Molina Healthcare
Credentialing and enrollment guides for Molina Healthcare across 51 states.
Quick Overview
Timeline
60 - 90 days
CAQH
Required
Re-credentialing
Every 3 year(s)
States Available
51
How Molina Healthcare Credentialing Actually Works
Verified July 2026Apply Through
CAQH ProView into Molina's own credentialing process
Timeline
60 calendar days from a complete application, per Molina's own provider manuals
Recredentialing
Every 36 months
A complete credentialing application from CAQH ProView, or the state mandated application where one exists. Availity is operational only for Molina: eligibility, claims, EFT. A credentialing application submitted through Availity goes nowhere.
Behavioral health routing: Behavioral health is in house: BH clinicians join the same Molina credentialing pipeline as medical providers, with no vendor layer in between.
The stall to avoid: An active state Medicaid ID comes first (42 CFR 438.602). And in centralized credentialing states such as Ohio, the state credentials you, not Molina. Confirm the state's model before you promise a timeline.
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 Molina Healthcare
Operates in 19 states. Uses CAQH ProView as primary source and Network Pre-enrollment Tool (as of Jan 2026).
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
Molina Healthcare requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org.
Submit Your Application
Submit your completed enrollment package to Molina Healthcare. Select your state below for state-specific submission details.
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 Molina Healthcare?
Our specialists handle the entire Molina Healthcare 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
W9_FORM
Contact Information
Credentialing Email
1-888-665-4621
submit@molinacredentialing.com
EDI Claims
(866) 409-2935
EDI.Claims@MolinaHealthcare.com
EFT/ERA (ECHO Health)
888-834-3511
edi@echohealthinc.com
Provider Contracting (NM)
(855) 322-4078
NMProviderContracting@MolinaHealthcare.com
Provider Contracting (NV)
(833) 685-2103
NVProviderContracting@MolinaHealthCare.Com
Mon-Fri 8am-6pm PST
Credentialing (WI)
1-888-665-4621
WisconsinCredentialing@MolinaHealthcare.com
Quick Links
Need Help?
Let PayerReady handle your Molina Healthcare credentialing and enrollment.
Get Started NowAvailable States
+ 36 more states below
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.
Select Your State
Choose your state for Molina Healthcare-specific credentialing details including timelines, contacts, and local requirements.
Molina Healthcare credentialing requirements by state
Molina Healthcare enrollment is not identical everywhere. The table below lists what actually differs across the 51 states Molina Healthcare operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Local plan | MA members | Network | Portal / phone | State-specific notes |
|---|---|---|---|---|---|
| Alaska | Molina Healthcare | — | Open | — | Alaska is not a core Molina state. Minimal presence. Enroll through Molina's corporate portal. CAQH ProView required. AK license needed. |
| Alabama | Molina Healthcare | — | Open | — | Alabama is not a core Molina state. Limited presence; Molina may offer Medicare products. Enroll through Molina's corporate provider portal. CAQH ProView required. AL license needed. |
| Arkansas | Molina Healthcare | — | Open | — | Arkansas is not a core Molina state. Limited presence. Enroll through Molina's corporate portal. CAQH ProView required. AR license needed. |
| Arizona | Molina Healthcare of Arizona | 318 | Open | — | Molina operates in Arizona for AHCCCS (Medicaid managed care) and marketplace plans. Enroll through Molina Healthcare of Arizona provider portal. CAQH ProView accepted. AZ medical license and malpractice insurance required. |
| California | Molina Healthcare | 65,433 | Open |
Provider portal
855-322-4075
|
Molina Healthcare operates state-specific Medicaid, Medicare, and Marketplace plans, so credentialing entry points and contacts are per-state. Providers must already be enrolled with the state Medicaid agency and hold an active Medicaid ID before contracting. To begin, submit a Contract Request Form and current W-9 to the state plan's contracting team; if accepted, Molina issues credentialing documents. Molina credentials through CAQH ProView — a separate paper application is only needed if you lack an attested CAQH profile. Required items: current license, DEA certificate (as applicable), individual NPI, CAQH number, malpractice insurance, and taxonomy. Credentialing may take up to 90 calendar days; your in-network effective date is the date credentialing completes. Recredentialing occurs at least every 36 months. |
