PAYER READY CREDENTIALING & COMPLIANCE
Medicaid

Medi-Cal

Credentialing and enrollment guides for Medi-Cal across 1 states.

60-90 days Re-credential every 5 yrs

Quick Overview

Timeline

60 - 90 days

CAQH

Not Required

Re-credentialing

Every 5 year(s)

States Available

1

About Medi-Cal

Department of Health Care Services (DHCS) — Medi-Cal

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

Prepare Your Application

Complete Medi-Cal's provider enrollment application with all required information and supporting documentation.

3

Submit Your Application

Submit your completed enrollment package to Medi-Cal. 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 Medi-Cal?

Our specialists handle the entire Medi-Cal enrollment process: applications, follow-ups, and approvals across all 50 states.

Required Documents

Background Check

CV/Resume

FINGERPRINT_CLEARANCE

Required for high-risk provider types

Malpractice Insurance

Required in most states; some state programs waive for government employees

Medical License

NPI Certificate

Enrollment Forms

Medi-Cal PAVE Enrollment

Online Download

Contact Information

Provider Credentialing

(916) 323-1945

Mon-Fri 8am-5pm

Provider Services

(916) 323-1945

Claims & Billing

(916) 323-1945

Need Help?

Let PayerReady handle your Medi-Cal credentialing and enrollment.

Get Started Now

Available 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.

Need help enrolling with Medi-Cal?

Our credentialing specialists handle the entire enrollment process: applications, follow-ups, and approvals across all 50 states.

Free consultation. No commitment required.

Select Your State

Choose your state for Medi-Cal-specific credentialing details including timelines, contacts, and local requirements.

Alabama
Alaska
Arizona
Arkansas
California
Open
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming

Medi-Cal credentialing requirements by state

Medi-Cal enrollment is not identical everywhere. The table below lists what actually differs across the 1 state Medi-Cal operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.

Medi-Cal credentialing requirements by state
State Network Timeline State-specific notes
California Open 60–90 days California Medicaid (Medi-Cal) enrollment steps: (1) Obtain NPI via NPPES. (2) Submit application through PAVE (Provider Application and Validation for Enrollment), the DHCS online enrollment system. (3) Complete fingerprint Live Scan background check at an authorized location, required for initial enrollment. (4) Receive Medi-Cal provider number upon approval. Managed care is mandatory in most California counties, requiring separate credentialing with Medi-Cal managed care plans. Behavioral health providers accepted include LMFT, LCSW, LPCC, and Licensed Psychologist with active CA licensure; specialty mental health services are administered through county Mental Health Plans (MHPs). Revalidation is required every 5 years.

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 Medi-Cal credentialing

How long does Medi-Cal credentialing take?

Medi-Cal 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 Medi-Cal require CAQH?

No. Medi-Cal does not enroll through CAQH ProView, so credentialing data is submitted directly on Medi-Cal's own application instead. You still need the same underlying documents — license, DEA where applicable, malpractice coverage and work history.

Which states does Medi-Cal operate in?

Medi-Cal has credentialing operations in 1 state. 1 of those 1 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.

Every month un-credentialed is revenue you never bill

Sign up free, add your first provider, and watch the pipeline start moving this week.

Ask CredBrain

Answers from your credentialing team's verified knowledge base

Hi, I'm CredBrain. I answer from your credentialing team's verified knowledge base: payer join paths, state rules, timelines, associate billing, and enrollment workflows. If I don't have a verified answer, I'll say so and point you to your team. What would you like to know?

Try asking