PAYER READY CREDENTIALING & COMPLIANCE
TRICARE

TRICARE West Region (TriWest Healthcare Alliance)

Credentialing and enrollment guides for TRICARE West Region (TriWest Healthcare Alliance) across 20 states.

30-60 days CAQH Required Re-credential every 3 yrs

Quick Overview

Timeline

30 - 60 days

CAQH

Required

Re-credentialing

Every 3 year(s)

States Available

20

How TRICARE West Region (TriWest Healthcare Alliance) Credentialing Actually Works

Verified July 2026

Apply Through

TriWest Healthcare Alliance

Timeline

Certification runs about 90 days

Recredentialing

Not published by the payer

The West region contractor is TriWest Healthcare Alliance, which took over January 1, 2025, when Arkansas, Illinois, Louisiana, Oklahoma, Texas, and Wisconsin also moved from East to West. TRICARE is two tier: first get TRICARE certified (authorized) by your regional contractor, a federal step required in each state of service, which lets you treat Select, Reserve Select, and TRICARE for Life beneficiaries as a non network provider. Seeing Prime patients and being listed requires the second step, signing a network contract, which adds credentialing.

Behavioral health routing: Behavioral providers follow the same certify then contract path. ABA runs through a separate Autism Care Corporate Service Provider application.

The stall to avoid: Certification is not network participation. Many providers stop at authorized status and wonder why they are not in the directory: the network contract is a separate ask, and network intake can be closed for some specialties while open for behavioral health.

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 TRICARE West Region (TriWest Healthcare Alliance)

TRICARE West Region (Health Net Federal) provides healthcare coverage for active-duty service members, retirees, and their families. Provider credentialing is required for healthcare professionals who wish to see TRICARE beneficiaries.

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

Complete Your CAQH ProView Profile

TRICARE West Region (TriWest Healthcare Alliance) requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org.

3

Submit Your Application

Submit your completed enrollment package to TRICARE West Region (TriWest Healthcare Alliance). Select your state below for state-specific submission details.

4

Track & Follow Up

Credentialing typically takes 30-60 days. Monitor your application and respond promptly to requests for additional information.

Free Consultation

Need help enrolling with TRICARE West Region (TriWest Healthcare Alliance)?

Our specialists handle the entire TRICARE West Region (TriWest Healthcare Alliance) enrollment process: applications, follow-ups, and approvals across all 50 states.

Required Documents

Board Certification

Required if board certified

CV/Resume

DEA License

Required if prescribing controlled substances

Malpractice Insurance

Medical License

NPI Certificate

Enrollment Forms

TriWest Provider Application

Online provider application for the TRICARE West region managed by TriWest Healthcare Alliance.

Online Download

Health Net Federal Provider Agreement

Provider participation agreement for Health Net Federal Services TRICARE West network.

Contact Information

TRICARE West Credentialing

1-844-866-9378

TRICARE West Claims

1-844-866-9378

TRICARE West Appeals

1-844-866-9378

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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 TRICARE West Region (TriWest Healthcare Alliance)?

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 TRICARE West Region (TriWest Healthcare Alliance)-specific credentialing details including timelines, contacts, and local requirements.

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

TRICARE West Region (TriWest Healthcare Alliance) credentialing requirements by state

TRICARE West Region (TriWest Healthcare Alliance) enrollment is not identical everywhere. The table below lists what actually differs across the 20 states TRICARE West Region (TriWest Healthcare Alliance) operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.

