Moda Health. Healthcare from your head to your toes. Delta Dental | Moda Health

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 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:

  1. Providers Joining an Already Contracted Clinic

    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

  2. Existing Providers:

    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.

  3. New Providers:

    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.

Check the panel now

Nominations Panel - Oregon
Category Specialties County Status

Primary Care

Family Practice
Geriatrics
Internal Medicine
Pediatrics

Closed 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

Closed Counties:
All Counties

Alternative Care

Acupuncture
Chiropractic
Massage Therapy
Naturopath

Closed Counties:
All Counties

Therapies

Physical Therapy
Speech Therapy
Occupational Therapy

Closed Counties:
All Counties

All Other Specialties

All

Closed Counties:
All Counties

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

Closed Counties:
All Counties

Nominations Panel - Washington
Category Specialties County Status

Primary Care

Family Practice
Geriatrics
Internal Medicine
Pediatrics

Closed 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

Closed Counties:
All Counties

Alternative Care

Acupuncture
Chiropractic
Massage Therapy
Naturopath

Closed Counties:
All Counties

Therapies

Physical Therapy
Speech Therapy
Occupational Therapy

Closed Counties:
All Counties

All Other Specialties

All

Closed Counties:
All Counties

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

Closed Counties:
All Counties

Nominations Panel - Idaho
Category Specialties County Status

Primary Care

Family Practice
Geriatrics
Internal Medicine
Pediatrics

Closed Counties:
All Counties

Behavioral Health

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

Closed Counties:
All Counties

Alternative Care

Acupuncture
Chiropractic
Massage Therapy
Naturopath

Closed Counties:
All Counties

Therapies

Physical Therapy
Speech Therapy
Occupational Therapy

Closed Counties:
All Counties

All Other Specialties

All

Closed Counties:
All Counties

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

Closed Counties:
All Counties

*The nominations panel was updated in February 2022 and is reviewed on a bi-annual basis

Check the panel now

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.

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

    Closed 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

    Closed Counties:
    All Counties

    Alternative Care

    Acupuncture
    Chiropractic
    Massage Therapy
    Naturopath

    Closed Counties:
    All Counties

    Therapies

    Physical Therapy
    Speech Therapy
    Occupational Therapy

    Closed Counties:
    All Counties

    All Other Specialties

    All

    Closed Counties:
    All Counties

    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

    Closed Counties:
    All Counties

    Nominations Panel - Washington
    Category Specialties County Status

    Primary Care

    Family Practice
    Geriatrics
    Internal Medicine
    Pediatrics

    Closed 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

    Closed Counties:
    All Counties

    Alternative Care

    Acupuncture
    Chiropractic
    Massage Therapy
    Naturopath

    Closed Counties:
    All Counties

    Therapies

    Physical Therapy
    Speech Therapy
    Occupational Therapy

    Closed Counties:
    All Counties

    All Other Specialties

    All

    Closed Counties:
    All Counties

    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

    Closed Counties:
    All Counties

    Nominations Panel - Idaho
    Category Specialties County Status

    Primary Care

    Family Practice
    Geriatrics
    Internal Medicine
    Pediatrics

    Closed Counties:
    All Counties

    Behavioral Health

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

    Closed Counties:
    All Counties

    Alternative Care

    Acupuncture
    Chiropractic
    Massage Therapy
    Naturopath

    Closed Counties:
    All Counties

    Therapies

    Physical Therapy
    Speech Therapy
    Occupational Therapy

    Closed Counties:
    All Counties

    All Other Specialties

    All

    Closed Counties:
    All Counties

    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

    Closed Counties:
    All 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
    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.

Moda Health Provider Network

Find a physician, pharmacy or clinic

Opt in for medical

Tell us you're interested and we'll be in touch with details.

Get Started  Get Started

Member Dashboard

Questions?

If you can't find an answer, please feel free to contact our Customer Service Customer Service Customer Service

Questions?

If you can't find an answer, please feel free to contact our Customer Service

Employer web tools

Benefit Tracker

Check benefits and eligibility

Log in

Account help

Request an account

Provider Reports

For value-based provider programs, including Synergy, Summit, Beacon, Affinity, CPC+, and EOCCO

Log in

Join our email list


Benefit Tracker

Check benefits, eligibility, incentive and utilization

Log In

Account help

Create an account

Producer web tools


Hello.

We have exciting news to share. ODS is changing its name to Moda Health.

Moda comes from the latin term "modus" and means "a way". We picked it because that's what we are here to do: help our communities find a way to better health.

Together, we can be more, be better.

Please select the state you live in, or the state where your employer is headquartered, so we can tailor your experience:

Hello.

Please select the state you live in, or the state where your employer is headquartered, so we can tailor your experience:

Changing your location to Oregon

You can return to your previous location in the site header.