Provider Enrollment Checklists, Videos and More
We provide a variety of helpful resources designed to make the provider enrollment process as seamless and efficient as possible. Our goal is to support you at every step—whether you are enrolling for the first time, adding a new location or practitioner, or updating existing information.
These resources offer clear guidance, detailed instructions, and required documentation to help ensure enrollment requests are submitted accurately and processed in a timely manner. By using the available tools, forms, and checklists, providers can reduce delays, avoid incomplete submissions, and streamline the overall enrollment experience.
We encourage you to review the available enrollment materials carefully and use the resources that best fit your practice’s needs. If you need additional assistance, our team is available to help answer questions and provide support throughout the enrollment process.
Checklists
Individual Checklists
- Behavioral Health
- Ancillary Providers – Includes speech, physical, and occupational therapists and audiologists.
- Dental Providers
- Advanced Practice Providers – Includes nurse practitioners, physician assistants, certified registered nurse anesthetists, certified nurse midwives, clinical nurse specialists and hospitalists.
- Pharmacists
- Physicians and Chiropractors
Group Practice Checklists
- Ambulance
- Dental
- Durable Medical Equipment
- Home Health, Hospice, Dialysis, Hospitals, Skilled Nursing, RHC/FQHC and Ambulatory Surgery Centers
- Pharmacy
- Physician Office
Other Checklists
- Acceptable Provider Enrollment Documents for Uploads
- Changes or Updates
- In State, Out-of-Network
- Out-of-State, Out-of-Network
- Satellite Locations
Educational Videos
Note: As we continue to make enhancements to the portal, some of the features in the applications may appear slightly different from those shown in the videos.