TRICARE West Region (TriWest Healthcare Alliance) credentialing requirements by state
State Local plan Network Portal / phone State-specific notes
Alaska Open TriWest Healthcare Alliance manages TRICARE West for Alaska. Alaska State Medical Board handles physician licensing. Accepted BH license types: LPC, LCSW. Alaska requires state-level background checks for initial licensure in addition to federal TRICARE requirements. Key installations served: Joint Base Elmendorf-Richardson (JBER), Eielson AFB, Fort Wainwright, Clear SFS.
Arkansas Open
Arizona TRICARE West (TriWest Healthcare Alliance) Open Provider portal
1-888-874-9378
TRICARE's West Region is administered by TriWest Healthcare Alliance, which replaced Health Net Federal Services effective January 1, 2025 (older guidance pointing to Health Net or hnfs.com is outdated). Becoming a network provider is a two-part model: you must first be TRICARE-certified/authorized (licensed, accredited, and verified under TRICARE regulation), then sign a contract with TriWest to join the network. Submit the online "Join Our Network" interest form and a TriWest provider relations representative will follow up. TriWest follows URAC credentialing standards plus federal TRICARE requirements, verifying education, board certification, license, background, and malpractice history. Providers who participate in CAQH supply their CAQH ID; those who do not complete TriWest's Individual Provider Credentialing Application. ABA providers and Behavior Technicians are certified within 10 business days of a complete application. Recredentialing occurs every 3 years. TriWest uses Availity as its provider portal.
California TRICARE West (TriWest Healthcare Alliance) Open Provider portal
1-888-874-9378
TRICARE's West Region is administered by TriWest Healthcare Alliance, which replaced Health Net Federal Services effective January 1, 2025 (older guidance pointing to Health Net or hnfs.com is outdated). Becoming a network provider is a two-part model: you must first be TRICARE-certified/authorized (licensed, accredited, and verified under TRICARE regulation), then sign a contract with TriWest to join the network. Submit the online "Join Our Network" interest form and a TriWest provider relations representative will follow up. TriWest follows URAC credentialing standards plus federal TRICARE requirements, verifying education, board certification, license, background, and malpractice history. Providers who participate in CAQH supply their CAQH ID; those who do not complete TriWest's Individual Provider Credentialing Application. ABA providers and Behavior Technicians are certified within 10 business days of a complete application. Recredentialing occurs every 3 years. TriWest uses Availity as its provider portal.
Colorado Open TriWest Healthcare Alliance manages TRICARE West for Colorado. Colorado Medical Board handles physician licensing. Accepted BH license types: LPC, LCSW, LMFT. Colorado requires fingerprint-based background checks for initial licensure beyond federal requirements. Key installations served: Fort Carson, Peterson SFB, Schriever SFB, Buckley SFB, U.S. Air Force Academy, Cheyenne Mountain SFS.
Hawaii Open TriWest Healthcare Alliance manages TRICARE West for Hawaii. Hawaii Medical Board handles physician licensing. Accepted BH license types: LMHC, LCSW. Hawaii requires FBI fingerprint background checks for all healthcare licensure. Key installations served: Joint Base Pearl Harbor-Hickam, Schofield Barracks, Fort Shafter, MCB Hawaii (Kaneohe Bay), Camp H.M. Smith.
Iowa Open TriWest Healthcare Alliance manages TRICARE West for Iowa. Iowa Board of Medicine handles physician licensing. Accepted BH license types: LMHC, LISW, LMFT. Iowa requires DCI and FBI criminal background checks for all licensure applicants. Key installations served: Camp Dodge (Iowa National Guard), Iowa Army Ammunition Plant.
Idaho Open TriWest Healthcare Alliance manages TRICARE West for Idaho. Idaho State Board of Medicine handles physician licensing. Accepted BH license types: LPC, LCSW, LMFT. Idaho requires criminal history checks for initial licensure; standard federal checks apply. Key installations served: Mountain Home AFB, Gowen Field (Boise).
Kansas Open TriWest Healthcare Alliance manages TRICARE West for Kansas. Kansas State Board of Healing Arts handles physician licensing. Accepted BH license types: LPC, LSCSW, LMFT. Kansas requires KBI background checks for initial licensure. Key installations served: Fort Leavenworth, Fort Riley, McConnell AFB, Forbes Field.
Missouri Open TriWest Healthcare Alliance manages TRICARE West for Missouri. Missouri State Board of Registration for the Healing Arts handles physician licensing. Accepted BH license types: LPC, LCSW, LMFT. Missouri requires MSHP and FBI fingerprint background checks for healthcare licensure. Key installations served: Fort Leonard Wood, Whiteman AFB, Lake City Army Ammunition Plant.