| Colorado | Molina Healthcare | — | Open | — | Colorado has limited Molina presence. Enroll through Molina's corporate portal. CAQH ProView required. CO license needed. |
| Connecticut | Molina Healthcare | 47,378 | Open | — | Connecticut has limited Molina presence. Enroll through Molina's corporate portal. CAQH ProView required. CT disclosures may apply. |
| District Of Columbia | Molina Healthcare | — | Open | — | DC is not a core Molina state. Limited presence. Enroll through Molina's corporate portal. DC medical license required. |
| Delaware | Molina Healthcare | — | Open | — | Delaware is not a core Molina state. Enroll through Molina's corporate portal. CAQH ProView required. DE license needed. |
| Florida | Molina Healthcare | — | Open | Provider portal | Molina Healthcare operates state-specific Medicaid, Medicare, and Marketplace plans, so credentialing entry points and contacts are per-state. Providers must already be enrolled with the state Medicaid agency and hold an active Medicaid ID before contracting. To begin, submit a Contract Request Form and current W-9 to the state plan's contracting team; if accepted, Molina issues credentialing documents. Molina credentials through CAQH ProView — a separate paper application is only needed if you lack an attested CAQH profile. Required items: current license, DEA certificate (as applicable), individual NPI, CAQH number, malpractice insurance, and taxonomy. Credentialing may take up to 90 calendar days; your in-network effective date is the date credentialing completes. Recredentialing occurs at least every 36 months. Florida providers must hold an active Medicaid ID from AHCA for Statewide Medicaid Managed Care. |
| Georgia | Molina Healthcare of Georgia | — | Open | — | Molina has expanded into Georgia. Enroll through Molina Healthcare of Georgia provider portal. CAQH ProView accepted. GA license and malpractice insurance required. |
| Hawaii | Molina Healthcare | — | Open | — | Hawaii is not a core Molina state. Minimal presence. Enroll through Molina's corporate portal. HI Prepaid Health Care Act may apply. |
| Iowa | Molina Healthcare | 659 | Open | — | Iowa is not a core Molina state. Enroll through Molina's corporate portal. CAQH ProView required. IA license needed. |
| Idaho | Molina Healthcare of Idaho | 13,008 | Open | — | Molina Healthcare of Idaho serves Idaho Medicaid managed care and marketplace plans. Credential through Molina ID provider portal. CAQH ProView accepted. ID state license and malpractice insurance required. |
| Illinois | Molina Healthcare of Illinois | 14,866 | Open | — | Molina Healthcare of Illinois serves HealthChoice Illinois (Medicaid managed care) and marketplace plans. Credential through Molina IL provider portal. IL controlled substance license required for prescribers. CAQH ProView accepted. |
| Indiana | Molina Healthcare | — | Open | — | Indiana has limited Molina presence. Enroll through Molina's corporate portal. CAQH ProView required. IN license needed. |
| Kansas | Molina Healthcare | — | Open | — | Kansas is not a core Molina state. Enroll through Molina's corporate portal. CAQH ProView required. KS license needed. |
| Kentucky | Molina Healthcare of Kentucky | 1,229 | Open | — | Molina Healthcare of Kentucky serves Kentucky Medicaid managed care and marketplace plans. Credential through Molina KY provider portal. CAQH ProView accepted. KY license and malpractice verification required. |
| Louisiana | Molina Healthcare | — | Open | — | Louisiana has limited Molina presence. Enroll through Molina's corporate portal. CAQH ProView required. LA license needed. |
| Massachusetts | Molina Healthcare of Massachusetts | 10,383 | Open | — | Molina Healthcare of Massachusetts serves MassHealth (Medicaid managed care) and marketplace plans. Credential through Molina MA provider portal. MA Board of Registration verification required. CAQH ProView accepted. |
| Maryland | Molina Healthcare | — | Open | — | Maryland has limited Molina presence. Maryland all-payer rate setting applies. Enroll through Molina's corporate portal. CAQH ProView required. MD license needed. |
| Maine | Molina Healthcare | — | Open | — | Maine is not a core Molina state. Enroll through Molina's corporate portal. CAQH ProView required. ME license needed. |
| Michigan | Molina Healthcare of Michigan | 15,331 | Open | — | Molina Healthcare of Michigan is a major Medicaid MCO serving Healthy Michigan Plan. Also offers Medicare-Medicaid Plan (MMP), Medicare Advantage, and marketplace plans. Credential through Molina MI provider portal. CAQH ProView accepted. MI license required. |
