Medicaid
Credentialing and enrollment guides for Medicaid across 51 states.
Quick Overview
Timeline
60 - 90 days
CAQH
Required
Re-credentialing
Every 3 year(s)
States Available
51
About Medicaid
Medicaid is a joint federal and state program that provides health coverage to eligible low-income adults, children, pregnant women, elderly adults, and people with disabilities. Each state administers its own Medicaid program with different eligibility rules and managed care organizations.
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
Medicaid requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org.
Submit Your Application
Submit your completed enrollment package to Medicaid. 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 Medicaid?
Our specialists handle the entire Medicaid enrollment process: applications, follow-ups, and approvals across all 50 states.
Contact Information
Medicaid Provider Enrollment
1-877-267-2323
Mon-Fri 9am-5pm ET
CMS Provider Services
1-877-267-2323
State Medicaid Agency Directory
1-877-267-2323
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 Medicaid-specific credentialing details including timelines, contacts, and local requirements.
Medicaid credentialing requirements by state
Medicaid enrollment is not identical everywhere. The table below lists what actually differs across the 51 states Medicaid operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Local plan | Network | Timeline | Portal / phone | State-specific notes |
|---|---|---|---|---|---|
| Alaska | — | Open | — | — | — |
| Alabama | — | Open | — | — | — |
| Arkansas | Arkansas Medicaid | Open | — |
Provider portal
1-800-457-4454
|
Arkansas Medicaid is administered by the DHS Division of Medical Services (fiscal agent Gainwell) through the Arkansas Medicaid Healthcare Provider Portal. The federal application fee is collected before contract execution, but individual providers and groups of individual providers are not required to pay (institutional providers pay the CMS-set fee unless already paid elsewhere). Revalidation occurs every 5 years — submit at least 60 days before the due date. Arkansas's managed-care model for intensive behavioral-health and developmental-disability needs is the PASSE; providers serving those members contract with a PASSE separately from state enrollment. |
| Arizona | — | Open | — | — | — |
| California | — | Open | — | — | — |
| Colorado | Health First Colorado (Colorado Medicaid) | Open | 8–8 days |
Provider portal
1-844-235-2387
|
Colorado Medicaid (Health First Colorado) is administered by the Department of Health Care Policy & Financing and enrolls providers through its Provider Web Portal (fiscal agent Gainwell). New applications, revalidations, and updates are processed within about 8 business days on average. The CY2026 federal application fee for institutional providers is $750 (individual practitioners are exempt). Revalidation occurs at least every 5 years on a rolling schedule, with a 6-month email notice. Colorado uses the Accountable Care Collaborative (ACC, Phase III from July 2025) with Regional Accountable Entities — behavioral health providers must both enroll with Health First Colorado and be contracted/credentialed by the RAEs. |
| Connecticut | — | Open | — | — | — |
| District Of Columbia | DC Medicaid (DHCF) | Open | — |
Provider portal
1-844-218-9700
|
District of Columbia Medicaid is administered by the Department of Health Care Finance (DHCF). Provider screening and enrollment happen in the Provider Data Management System (PDMS, dcpdms.com), operated by Maximus; the separate dc-medicaid.com portal handles claims and transactions. All providers must be enrolled with DC Medicaid to participate in any MCO network (Cures Act, effective January 1, 2018), including ordering/referring/prescribing-only providers. Maximus conducts screening and site visits. Once started, a provider has 90 days to submit the PDMS application. |
| Delaware | — | Open | — | — | — |
| Florida | — | Open | — | — | — |
| Georgia | — | Open | — | — | — |
| Hawaii | — | Open | — | — | — |
| Iowa | — | Open | — | — | — |
| Idaho | — | Open | — | — | — |
| Illinois | — | Open | — | — | — |
| Indiana | Indiana Medicaid (IHCP) | Open | — |
Provider portal
1-800-457-4584
|
Indiana Medicaid (the Indiana Health Coverage Programs, IHCP) uses the IHCP Provider Healthcare Portal for enrollment. Allow at least 15 business days for processing; returned applications must be corrected within 21 business days or they expire. High-risk providers and owners with 5%+ interest complete fingerprint-based background checks. Revalidation occurs at least every 5 years (every 3 for DME), with notices 60 and 30 days before the due date. For managed care, providers must enroll with IHCP AND apply directly to one or more managed care entities (MCEs) to join Healthy Indiana Plan, Hoosier Healthwise, Hoosier Care Connect, or PathWays networks. |
| Kansas | — | Open | — | — | — |
| Kentucky | Kentucky Medicaid (KY MPPA) | Open | — |
Provider portal
1-877-838-5085
|
Kentucky Medicaid is administered by the Department for Medicaid Services. All enrollment, revalidation, and maintenance must go through the Kentucky Medicaid Partner Portal Application (KY MPPA) — paper forms are no longer accepted. Enrollment may take up to 90 days, longer if documentation is incomplete. The federal application fee is paid through MPPA unless already paid to Medicare or another state. Revalidation occurs at intervals not exceeding 5 years, with notices 60 and 30 days before the deadline. State enrollment does not contract a provider with an MCO — to participate with a Kentucky MCO, apply directly to that MCO after obtaining your Kentucky Medicaid ID. |
| Louisiana | — | Open | — | — | — |
| Massachusetts | — | Open | — | — | — |
| Maryland | Maryland Medicaid (HealthChoice) | Open | — |
Provider portal
1-844-463-7768
|
