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Become a provider

Thank you for your interest in becoming a participating provider in the Moda Health network. Contracting and credentialing are two separate processes that together provide In-Network status. Credentialing is the verification of specialties, education, and liability. Contracting is the discussion of reimbursement and network participation. Being actively credentialed and contracted is the only way a practitioner is able to see Moda members as an In-Network provider.

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.

Credentialing applications must be submitted 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 you are new provider wanting to become In-Network and are currently uncredentialed with Moda, please review the nominations panel below.

  1. Check our nominations panel

    The panel shows the specialties and counties for which we are currently accepting new providers.

    Nominations Panel - Oregon
    Category Specialties County Status

    Primary Care

    Family Practice
    Geriatrics
    Internal Medicine
    Pediatrics

    Open Counties:
    All Counties

    Behavioral Health

    ABA Therapy
    Counselors
    Licensed Clinical Social Worker
    Licensed Marriage/Family Therapist
    Psychiatry
    Psychology
    Mental Health Nurse Practitioner
    Substance Use Disorder

    Open Counties:
    All Counties

    Alternative Care

    Acupuncture
    Chiropractic
    Massage Therapy
    Naturopath

    Open Counties:
    Baker, Coos, Curry, Douglas, Grant, Gilliam, Harney, Lake, Lincoln, Malheur, Morrow, Sherman, Tillamook, Umatilla, Union, Wheeler

    Closed Counties:
    Benton, Clackamas, Clatsop, Columbia, Crook, Deschutes, Hood River, Jefferson, Josephine, Klamath, Lane, Linn, Marion, Multnomah, Polk, Jackson, Wallowa, Wasco, Washington, Yamhill

    Therapies

    Physical Therapy
    Speech Therapy
    Occupational Therapy

    Open Counties:
    Baker, Clatsop, Coos, Curry, Gilliam, Grant, Harney, Jefferson, Lake, Lincoln, Malheur, Morrow, Sherman, Tillamook, Umatilla, Union, Wallowa, Wheeler

    Closed Counties:
    Benton, Clackamas, Columbia, Crook, Deschutes, Douglas, Hood River, Jackson, Josephine, Klamath, Lane, Linn, Marion, Multnomah, Polk, Wasco, Washington, Yamhill

    All Other Specialties

    All

    Submit for Review

    DME

    All

    Closed Counties:
    All Counties

    Lab

    All

    Closed Counties:
    All Counties

    Facilities

    Dialysis Center
    Home Health
    Home Infusion
    Hospice
    Rehabilitation Center
    Skilled Nursing Facility

    Submit for Review

    Nominations Panel - Washington
    Category Specialties County Status

    Primary Care

    Family Practice
    Geriatrics
    Internal Medicine
    Pediatrics

    Open Counties:
    Benton
    Clark
    Cowlitz
    Walla Walla

    Behavioral Health

    ABA Therapy
    Counselors
    Licensed Clinical Social Worker
    Licensed Marriage/Family Therapist
    Psychiatry
    Psychology
    Mental Health Nurse Practitioner
    Substance Use Disorder

    Open Counties:
    Benton
    Clark
    Cowlitz
    Walla Walla

    Alternative Care

    Acupuncture
    Chiropractic
    Massage Therapy
    Naturopath

    Open Counties:
    Benton, Walla Walla

    Closed Counties:
    Clark, Cowlitz

    Therapies

    Physical Therapy
    Speech Therapy
    Occupational Therapy

    Open Counties:
    Benton, Walla Walla

    Closed Counties:
    Clark, Cowlitz

    All Other Specialties

    All

    Submit for Review:
    Benton
    Clark
    Cowlitz
    Walla Walla

    DME

    All

    Closed Counties:
    All Counties

    Lab

    All

    Closed Counties:
    All Counties

    Facilities

    Dialysis Center
    Home Health
    Home Infusion
    Hospice
    Rehabilitation Center
    Skilled Nursing Facility

    Submit for Review:
    Benton, Walla Walla

    Closed Counties:
    Clark, Cowlitz

    Nominations Panel - Idaho
    Category Specialties County Status

    Primary Care

    Family Practice
    Geriatrics
    Internal Medicine
    Pediatrics

    Open Counties:
    Ada
    Adams
    Canyon
    Gem
    Idaho
    Owyhee
    Payette
    Washington