| Minnesota | Molina Healthcare | — | Open | — | Minnesota has limited Molina presence. Enroll through Molina's corporate portal. CAQH ProView required. MN disclosures may apply. |
| Missouri | Molina Healthcare | — | Open | — | Missouri has limited Molina presence. Enroll through Molina's corporate portal. CAQH ProView required. MO license needed. |
| Mississippi | Molina Healthcare of Mississippi | — | Open | — | Molina Healthcare of Mississippi serves MississippiCAN (Medicaid managed care) and marketplace plans. Credential through Molina MS provider portal. CAQH ProView accepted. MS license and malpractice insurance required. |
| Montana | Molina Healthcare | — | Open | — | Montana is not a core Molina state. Enroll through Molina's corporate portal. CAQH ProView required. MT license needed. |
| North Carolina | Molina Healthcare | — | Open | — | North Carolina has limited Molina presence. Enroll through Molina's corporate portal. CAQH ProView required. NC license needed. |
| North Dakota | Molina Healthcare | — | Open | — | North Dakota is not a core Molina state. Enroll through Molina's corporate portal. CAQH ProView required. ND license needed. |
| Nebraska | Molina Healthcare of Nebraska | 562 | Open | — | Molina Healthcare of Nebraska serves Heritage Health (Medicaid managed care) and marketplace plans. Credential through Molina NE provider portal. CAQH ProView accepted. NE license and malpractice verification required. |
| New Hampshire | Molina Healthcare | — | Open | — | New Hampshire is not a core Molina state. Enroll through Molina's corporate portal. CAQH ProView required. NH license needed. |
| New Jersey | Molina Healthcare | — | Open | — | New Jersey has limited Molina presence. Enroll through Molina's corporate portal. NJ-specific disclosures may apply. CAQH ProView required. |
| New Mexico | Molina Healthcare | 1,193 | Open |
Provider portal
855-322-4078
|
Molina Healthcare operates state-specific Medicaid, Medicare, and Marketplace plans, so credentialing entry points and contacts are per-state. Providers must already be enrolled with the state Medicaid agency and hold an active Medicaid ID before contracting. To begin, submit a Contract Request Form and current W-9 to the state plan's contracting team; if accepted, Molina issues credentialing documents. Molina credentials through CAQH ProView — a separate paper application is only needed if you lack an attested CAQH profile. Required items: current license, DEA certificate (as applicable), individual NPI, CAQH number, malpractice insurance, and taxonomy. Credentialing may take up to 90 calendar days; your in-network effective date is the date credentialing completes. Recredentialing occurs at least every 36 months. |
| Nevada | Molina Healthcare of Nevada | 69 | Open | — | Molina Healthcare of Nevada serves Nevada Medicaid managed care and marketplace plans. Credential through Molina NV provider portal. CAQH ProView accepted. NV license required. |
| New York | Molina Healthcare of New York | 996 | Open | — | Molina Healthcare of New York serves Medicaid managed care, Medicare-Medicaid Plan, and marketplace plans. NY Article 44 HMO requirements apply. Credential through Molina NY provider portal. CAQH ProView accepted. NY-specific attestation forms required. |
| Ohio | Molina Healthcare of Ohio | 14,111 | Open | — | Molina Healthcare of Ohio serves Ohio Medicaid managed care and marketplace plans. Credential through Molina OH provider portal. CAQH ProView accepted. OH license and malpractice verification required. |
| Oklahoma | Molina Healthcare | — | Open | — | Oklahoma has limited Molina presence. Enroll through Molina's corporate portal. CAQH ProView required. OK license needed. |
| Oregon | Molina Healthcare | — | Open | — | Oregon has limited Molina presence. Enroll through Molina's corporate portal. CAQH ProView required. OR license needed. |
| Pennsylvania | Molina Healthcare | — | Open | — | Pennsylvania has limited Molina presence. Enroll through Molina's corporate portal. PA-specific credentialing may apply. CAQH ProView required. |
| Rhode Island | Molina Healthcare | — | Open | — | Rhode Island is not a core Molina state. Enroll through Molina's corporate portal. CAQH ProView required. RI license needed. |
| South Carolina | Molina Healthcare of South Carolina | 3,148 | Open | — | Molina Healthcare of South Carolina serves Healthy Connections (SC Medicaid managed care) and marketplace plans. Credential through Molina SC provider portal. CAQH ProView accepted. SC license and malpractice verification required. |
