Community Plan
Credentialing and enrollment guides for Community Plan across 51 states.
Quick Overview
Timeline
60 - 90 days
CAQH
Required
Re-credentialing
Every 3 year(s)
States Available
51
About Community Plan
Community Health Plan (Community Plan) is a Medicaid managed care organization operating in multiple states, providing comprehensive health coverage to eligible low-income populations through state Medicaid programs.
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
Community Plan requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org.
Submit Your Application
Submit your completed enrollment package to Community Plan. 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 Community Plan?
Our specialists handle the entire Community Plan 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
Enrollment Forms
CAQH ProView
Universal credentialing application used by most commercial and BCBS payers.
Contact Information
Provider Enrollment
1-888-936-7246
Mon-Fri 8am-5pm local time
Provider Services
1-888-936-7246
Claims
1-888-936-7246
Quick Links
Available 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 Community Plan-specific credentialing details including timelines, contacts, and local requirements.
Community Plan credentialing requirements by state
Community Plan enrollment is not identical everywhere. The table below lists what actually differs across the 51 states Community Plan operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Network | State-specific notes |
|---|---|---|
| Alaska | Open | — |
| Alabama | Open | — |
| Arkansas | Open | — |
| Arizona | Open | — |
| California | Open | — |
| Colorado | Open | — |
| Connecticut | Open | — |
| District Of Columbia | Open | — |
| Delaware | Open | — |
| Florida | Open | — |
| Georgia | Open | — |
| Hawaii | Open | — |
| Iowa | Open | — |
| Idaho | Open | — |
| Illinois | Open | — |
| Indiana | Open | — |
| Kansas | Open | — |
| Kentucky | Open | — |
| Louisiana | Open | — |
| Massachusetts | Open | — |
| Maryland | Open | — |
| Maine | Open | — |
| Michigan | Open | — |
| Minnesota | Open | — |
| Missouri | Open | — |
| Mississippi | Open | — |
| Montana | Open | — |
| North Carolina | Open | — |
| North Dakota | Open | — |
| Nebraska | Open | — |
| New Hampshire | Open | — |
| New Jersey | Open | — |
| New Mexico | Open | — |
| Nevada | Open | — |
| New York | Open | — |
| Ohio | Open | — |
| Oklahoma | Open | — |
| Oregon | Open | — |
| Pennsylvania | Open | — |
| Rhode Island | Open | — |
| South Carolina | Open | — |
| South Dakota | Open | — |
| Tennessee | Open | — |
| Texas | Open | — |
| Utah | Open | — |
| Virginia | Open | — |
| Vermont | Open | — |
| Washington | Open | — |
| Wisconsin | Open | — |
| West Virginia | Open | — |
| Wyoming | Open | — |
Compiled and maintained by the PayerReady credentialing team from payer portals and direct payer contact. Last verified April 2, 2026. Network status changes without notice — confirm before you file.
Common questions about Community Plan credentialing
How long does Community Plan credentialing take?
Community Plan 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 Community Plan require CAQH?
Yes. Community Plan pulls provider data from CAQH ProView, so your profile must be complete, attested and shared with Community Plan 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 Community Plan operate in?
Community Plan 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.