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 insurance. Contracting is the discussion of reimbursement rates and network participation. Being actively credentialed and contracted is the only way a practitioner can see Moda members as an In-Network provider.
To direct your request appropriately, please review the following scenarios and follow the instructions that apply to your request:
If you are joining a clinic that is already contracted with us, you do not need to review the following. Instead, please complete an Oregon credentialing application now. Once credentialing is completed, you will be given instructions on how to be added to the existing contract.
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 a currently credentialed provider who is seeing Moda patients and you are leaving your existing clinic to contract under a new Tax ID, please complete the Existing Provider Contracting Request. Please note, contract requests will be reviewed and responded to within 10 business days. Providers that submit a request that do not fit the criteria as outlined above will not be responded to.
If you are a brand-new provider that is not currently credentialed with Moda Health and not joining an already contracted group, review the nominations panel below.
Our Oregon, Washington, and Idaho panel is currently closed to new providers. Our panel is reviewed bi-annually and will be updated in December 2022. If the panel is not open in your area at this time, please do not complete a credentialing application. We do not accept unsolicited credentialing applications for providers who have not been approved for participation via a Contract Request.
Nominations Panel - Oregon | ||
---|---|---|
Category | Specialties | County Status |
Primary Care |
Family Practice |
Closed Counties: |
Behavioral Health |
ABA Therapy |
Closed Counties: |
Alternative Care |
Acupuncture |
Closed Counties: |
Therapies |
Physical Therapy |
Closed Counties: |
All Other Specialties |
All |
Closed Counties: |
DME |
All |
Closed Counties: |
Lab |
All |
Closed Counties: |
Facilities |
Dialysis Center |
Closed Counties: |
Nominations Panel - Washington | ||
---|---|---|
Category | Specialties | County Status |
Primary Care |
Family Practice |
Closed Counties: |
Behavioral Health |
ABA Therapy |
Closed Counties: |
Alternative Care |
Acupuncture |
Closed Counties: |
Therapies |
Physical Therapy |
Closed Counties: |
All Other Specialties |
All |
Closed Counties: |
DME |
All |
Closed Counties: |
Lab |
All |
Closed Counties: |
Facilities |
Dialysis Center |
Closed Counties: |
Nominations Panel - Idaho | ||
---|---|---|
Category | Specialties | County Status |
Primary Care |
Family Practice |
Closed Counties: |
Behavioral Health |
ABA Therapy |
Closed Counties: |
Alternative Care |
Acupuncture |
Closed Counties: |
Therapies |
Physical Therapy |
Closed Counties: |
All Other Specialties |
All |
Closed Counties: |
DME |
All |
Closed Counties: |
Lab |
All |
Closed Counties: |
Facilities |
Dialysis Center |
Closed Counties: |
*The nominations panel was updated in February 2022 and is reviewed on a bi-annual basis
Nominations Panel - Alaska | ||
---|---|---|
Category | Specialties | Burrough Status |
Primary Care |
Family Practice |
Open Burroughs: |
Behavioral Health |
ABA Therapy |
Open Burroughs: |
Alternative Care |
Acupuncture |
Open Burroughs: |
Therapies |
Physical Therapy |
Open Burroughs: |
All Other Specialties |
All |
Submit for Review: |
DME |
All |
Submit for Review: |
Lab |
All |
Closed Burroughs: |
Facilities |
Dialysis Center |
Submit for Review: |
*The nominations panel was updated in December 2021 and is reviewed on an annual basis.
Interested in joining our provider network? Please complete and submit the new provider network participation request form below.
If you have not already reviewed our nominations panel, please do so before submitting the new provider network participation request form.
Nominations Panel - Alaska | ||
---|---|---|
Category | Specialties | Burrough Status |
Primary Care |
Family Practice |
Open Burroughs: |
Behavioral Health |
ABA Therapy |
Open Burroughs: |
Alternative Care |
Acupuncture |
Open Burroughs: |
Therapies |
Physical Therapy |
Open Burroughs: |
All Other Specialties |
All |
Submit for Review: |
DME |
All |
Submit for Review: |
Lab |
All |
Closed Burroughs: |
Facilities |
Dialysis Center |
Submit for Review: |
*The nominations panel was updated in December 2021 and is reviewed on an annual basis.
Complete the submission form in full, leaving no blank fields. We will review your information and contact you within 10 business days of your submission. Please note, this request form is for providers that are currently contracted and credentialed and leaving an existing clinic. Providers that submit a request that are not currently contracted and credentialed with Moda Health will not be responded to.
We will review your information and contact you within 60 days of your submission.
You can also submit a print version of this new provider network participation request form. to ProviderNominations@modahealth.com or by fax at ATTN: Provider Nominations 503-243-2964.
If you can't find an answer, please feel free to contact our Customer Service Customer Service Customer Service
If you can't find an answer, please feel free to contact our Customer Service
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