    Behavioral Health

    ABA Therapy
    Counselors
    Licensed Clinical Social Worker
    Licensed Family/Marriage Therapist
    Psychiatry
    Psychology
    Mental Health Nurse Practitioner
    Substance Use Disorder

    Open Counties:
    Ada
    Adams
    Canyon
    Gem
    Idaho
    Owyhee
    Payette
    Washington

    Alternative Care

    Acupuncture
    Chiropractic
    Massage Therapy
    Naturopath

    Open Counties:
    Ada
    Adams
    Canyon
    Gem
    Idaho
    Owyhee
    Payette
    Washington

    Therapies

    Physical Therapy
    Speech Therapy
    Occupational Therapy

    Open Counties:
    Ada
    Adams
    Canyon
    Gem
    Idaho
    Owyhee
    Payette
    Washington

    All Other Specialties

    All

    Submit for Review:
    Ada
    Adams
    Canyon
    Gem
    Idaho
    Owyhee
    Payette
    Washington

    DME

    All

    Closed Counties:
    All Counties

    Lab

    All

    Closed Counties:
    All Counties

    Facilities

    Dialysis Center
    Home Health
    Home Infusion
    Hospice
    Rehabilitation Center
    Skilled Nursing Facility

    Submit for Review:
    Ada
    Adams
    Canyon
    Gem
    Idaho
    Owyhee
    Payette
    Washington

    *The nominations panel was updated in December 2021 and is reviewed on an annual basis

    Nominations Panel - Alaska
    Category Specialties Burrough Status

    Primary Care

    Family Practice
    Geriatrics
    Internal Medicine
    Pediatrics

    Open Burroughs:
    Anchorage
    Fairbanks
    Haines
    Hannah-Angoon
    Juneau
    Kenai Peninsula
    Ketchikan Gateway
    Matanuska-Susitna
    Petersburg
    Prince of Wales
    Sitka
    Skagway
    Wrangell

    Behavioral Health

    ABA Therapy
    Counselors
    Licensed Clinical Social Worker
    Licensed Family/Marriage Therapist
    Psychiatry
    Psychology
    Mental Health Nurse Practitioner
    Substance Use Disorder

    Open Burroughs:
    Anchorage
    Fairbanks
    Haines
    Hannah-Angoon
    Juneau
    Kenai Peninsula
    Ketchikan Gateway
    Matanuska-Susitna
    Petersburg
    Prince of Wales
    Sitka
    Skagway
    Wrangell

    Alternative Care

    Acupuncture
    Chiropractic
    Massage Therapy
    Naturopath

    Open Burroughs:
    Anchorage
    Fairbanks
    Haines
    Hannah-Angoon
    Juneau
    Kenai Peninsula
    Ketchikan Gateway
    Matanuska-Susitna
    Petersburg
    Prince of Wales
    Sitka
    Skagway
    Wrangell

    Therapies

    Physical Therapy
    Speech Therapy
    Occupational Therapy

    Open Burroughs:
    Anchorage
    Fairbanks
    Haines
    Hannah-Angoon
    Juneau
    Kenai Peninsula
    Ketchikan Gateway
    Matanuska-Susitna
    Petersburg
    Prince of Wales
    Sitka
    Skagway
    Wrangell

    All Other Specialties

    All

    Submit for Review:
    Anchorage
    Fairbanks
    Haines
    Hannah-Angoon
    Juneau
    Kenai Peninsula
    Ketchikan Gateway
    Matanuska-Susitna
    Petersburg
    Prince of Wales
    Sitka
    Skagway
    Wrangell

    DME

    All

    Submit for Review:
    Anchorage
    Fairbanks
    Haines
    Hannah-Angoon
    Juneau
    Kenai Peninsula
    Ketchikan Gateway
    Matanuska-Susitna
    Petersburg
    Prince of Wales
    Sitka
    Skagway
    Wrangell

    Lab

    All

    Closed Burroughs:
    All Burroughs

    Facilities

    Dialysis Center
    Home Health
    Home Infusion
    Hospice
    Rehabilitation Center
    Skilled Nursing Facility

    Submit for Review:
    Anchorage
    Fairbanks
    Haines
    Hannah-Angoon
    Juneau
    Kenai Peninsula
    Ketchikan Gateway
    Matanuska-Susitna
    Petersburg
    Prince of Wales
    Sitka
    Skagway
    Wrangell

    *The nominations panel was updated in December 2021 and is 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.

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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