Novitas Solutions (Jurisdiction H/L)
Credentialing and enrollment guides for Novitas Solutions (Jurisdiction H/L) across 13 states.
Quick Overview
Timeline
45 - 120 days
CAQH
Not Required
Re-credentialing
Every 5 year(s)
States Available
13
How Novitas Solutions (Jurisdiction H/L) Credentialing Actually Works
Verified July 2026Apply Through
Timeline
PECOS web runs about 45 to 60 days typical; paper or applications with information requests run 90 to 180 days
Recredentialing
Revalidation every 5 years with no grace period
Novitas Solutions is the Medicare Administrative Contractor that processes Part A and B enrollment (the 855 series) for Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, and Texas (JH) plus Delaware, DC, Maryland, New Jersey, and Pennsylvania (JL). You do not apply to the MAC directly: PECOS auto routes your application to it based on your practice state.
The stall to avoid: PECOS web always beats paper, and a development request unanswered for 30 days is a rejection. Track your revalidation due date: CMS posts it about 7 months ahead.
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 Novitas Solutions (Jurisdiction H/L)
Medicare Administrative Contractor for Jurisdictions H and L.
How to Get Credentialed
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.
Prepare Your Application
Complete Novitas Solutions (Jurisdiction H/L)'s provider enrollment application with all required information and supporting documentation.
Submit Your Application
Submit your completed enrollment package to Novitas Solutions (Jurisdiction H/L). Select your state below for state-specific submission details.
Track & Follow Up
Credentialing typically takes 45-120 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with Novitas Solutions (Jurisdiction H/L)?
Our specialists handle the entire Novitas Solutions (Jurisdiction H/L) enrollment process: applications, follow-ups, and approvals across all 50 states.
Required Documents
CV/Resume
DEA License
Required if applicable
Malpractice Insurance
Medical License
NPI Certificate
Contact Information
Claims Inquiry
1-855-609-9960
Medicare Enrollment
1-866-837-0241
Medicare Appeals
1-855-609-9960
Need Help?
Let PayerReady handle your Novitas Solutions (Jurisdiction H/L) credentialing and enrollment.
Get Started NowReviewed 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.
Select Your State
Choose your state for Novitas Solutions (Jurisdiction H/L)-specific credentialing details including timelines, contacts, and local requirements.
Novitas Solutions (Jurisdiction H/L) credentialing requirements by state
Novitas Solutions (Jurisdiction H/L) enrollment is not identical everywhere. The table below lists what actually differs across the 13 states Novitas Solutions (Jurisdiction H/L) operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Network | Timeline | Portal / phone | State-specific notes |
|---|---|---|---|---|
| Arkansas | Open | 60–90 days |
Provider portal
1-855-252-8782
|
Novitas Solutions (MAC Jurisdiction H/L) processes all Medicare Part A/B claims for Arkansas. Providers enroll via PECOS using CMS-855I (individual) or CMS-855B (group). Arkansas has a significant rural healthcare provider base, and CMS may conduct site visits for providers in remote locations. Standard screening applies for limited-risk categories; high-risk provider types face enhanced screening including fingerprint-based background checks. A valid NPI is required, and revalidation occurs every 5 years. Initial enrollment takes 60–90 days. |
| Colorado | Open | 60–90 days |
Provider portal
1-855-252-8782
|
Novitas Solutions (MAC Jurisdiction H/L) processes all Medicare Part A/B claims for Colorado. Enrollment is via PECOS using CMS-855I (individual) or CMS-855B (group). Colorado has a growing provider population, especially along the Front Range corridor. CMS standard screening protocols apply; providers in high-risk categories may be subject to enhanced screening measures. All providers must hold a valid NPI and revalidate every 5 years. Initial enrollment processing typically takes 60–90 days. |
| District Of Columbia | Open | 60–90 days |
Provider portal
1-855-252-8782
|
Novitas Solutions (MAC Jurisdiction H/L) processes all Medicare Part A/B claims for the District of Columbia. Enrollment is via PECOS using CMS-855I (individual) or CMS-855B (group). DC has a high concentration of specialty providers and academic medical centers. CMS applies standard screening for most provider types, with enhanced screening for high-risk categories. DC providers who also practice in Maryland or Virginia should ensure separate enrollment with the appropriate MAC for each practice location. A valid NPI is required, and revalidation is every 5 years. Initial enrollment takes 60–90 days. |
| Delaware | Open | 60–90 days |
Provider portal
1-855-252-8782
|
Novitas Solutions (MAC Jurisdiction H/L) processes all Medicare Part A/B claims for Delaware. Providers must enroll through PECOS using CMS-855I (individual) or CMS-855B (group). Delaware is a small state with a concentrated provider population, primarily in the Wilmington metropolitan area. Standard CMS screening applies for most provider types. A valid NPI is required, and revalidation occurs every 5 years. Initial enrollment typically takes 60–90 days; revalidation takes 30–60 days. |
| Louisiana | Open | 60–90 days |
Provider portal
1-855-252-8782
|
Novitas Solutions (MAC Jurisdiction H/L) processes all Medicare Part A/B claims for Louisiana. Providers enroll through PECOS using CMS-855I (individual) or CMS-855B (group). Louisiana has been identified by CMS as a state with elevated fraud risk for certain provider categories, particularly home health agencies and DMEPOS suppliers, which may trigger enhanced screening including fingerprint-based criminal background checks and unannounced site visits. A valid NPI is mandatory, and revalidation is every 5 years. Initial enrollment takes 60–90 days. |
