Medicaid (State Programs)

Summary

Medicaid (State Programs) is a government program, administered by State-administered, CMS-regulated, across all 50 states + DC (each state has its own program). It spans multiple plans and regional payers, so individual plans carry their own payer IDs. Provider enrollment typically takes 30-180 days, with applications through Medicaid.gov (state links), and CAQH usage varies by plan.

At a glance

Uses CAQH

VariesApplication route: Payer's own application

Service area

All 50 states + DC (each state has its own program)

This is a payer parent page: the program spans multiple plans, so there is no single clearinghouse payer ID. Each associated payer below carries its own IDs and setup details.

Associated payers145

Plans and payers that operate under Medicaid. Each page has its own payer IDs, links, and setup details.

• Aetna Better Health of West Virginia128WV
• Aetna Better Health Texas38692
• Aetna Medicaid Illinois26337
• Aetna OhioRISE Medicaid Managed Care Entity45221
• AmeriHealth Caritas Ohio35374
• AmeriHealth Caritas Ohio (Transportation Only) 42435
• AmeriHealth Caritas VIP Care Plus77013
• Anthem Blue Cross and Blue Shield Nevada00265
• Anthem Blue Cross and Blue Shield New Hampshire00770
• Anthem Blue Cross and Blue Shield Virginia423
• Anthem Blue Cross and Blue Shield Wisconsin450
• Anthem Blue Cross Blue Shield (Ohio Medicaid)0002937
• Anthem Blue Cross Blue Shield Missouri241
• Anthem Blue Cross Blue Shield of Connecticut00060
• Anthem Blue Cross Blue Shield of Georgia00601
• Anthem Blue Cross Blue Shield of Indiana130
• Anthem Blue Cross Blue Shield of Maine180
• Anthem Blue Cross Blue Shield of New York803
• Anthem Blue Cross Blue Shield Ohio00834
• Anthem BlueCross BlueShield Kentucky00660
• Anthem Medicaid Reclamation ERAANTHEMMEDREC
• Anthem Ohio Medicaid Vision2937V
• Blue Cross and Blue Shield of Texas84980
• Blue Cross Blue Shield of Minnesota Blue Plus Medicaid00726
• Blue Cross Blue Shield Texas Medicaid STAR CHIPHCSV2
• Buckeye Health Plan0004202
• CareOregon93975
• CareSource Nevada MedicaidNVMD1
• CareSource of Michigan MedicaidMIMCDCS1
• CareSource Ohio Medicaid0003150
• CareSource Ohio Medicaid Vision3150V
• Christus Health Plan Nueces County Hospital District45210
• Community Health Choice48145
• Dell Children's Health Plan38261
• DentaQuest - IndividualCX014
• Diamond Plan (MD Medicaid)00177
• El Paso First Health Plans Premier Plan STAR Medicaid HMO EPF02
• EnableComp OOS MedicaidA3223
• First Choice by Select Health South Carolina - Medicaid23285
• First Choice VIP Care Plus - Medicare and Medicaid77009
• FirstCare94998
• FirstCare Health Plans10870
• HAP CareSource MI Health LinkMIMCRCS1
• Health First ColoradoCOTXIX
• Health Partners Plans80142
• Healthy Blue South Carolina00403
• Highmark Blue Cross Blue Shield (NY) - Medicaid and CHP246
• Highmark Delaware Health Options47181
• Highmark Wholecare10629T
• Humana61101
• Humana - CareSourceKYCS1
• Humana Healthy Horizons in Ohio61103
• Indiana MedicaidIHCP
• Louisiana Medicaid Medicare Advantage CrossoversSKLA5
• Maine MedicaidSKME0
• McLaren Medicaid/Healthy Michigan Plan3833C
• Medi-Cal Dental94146
• Medicaid AlabamaSKAL0
• Medicaid AlaskaSKAK0
• Medicaid ArizonaAZ
• Medicaid ArkansasARMCD
• Medicaid California Medi-Cal100065
• Medicaid ConnecticutCTMCD
• Medicaid DelawareSKDE0
• Medicaid District of ColumbiaDCMEDICAID
