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Become a provider

Thank you for your interest in becoming a participating provider in the Moda Health network

Get started by reviewing the steps below. If you are joining a clinic that is already contracted with us, you do not need to review the following. Instead, please complete a credentialing application now.

  1. Check our nominations panel

    Please look at the nominations panel below. The panel shows the specialties and counties for which we are currently contracting providers.

    Please review nominations panel below. The panel shows the specialties and counties for which we are currently contracting providers.

    Nominations Panel - Oregon
    County Specialties

    Clackamas
    Multnomah
    Washington

    Primary Care: Open
    Behavioral Health: Submit for review
    Alternative Care: Closed
    DME: Closed
    Specialist: Closed
    Other: Submit for review

    Benton
    Lane
    Marion
    Polk
    Jackson
    Yamhill

    Primary Care: Open
    Behavioral Health: Open
    Alternative Care: Submit for review
    DME: Closed
    Specialist: Closed to Neonatology, Oncology, Sports Medicine, Vascular Surgery only
    Other: Submit for review

    Columbia
    Coos
    Deschutes
    Josephine
    Klamath
    Linn
    Umatilla

    Primary Care: Open
    Behavioral Health: Open
    Alternative Care: Submit for Review
    DME: Closed
    Specialist: Submit for review
    Other: Submit for review

    Baker
    Clatsop
    Crook
    Curry
    Grant
    Gilliam
    Harney
    Hood River
    Jefferson
    Lake
    Lincoln
    Malheur
    Morrow
    Sherman
    Tillamook
    Union
    Wallowa
    Wasco
    Wheeler

    Primary Care: Open
    Behavioral Health: Open
    Alternative Care: Open
    DME: Closed
    Specialist: Submit for review
    Other: Submit for review

    Nominations Panel - Washington
    County Specialties

    Benton
    Clark
    Cowlitz
    Walla Walla

    Primary Care: Open
    Behavioral Health: Open
    Alternative Care: Submit for review
    DME: Closed
    Specialist: Submit for review
    Other: Submit for review

    Nominations Panel - Idaho
    County Specialties

    Ada
    Adams
    Canyon
    Gem
    Idaho
    Owyhee
    Payette
    Washington

    Primary Care: Open
    Behavioral Health: Open
    Alternative Care: Submit for Review
    DME: Closed
    Specialist: Submit for review
    Other: Submit for review

    *The nominations panel was updated in June 2021 and will be reviewed on an annual basis.

    Nominations Panel - Alaska
    Burrough Specialties

    Anchorage
    Fairbanks
    Kenai Peninsula
    Ketchikan Gateway
    Matanuska-Susitna
    Prince of Wales

    Primary Care: Open
    Behavioral Health: Open
    Alternative Care: Open
    DME: Submit for review
    Specialist: Submit for review
    Other: Submit for review

    *The nominations panel was updated in June 2021 and will be reviewed on an annual basis.

  2. Contracting request

    Complete and submit our new provider network participation request form. Please note that it may take up to 60 days for us to review and respond.

  3. Review

    We'll review your application and let you know if the panel is open in your area. If so, you are eligible to be a participating provider. We'll contact you to let you know how to continue with the process.

    If the panel is not open in your area at this time, please do not complete the credentialing application. We do not accept unsolicited credentialing applications for providers who have not been approved for participation via a Contract Request.

    Contract Requests that are denied due to panel closures are valid for one (1) year, after which you may reapply for consideration.

  4. Credentialing application

    If your Contract Request has been approved by the Provider Nominations team, you will be directed to complete a credentialing application and submit it to the Credentialing department by email, fax or regular mail.

    Email: credentialing@modahealth.com
    Fax: 503-265-5707
    Mailing address:
    Moda Health
    Attn: Credentialing Dept.
    601 SW 2nd Ave. #900
    Portland, OR 97204

    If the panel is currently closed in your area, the participation denial is valid for one (1) year and you cannot appeal the decision. Please see the explanation in our Practitioner Rights.

Questions?

For contracting questions, please email us at providernominations@modahealth.com

For credentialing questions, please call us at 855-801-2993 or email credentialing@modahealth.com.

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