How to Get Credentialed with Molina Healthcare in Kansas
Quick Overview
Timeline
60 - 90 days
CAQH
Required
Re-credentialing
Every 3 year(s)
Delegated
Yes
Kansas-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 Kansas.
Complete Your CAQH ProView Profile
Molina Healthcare 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 Molina Healthcare. You can start the process at their enrollment portal.
Track & Follow Up
Credentialing typically takes 60-90 days. Monitor your application status and respond promptly to requests for additional information.
Required Documents Checklist
Board Certification
ConditionalRequired if board certified; highly recommended
CV/Resume
5-year work history minimum; gaps > 6 months must be explained
DEA License
ConditionalRequired if prescribing controlled substances
Malpractice Insurance
Medical Degree
Medical License
NPI Certificate
Professional Reference
3 peer references required
W9_FORM
Required for EFT/tax reporting setup
Contact Information
Credentialing Email
Nationalsubmit@molinacredentialing.com
EDI Claims
National(866) 409-2935
EDI.Claims@MolinaHealthcare.com
EFT/ERA (ECHO Health)
National888-834-3511
edi@echohealthinc.com
Provider Contracting (NM)
National(855) 322-4078
NMProviderContracting@MolinaHealthcare.com
Provider Contracting (NV)
National(833) 685-2103
NVProviderContracting@MolinaHealthCare.Com
Mon-Fri 8am-6pm PST
Credentialing (WI)
NationalWisconsinCredentialing@MolinaHealthcare.com