Oscar Health
Credentialing and enrollment guides for Oscar Health across 11 states.
Quick Overview
Timeline
45 - 90 days
CAQH
Required
Re-credentialing
Every 3 year(s)
States Available
11
How Oscar Health Credentialing Actually Works
Verified July 2026Apply Through
Timeline
Not published by the payer
Recredentialing
Not published by the payer
Ask which Oscar product first, because the network you credential with is often not Oscar. For its core individual and Marketplace business, Oscar runs its own narrow EPO networks with a direct join (request to join on its provider site, CAQH based). Behavioral health is carved out to Optum, so BH clinicians go through Provider Express. The old Cigna plus Oscar small group product is sunset: no new business since January 2025.
Behavioral health routing: Behavioral health under Oscar EPO plans is managed by Optum: existing Optum and UBH participating providers already serve Oscar members, and new BH clinicians join via Provider Express.
The stall to avoid: Treat Oscar as two lanes in 2026: its own Marketplace EPO (direct join) and behavioral through Optum. Do not assume Cigna participation carries Oscar anymore, that lane ran off.
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 Oscar Health
Oscar Health is a health insurance plan operated by Oscar Health Inc., offering healthcare coverage and provider network services. They credential physicians, specialists, and allied health professionals for their managed care networks.
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
Oscar Health requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org.
Submit Your Application
Submit your completed enrollment package to Oscar Health. Select your state below for state-specific submission details.
Track & Follow Up
Credentialing typically takes 45-90 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with Oscar Health?
Our specialists handle the entire Oscar Health 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 License
NPI Certificate
Contact Information
Provider Credentialing
1-855-672-2788
Mon-Fri 8am-5pm
Provider Services
1-855-672-2788
Claims & Billing
1-855-672-2788
Quick Links
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.
Select Your State
Choose your state for Oscar Health-specific credentialing details including timelines, contacts, and local requirements.
Oscar Health credentialing requirements by state
Oscar Health enrollment is not identical everywhere. The table below lists what actually differs across the 11 states Oscar Health operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Network | State-specific notes |
|---|---|---|
| Arizona | Open | Oscar Health Arizona. ACA individual and family marketplace plans. Service areas include Maricopa County (Phoenix metro). Apply via Oscar provider portal or CAQH ProView. Technology-driven health plan with concierge care team model and integrated telemedicine. Active Arizona medical license, NPI, and malpractice insurance required. Processing: 45-90 days. |
| California | Open | Oscar Health California. ACA individual/family and small group plans. Service areas include Los Angeles, San Francisco Bay Area, Orange County, and San Diego metro areas. Apply via Oscar provider portal. Uses CAQH ProView for initial credentialing data. Technology-focused health plan with telemedicine integration and step therapy for pharmacy. Active California medical license, NPI, and current malpractice insurance required. Processing: 45-60 days. |
| Florida | Open | Oscar Health Florida. ACA marketplace and Medicare Advantage plans. Service areas include Miami-Dade, Broward, Palm Beach, Hillsborough (Tampa), and Orange (Orlando) counties. Apply via Oscar provider portal or CAQH ProView. Concierge care team model with integrated virtual care. Active Florida medical license, NPI, and malpractice insurance required. Background screening required for Medicare Advantage participation. Processing: 45-90 days. |
| Georgia | Open | Oscar Health Georgia. ACA marketplace plans. Service areas include metro Atlanta (Fulton, DeKalb, Cobb, Gwinnett counties). Apply via Oscar provider portal. Uses CAQH ProView. Technology-first approach with member app for virtual visits and care navigation. Active Georgia medical license, NPI, and malpractice insurance required. Processing: 45-90 days. |
| Michigan | Open | Oscar Health Michigan. ACA marketplace plans. Service areas include Southeast Michigan (Wayne, Oakland, Macomb counties — Detroit metro). Apply via Oscar provider portal or CAQH ProView. Concierge care team model with telemedicine integration. Active Michigan medical license, NPI, and malpractice insurance required. Processing: 45-90 days. |
| New Jersey | Open | Oscar Health New Jersey. ACA individual/family and small group plans. Service areas include most New Jersey counties. One of Oscar's earliest and largest markets. Apply via Oscar provider portal or CAQH ProView. Technology-driven health plan with virtual care integration and step therapy pharmacy program. Active New Jersey medical license, NPI, and malpractice insurance required. Processing: 45-60 days. |
| New York | Open | Oscar Health New York (founded here, 2012). ACA individual/family plans in the largest Oscar market. Service areas include all five NYC boroughs, Westchester, Nassau, and Suffolk counties. Apply via Oscar provider portal. Uses CAQH ProView for initial data collection. Concierge care team model, integrated telemedicine, and member app for care navigation. Active New York medical license, NPI, and malpractice insurance required. Processing: 45-60 days. |
| Ohio | Open | Oscar Health Ohio. ACA marketplace plans. Service areas include Franklin County (Columbus metro) and Cuyahoga County (Cleveland metro). Apply via Oscar provider portal or CAQH ProView. Technology-focused plan with virtual care integration and concierge team model. Active Ohio medical license, NPI, and malpractice insurance required. Processing: 45-90 days. |
| Pennsylvania | Open | — |
| Tennessee | Open | Oscar Health Tennessee. ACA marketplace plans. Service areas include Davidson County (Nashville metro) and surrounding counties. Apply via Oscar provider portal or CAQH ProView. Concierge care team model with telemedicine and step therapy pharmacy program. Active Tennessee medical license, NPI, and malpractice insurance required. Processing: 45-90 days. |
| Texas | Open | Oscar Health Texas. ACA marketplace and Medicare Advantage plans. Service areas include Dallas-Fort Worth, Houston, San Antonio, and Austin metro areas. Apply via Oscar provider portal or CAQH ProView. Technology-driven plan with virtual care, concierge team model, and step therapy for pharmacy benefits. Active Texas medical license, DEA registration (if prescribing), NPI, and malpractice insurance required. Processing: 45-90 days. |
Compiled and maintained by the PayerReady credentialing team from payer portals and direct payer contact. Last verified July 8, 2026. Network status changes without notice — confirm before you file.
Common questions about Oscar Health credentialing
How long does Oscar Health credentialing take?
Oscar Health credentialing typically takes 45–90 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 Oscar Health require CAQH?
Yes. Oscar Health pulls provider data from CAQH ProView, so your profile must be complete, attested and shared with Oscar Health 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 Oscar Health operate in?
Oscar Health has credentialing operations in 11 states. 11 of those 11 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.