How to Get Credentialed with Anthem HealthKeepers / Hoosier Healthwise in Wisconsin
Quick Overview
Timeline
30 - 60 days
CAQH
Required
Re-credentialing
Every 3 year(s)
Delegated
No
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.
Wisconsin-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 Wisconsin.
Complete Your CAQH ProView Profile
Anthem HealthKeepers / Hoosier Healthwise 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 Anthem HealthKeepers / Hoosier Healthwise.
Track & Follow Up
Credentialing typically takes 30-60 days. Monitor your application status 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 in Wisconsin.
Required Documents Checklist
Board Certification
ConditionalRequired if board certified; highly recommended
CV/Resume
DEA License
ConditionalRequired if prescribing controlled substances
Malpractice Insurance
Medical Degree
Medical License
NPI Certificate
Professional Reference
Free Tools for Your Anthem HealthKeepers / Hoosier Healthwise Enrollment
NPI Number Lookup
Verify your NPI number before applying to Anthem HealthKeepers / Hoosier Healthwise
Timeline Estimator
Estimate credentialing timeline for Anthem HealthKeepers / Hoosier Healthwise in Wisconsin
Readiness Checker
Check if you're ready for Anthem HealthKeepers / Hoosier Healthwise enrollment
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Key Credentialing Terms
- Capitation
- A payment model where a payer pays a provider a fixed amount per member per month regardless of whether the member recei...
- CAQH
- The Council for Affordable Quality Health Care, an organization that maintains a universal provider database (CAQH ProVi...
- 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...
- Managed Care
- A healthcare delivery system organized to manage cost, utilization, and quality through techniques such as provider netw...
- Network Adequacy
- The requirement that a health plan's provider network has enough providers in each specialty and geographic area to give...
- NPI
- The National Provider Identifier is a unique 10-digit identification number issued by CMS to healthcare providers, requi...
- Primary Source Verification
- The process of verifying a provider's credentials directly from the original issuing source, such as medical schools, li...
Credentialing Checklist
Make sure you have everything ready before applying to Anthem HealthKeepers / Hoosier Healthwise.
View Physician Credentialing Checklist →Contact Information
Provider Credentialing
National1-800-624-0756
Mon-Fri 8am-5pm
Provider Services
National1-800-624-0756
Claims & Billing
National1-800-624-0756
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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.