| South Dakota | Molina Healthcare | — | Open | — | South Dakota is not a core Molina state. Enroll through Molina's corporate portal. CAQH ProView required. SD license needed. |
| Tennessee | Molina Healthcare | — | Open | — | Tennessee has limited Molina presence. Enroll through Molina's corporate portal. CAQH ProView required. TN license needed. |
| Texas | Molina Healthcare | 12,202 | Open |
Provider portal
855-322-4080
|
Molina Healthcare operates state-specific Medicaid, Medicare, and Marketplace plans, so credentialing entry points and contacts are per-state. Providers must already be enrolled with the state Medicaid agency and hold an active Medicaid ID before contracting. To begin, submit a Contract Request Form and current W-9 to the state plan's contracting team; if accepted, Molina issues credentialing documents. Molina credentials through CAQH ProView — a separate paper application is only needed if you lack an attested CAQH profile. Required items: current license, DEA certificate (as applicable), individual NPI, CAQH number, malpractice insurance, and taxonomy. Credentialing may take up to 90 calendar days; your in-network effective date is the date credentialing completes. Recredentialing occurs at least every 36 months. |
| Utah | Molina Healthcare of Utah | 3,650 | Open | — | Molina Healthcare of Utah serves Utah Medicaid managed care and marketplace plans. Credential through Molina UT provider portal. CAQH ProView accepted. UT state license and malpractice insurance required. |
| Virginia | Molina Healthcare of Virginia | — | Open | — | Molina Healthcare of Virginia serves Virginia Medicaid managed care (Medallion 4.0) and marketplace plans. Credential through Molina VA provider portal. CAQH ProView accepted. VA license verification required. |
| Vermont | Molina Healthcare | — | Open | — | Vermont is not a core Molina state. Enroll through Molina's corporate portal. CAQH ProView required. VT license needed. |
| Washington | Molina Healthcare | 13,054 | Open |
Provider portal
855-322-4082
|
Molina Healthcare operates state-specific Medicaid, Medicare, and Marketplace plans, so credentialing entry points and contacts are per-state. Providers must already be enrolled with the state Medicaid agency and hold an active Medicaid ID before contracting. To begin, submit a Contract Request Form and current W-9 to the state plan's contracting team; if accepted, Molina issues credentialing documents. Molina credentials through CAQH ProView — a separate paper application is only needed if you lack an attested CAQH profile. Required items: current license, DEA certificate (as applicable), individual NPI, CAQH number, malpractice insurance, and taxonomy. Credentialing may take up to 90 calendar days; your in-network effective date is the date credentialing completes. Recredentialing occurs at least every 36 months. In Washington, NPIs must be registered with the state Health Care Authority before contacting Molina; credentialing requests route through the ProviderSource (Medversant) portal, and Molina responds within 120 days. |
| Wisconsin | Molina Healthcare of Wisconsin | 2,587 | Open | — | Molina Healthcare of Wisconsin serves BadgerCare Plus (Medicaid managed care) and marketplace plans. Credential through Molina WI provider portal. CAQH ProView accepted. WI license required. |
| West Virginia | Molina Healthcare | — | Open | — | West Virginia has limited Molina presence. Enroll through Molina's corporate portal. CAQH ProView required. WV license needed. |
| Wyoming | Molina Healthcare | — | Open | — | Wyoming is not a core Molina state. Enroll through Molina's corporate portal. CAQH ProView required. WY license needed. |
MA member counts: CMS Medicare Advantage Plan Landscape (CY2026), verified July 2026. Compiled and maintained by the PayerReady credentialing team from payer portals and direct payer contact. Last verified June 10, 2026. Network status changes without notice — confirm before you file.
Common questions about Molina Healthcare credentialing
How long does Molina Healthcare credentialing take?
Molina Healthcare 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 Molina Healthcare require CAQH?
Yes. Molina Healthcare pulls provider data from CAQH ProView, so your profile must be complete, attested and shared with Molina Healthcare 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 Molina Healthcare operate in?
Molina Healthcare has credentialing operations in 51 states. 51 of those 51 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.