• Medicaid Florida77027
• Medicaid GeorgiaGAMEDICAID
• Medicaid HawaiiSKHI0
• Medicaid IdahoID
• Medicaid IllinoisIL621
• Medicaid Iowa100171
• Medicaid Kansas00005
• Medicaid KentuckyKYMEDICAID
• Medicaid Louisiana100193
• Medicaid Louisiana Durable Medical EquipmentSKLA1
• Medicaid Maryland100198
• Medicaid MassachusettsDMA7384
• Medicaid MichiganD00111
• Medicaid Michigan - BCCPSKMI1
• Medicaid Michigan EncountersMCDMI
• Medicaid MinnesotaDPWMN
• Medicaid Mississippi100209
• Medicaid Missouri100211
• Medicaid MontanaMT
• Medicaid NevadaNV
• Medicaid Nevada EVVNVFFS
• Medicaid New Hampshire100228
• Medicaid New Mexico77048
• Medicaid New YorkMCDNY
• Medicaid North DakotaNDDHS
• Medicaid OhioMMISODJFS
• Medicaid OklahomaSKOK0
• Medicaid OregonAIDOR
• Medicaid Pennsylvania236003113
• Medicaid Rhode IslandSKRI0
• Medicaid South CarolinaSCMED
• Medicaid South DakotaSD
• Medicaid TennesseeTN
• Medicaid Tennessee BlueCare TennCare SelectMC390
• Medicaid Texas - Acute86916
• Medicaid Texas - CHIP10186
• Medicaid Texas (Long Term Care)SKTX2
• Medicaid United States Virgin IslandsSKVI0
• Medicaid Utah10648
• Medicaid Vermont100302
• Medicaid Virginia10198
• Medicaid WashingtonAIDWA
• Medicaid Wisconsin100306
• Medicaid Wyoming77046
• Meridian (Illinois)13189
• Meridian (Michigan)MHPMI
• Mississippi CHIP10140
• Mississippi Medicaid Medicare Advantage CrossoversSKMS1
• Mississippi Medicaid Medicare Advantage Crossovers12K18
• Molina Ohio Medicaid Managed Care Entity0007316
• MVP Health Care14165
• National Centers for Medicare & Medicaid ServicesCMS
• Nebraska MedicaidSKNE0
• Neighborhood Health Plan of Rhode Island (INTEGRITY)96240
• Neighborhood Health Plan of Rhode Island (Medicaid/Commercial)05047
• NJ FamilyCare100229
• North Carolina MedicaidNCMCD
• Ohio Medicaid Buckeye Vision4202V
• Optum Managed Medicaid ServiceOMMSX
• PacificSource Community Solutions20416
• Passport Health Plan by Molina Healthcare61325
• Presbyterian Health Plan MedicaidNMPHP
• Providence Health Assurance (Oregon Medicaid)77355
• Providence Health Assurance Medicaid77350
• Renaissance MedicaidTNC02
• Schaller Anderson Aetna Medicaid Texas and CHIPTMDSA
• South Dakota Medicaid - STARSSTARS
• Texas Children's Health Plan75228
• Texas Childrens Health Plan (Medicaid Managed Care)76048MC
• Triple-S Salud (Commercial and Medicaid)BCPRC
• TrueCare Mississippi MedicaidMSMCDCS1
• United HealthCare Ohio Medicaid Managed Care Entity (MCE)88337
• UnitedHealthcare Community Plan of Pennsylvania86049
• UnitedHealthcare Ohio Medicaid Vision8357V
• Upper Peninsula Health Plan38337
• ValueOptions Colorado Medicaid00815
• ValueOptions Pennsylvania Medicaid00817
• Wellcare14163
• Wellpoint West Virginia80314
• West Virginia Medicaid 100305

Common questions

How long does Medicaid (State Programs) provider enrollment take?

Medicaid (State Programs) provider enrollment typically takes 30-180 days from application to effective date. Timelines vary by state, plan, and how complete the application is.

Does Medicaid (State Programs) require CAQH?

It varies by plan. Some Medicaid (State Programs) plans use CAQH and others run their own applications, so check the specific plan's requirements.

What states does Medicaid (State Programs) cover?

Medicaid (State Programs) operates in All 50 states + DC (each state has its own program). Coverage can differ by plan and product line, so confirm the specific plan before you file.