| Maryland | Open | 60–90 days |
Provider portal
1-855-252-8782
|
Novitas Solutions (MAC Jurisdiction H/L) processes all Medicare Part A/B claims for Maryland. Enrollment is via PECOS using CMS-855I (individual) or CMS-855B (group). Maryland operates under a unique all-payer hospital rate-setting system, which affects hospital reimbursement but does not change the Medicare enrollment process for individual providers. Standard CMS screening applies. Providers practicing in both Maryland and DC should maintain enrollment in both jurisdictions. A valid NPI is required, and revalidation is every 5 years. Initial enrollment takes 60–90 days. |
| Mississippi | Open | 60–90 days |
Provider portal
1-855-252-8782
|
Novitas Solutions (MAC Jurisdiction H/L) processes all Medicare Part A/B claims for Mississippi. Providers must enroll via PECOS using CMS-855I (individual) or CMS-855B (group). Mississippi has a high proportion of rural and underserved areas, and CMS encourages provider participation in these regions. Enhanced screening may apply for high-risk provider types. A valid NPI is required, and revalidation occurs every 5 years. Initial enrollment processing typically takes 60–90 days. |
| New Jersey | Open | 60–90 days |
Provider portal
1-855-252-8782
|
Novitas Solutions (MAC Jurisdiction H/L) processes all Medicare Part A/B claims for New Jersey. Enrollment is via PECOS using CMS-855I (individual) or CMS-855B (group). New Jersey has a dense provider population, particularly in the northern part of the state near New York City. CMS standard screening applies, though certain areas have been identified for enhanced fraud monitoring. Providers practicing in both NJ and NY should be aware that different MACs process claims for each state. A valid NPI is required, and revalidation occurs every 5 years. Initial enrollment takes 60–90 days. |
| New Mexico | Open | 60–90 days |
Provider portal
1-855-252-8782
|
Novitas Solutions (MAC Jurisdiction H/L) processes all Medicare Part A/B claims for New Mexico. Enrollment is via PECOS using CMS-855I (individual) or CMS-855B (group). New Mexico has a significant Native American population served by IHS and tribal facilities, which have separate enrollment considerations. Non-tribal providers follow standard CMS screening. A valid NPI is required, and revalidation is every 5 years. Initial enrollment takes approximately 60–90 days. |
| Oklahoma | Open | 60–90 days |
Provider portal
1-855-252-8782
|
Novitas Solutions (MAC Jurisdiction H/L) processes all Medicare Part A/B claims for Oklahoma. Providers enroll through PECOS using CMS-855I (individual) or CMS-855B (group). Oklahoma has a mix of urban and rural providers; CMS standard screening applies for most categories, with enhanced screening for high-risk provider types. Providers should note that Oklahoma also has tribal health facilities with separate enrollment pathways. A valid NPI is required, and revalidation occurs every 5 years. Initial enrollment takes 60–90 days. |
| Pennsylvania | Open | 60–90 days |
Provider portal
1-855-252-8782
|
Novitas Solutions (MAC Jurisdiction H/L) processes all Medicare Part A/B claims for Pennsylvania. Enrollment is via PECOS using CMS-855I (individual) or CMS-855B (group). Pennsylvania is one of the largest Medicare markets processed by Novitas, with major provider concentrations in Philadelphia and Pittsburgh. CMS standard screening applies; enhanced screening with fingerprint-based background checks may be required for high-risk categories. A valid NPI is required, and revalidation is every 5 years. Initial enrollment typically takes 60–90 days. |
| Texas | Open | 60–90 days |
Provider portal
1-855-252-8782
|
Novitas Solutions (MAC Jurisdiction H/L) processes all Medicare Part A/B claims for Texas. Texas is the largest state in the Novitas jurisdiction by provider volume. Enroll via PECOS using CMS-855I (individual) or CMS-855B (group). CMS has designated several Texas metropolitan areas (Houston, Dallas, McAllen, San Antonio) as high-risk for certain provider types, which may trigger enhanced screening including fingerprint-based background checks, site visits, and application fees. A valid NPI is required, and revalidation occurs every 5 years. Initial enrollment takes 60–90 days. |
| West Virginia | Open | 60–90 days |
Provider portal
1-855-252-8782
|
Novitas Solutions (MAC Jurisdiction H/L) processes all Medicare Part A/B claims for West Virginia. Providers enroll through PECOS using CMS-855I (individual) or CMS-855B (group). West Virginia has a predominantly rural provider landscape with a high Medicare beneficiary-to-provider ratio. CMS standard screening applies for most provider categories. A valid NPI is required, and revalidation is every 5 years. Initial enrollment processing takes approximately 60–90 days. |
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 Novitas Solutions (Jurisdiction H/L) credentialing
How long does Novitas Solutions (Jurisdiction H/L) credentialing take?
Novitas Solutions (Jurisdiction H/L) credentialing typically takes 45–120 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 Novitas Solutions (Jurisdiction H/L) require CAQH?
No. Novitas Solutions (Jurisdiction H/L) does not enroll through CAQH ProView, so credentialing data is submitted directly on Novitas Solutions (Jurisdiction H/L)'s own application instead. You still need the same underlying documents — license, DEA where applicable, malpractice coverage and work history.
Which states does Novitas Solutions (Jurisdiction H/L) operate in?
Novitas Solutions (Jurisdiction H/L) has credentialing operations in 13 states. 13 of those 13 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.