS, then apply to Anthem via CAQH ProView. Active Kentucky medical license and NPI are required. Service areas cover all 120 Kentucky counties. The plan serves traditional Medicaid, KCHIP, and Medicaid expansion populations across the state. |
| Virginia | Anthem HealthKeepers Plus | Open | Anthem HealthKeepers Plus participates in the Medallion 4.0 Medicaid managed care program in Virginia. Providers must first enroll with Virginia Medicaid through DMAS, then apply to Anthem via CAQH ProView. Active Virginia medical license and NPI are required. Service areas cover multiple DMAS managed care regions across the Commonwealth. Medallion 4.0 integrates physical health, behavioral health, and pharmacy services under one managed care contract. |
| Wisconsin | Anthem Blue Cross Blue Shield of Wisconsin (Medicaid) | Open | Anthem BCBS of Wisconsin participates in the BadgerCare Plus and SSI managed care programs. Providers must first enroll with Wisconsin Medicaid through ForwardHealth, then apply to Anthem via CAQH ProView. Active Wisconsin medical license and NPI are required. Service areas cover select counties across the state. BadgerCare Plus serves low-income families, children, pregnant women, and childless adults in Wisconsin. |
Compiled and maintained by the PayerReady credentialing team from payer portals and direct payer contact. Last verified March 22, 2026. Network status changes without notice — confirm before you file.
Common questions about Anthem HealthKeepers / Hoosier Healthwise credentialing
How long does Anthem HealthKeepers / Hoosier Healthwise credentialing take?
Anthem HealthKeepers / Hoosier Healthwise credentialing typically takes 30–60 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 Anthem HealthKeepers / Hoosier Healthwise require CAQH?
Yes. Anthem HealthKeepers / Hoosier Healthwise pulls provider data from CAQH ProView, so your profile must be complete, attested and shared with Anthem HealthKeepers / Hoosier Healthwise 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 Anthem HealthKeepers / Hoosier Healthwise operate in?
Anthem HealthKeepers / Hoosier Healthwise has credentialing operations in 5 states. 4 of those 5 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.