Maryland Medicaid (Medical Assistance) is run by the Maryland Department of Health; its managed-care program is HealthChoice. Providers enroll through ePREP, the electronic Provider Revalidation and Enrollment Portal — a one-stop tool for enrollment, revalidation, and updates (paper applications are no longer accepted). Note: Maryland Medicaid is transitioning from ePREP to a new portal (MPRIME) in October 2026. Providers must enroll with Maryland Medicaid through ePREP even to serve HealthChoice MCO members (a federal Cures Act requirement). Revalidation occurs at least every 5 years, auto-scheduled in ePREP. |
| Maine | — | Open | — | — | — |
| Michigan | — | Open | — | — | — |
| Minnesota | — | Open | — | — | — |
| Missouri | — | Open | — | — | — |
| Mississippi | — | Open | — | — | — |
| Montana | — | Open | — | — | — |
| North Carolina | North Carolina Medicaid (NCTracks) | Open | 9–11 days |
Provider portal
1-800-688-6696
|
North Carolina Medicaid is administered by the Division of Health Benefits and uses the NCTracks provider portal for enrollment. A $100 NC application fee applies at enrollment and reverification, plus the federal screening fee for designated provider types; processing does not begin until fees are paid. NC publishes its application turnaround quarterly — clean (error-free, complete) applications recently averaged about 9–11 days. Credentialing/reverification occurs every 5 years. For NC Medicaid Managed Care, providers enroll and are credentialed once through NCTracks, then contract with the prepaid health plans (PHPs) — the plans cannot require additional credentialing. |
| North Dakota | — | Open | — | — | — |
| Nebraska | — | Open | — | — | — |
| New Hampshire | — | Open | — | — | — |
| New Jersey | — | Open | — | — | — |
| New Mexico | New Mexico Medicaid (Turquoise Care) | Open | — |
Provider portal
1-800-299-7304
|
New Mexico Medicaid is administered by the Health Care Authority (HCA); its managed-care program, Turquoise Care, launched July 1, 2024 with four plans (Blue Cross and Blue Shield of NM, Molina, Presbyterian, UnitedHealthcare). Provider enrollment has moved to the YES.NM.GOV Provider Enrollment System — the single tool to enroll, revalidate, and update records, with real-time status tracking. Enrolling with NM Medicaid is separate from contracting with the Turquoise Care plans. Revalidation runs on a rolling basis with a 60-day notice. As of June 2026, NM Medicaid and its plans use the CertifyOS platform to centralize provider credentialing. |
| Nevada | — | Open | — | — | — |
| New York | — | Open | — | — | — |
| Ohio | — | Open | — | — | — |
| Oklahoma | Oklahoma SoonerCare (OHCA) | Open | — |
Provider portal
1-800-522-0114
|
Oklahoma Medicaid (SoonerCare) is administered by the Oklahoma Health Care Authority. New provider contracts are created through the OHCA provider portal. Provider agreements renew at least every 5 years (the renewal window opens 75 days before expiration). The federal application fee applies to institutional providers (individual physicians and non-physician practitioners are exempt). Oklahoma's SoonerSelect managed care launched in 2024 (dental Feb 1, health April 1); since July 1, 2025 the contracted entities use a single consolidated credentialing process through a shared CVO, with OHCA enrollment remaining the prerequisite. |
| Oregon | — | Open | — | — | — |
| Pennsylvania | Pennsylvania Medical Assistance (PROMISe) | Open | — |
Provider portal
1-800-537-8862
|
Pennsylvania Medicaid (Medical Assistance) is administered by the Department of Human Services through the PROMISe system. Providers enroll online; the federal ACA application fee is collected before the provider agreement is executed, though individual physicians and non-physician practitioners are exempt (as are those already enrolled in Medicare or another state's program). Revalidation is required every 5 years — submit at least 60 days before your date. State Medicaid enrollment does not guarantee MCO network participation: new providers must contact each HealthChoices MCO directly, and some networks may be closed for adequacy. |
| Rhode Island | — | Open | — | — | — |
| South Carolina | South Carolina Healthy Connections Medicaid | Open | — |
Provider portal
1-888-289-0709
|
South Carolina Medicaid (Healthy Connections) is administered by SCDHHS. Providers enroll through the electronic provider enrollment application; an in-process application must be submitted within 30 days or it is purged. The federal application fee applies to institutional providers only (individual practitioners are exempt). Revalidation occurs at least every 5 years (every 3 for high-risk). Providers serving managed-care members must also be enrolled and credentialed with the member's MCO in addition to SCDHHS enrollment. |
| South Dakota | — | Open | — | — | — |
| Tennessee | — | Open | — | — | — |
| Texas | — | Open | — | — | — |
| Utah | — | Open | — | — | — |
| Virginia | — | Open | — | — | — |
| Vermont | — | Open | — | — | — |
| Washington | Washington Apple Health (ProviderOne) | Open | — |
Provider portal
1-800-562-3022
|
Washington Medicaid (Apple Health) is administered by the Health Care Authority through the ProviderOne system. HCA strives to process applications within 30 days of receipt (longer for out-of-state or incomplete applications). Billing providers must sign the Core Provider Agreement. Revalidation occurs every 5 years in ProviderOne. Most Apple Health clients are in managed care, so contracting and credentialing with the Apple Health MCOs is a separate process from ProviderOne enrollment. |
| Wisconsin | — | Open | — | — | — |
| West Virginia | — | Open | — | — | — |
| Wyoming | — | Open | — | — | — |
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 Medicaid credentialing
How long does Medicaid credentialing take?
Medicaid 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 Medicaid require CAQH?
Yes. Medicaid pulls provider data from CAQH ProView, so your profile must be complete, attested and shared with Medicaid 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 Medicaid operate in?
Medicaid 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.