Montana Open TriWest Healthcare Alliance manages TRICARE West for Montana. Montana Board of Medical Examiners handles physician licensing. Accepted BH license types: LCPC, LCSW. Montana requires DOJ and FBI criminal background checks for licensure. Key installations served: Malmstrom AFB, Fort William Henry Harrison.
North Dakota Open TriWest Healthcare Alliance manages TRICARE West for North Dakota. North Dakota State Board of Medical Examiners handles physician licensing. Accepted BH license types: LPCC, LCSW, LMFT. North Dakota requires BCI criminal background checks for licensure. Key installations served: Minot AFB, Grand Forks AFB, Camp Grafton.
Nebraska Open TriWest Healthcare Alliance manages TRICARE West for Nebraska. Nebraska Board of Medicine and Surgery handles physician licensing. Accepted BH license types: LMHP, LIMHP, LCSW. Nebraska requires Nebraska State Patrol and FBI background checks for healthcare licensure. Key installations served: Offutt AFB (home of U.S. Strategic Command).
New Mexico TRICARE West (TriWest Healthcare Alliance) Open Provider portal
1-888-874-9378
TRICARE's West Region is administered by TriWest Healthcare Alliance, which replaced Health Net Federal Services effective January 1, 2025 (older guidance pointing to Health Net or hnfs.com is outdated). Becoming a network provider is a two-part model: you must first be TRICARE-certified/authorized (licensed, accredited, and verified under TRICARE regulation), then sign a contract with TriWest to join the network. Submit the online "Join Our Network" interest form and a TriWest provider relations representative will follow up. TriWest follows URAC credentialing standards plus federal TRICARE requirements, verifying education, board certification, license, background, and malpractice history. Providers who participate in CAQH supply their CAQH ID; those who do not complete TriWest's Individual Provider Credentialing Application. ABA providers and Behavior Technicians are certified within 10 business days of a complete application. Recredentialing occurs every 3 years. TriWest uses Availity as its provider portal.
Nevada Open TriWest Healthcare Alliance manages TRICARE West for Nevada. Nevada State Board of Medical Examiners handles physician licensing. Accepted BH license types: LCPC, LCSW, LMFT. Nevada requires state and FBI fingerprint background checks for all healthcare licensure. Key installations served: Nellis AFB, Creech AFB, Nevada Test and Training Range, NAS Fallon.
Oregon Open TriWest Healthcare Alliance manages TRICARE West for Oregon. Oregon Medical Board handles physician licensing. Accepted BH license types: LPC, LCSW, LMFT. Oregon requires state and FBI fingerprint background checks for healthcare licensure. Key installations served: Kingsley Field ANGB (Klamath Falls), Camp Rilea.
South Dakota Open TriWest Healthcare Alliance manages TRICARE West for South Dakota. South Dakota Board of Medical and Osteopathic Examiners handles physician licensing. Accepted BH license types: LPC-MH, LCSW, LMFT. South Dakota requires DCI criminal background checks for licensure. Key installations served: Ellsworth AFB, South Dakota National Guard facilities.
Utah Open TriWest Healthcare Alliance manages TRICARE West for Utah. Utah Division of Occupational and Professional Licensing handles physician and BH licensing. Accepted BH license types: LMFT, LCSW, CMHC. Utah requires BCI criminal background checks for initial licensure. Key installations served: Hill AFB, Dugway Proving Ground, Tooele Army Depot, Camp Williams.
Washington Open TriWest Healthcare Alliance manages TRICARE West for Washington. Washington Medical Commission handles physician licensing. Accepted BH license types: LMHC, LICSW, LMFT. Washington requires WSP and FBI fingerprint background checks for healthcare licensure. Key installations served: Joint Base Lewis-McChord, Naval Base Kitsap, Fairchild AFB, Naval Station Everett.
Wyoming Open TriWest Healthcare Alliance manages TRICARE West for Wyoming. Wyoming Board of Medicine handles physician licensing. Accepted BH license types: LPC, LCSW. Wyoming requires DCI criminal background checks for initial licensure. Key installations served: F.E. Warren AFB (90th Missile Wing), Camp Guernsey.

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 TRICARE West Region (TriWest Healthcare Alliance) credentialing

How long does TRICARE West Region (TriWest Healthcare Alliance) credentialing take?

TRICARE West Region (TriWest Healthcare Alliance) credentialing typically takes 30–60 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 TRICARE West Region (TriWest Healthcare Alliance) require CAQH?

Yes. TRICARE West Region (TriWest Healthcare Alliance) pulls provider data from CAQH ProView, so your profile must be complete, attested and shared with TRICARE West Region (TriWest Healthcare Alliance) 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 TRICARE West Region (TriWest Healthcare Alliance) operate in?

TRICARE West Region (TriWest Healthcare Alliance) has credentialing operations in 20 states. 20 of those 20 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.

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