Your participation does not extend to a new clinic if you leave a participating practice. You are not guaranteed a contract at a new location or private practice through any previous affiliation with a participating group. Please submit the new provider Contracting Request form for your new practice location if the panel for your specialty is open in your geographic service area. Once your request has been reviewed, we will contact you at the email address included in your inquiry itself within 60 days.

No, credentialing and contracting are separate processes. Credentialing approval does not mean you are a participating provider with Moda Health. To be participating, you or your clinic must have a fully executed contract with an effective date.

Your new provider will need to be credentialed before they can be added under your clinic roster. Please email our credentialing team at credentialing@modahealth.com to verify credentialing status, and submit the new provider's credentialing application. Once credentialing has been approved, the new provider will be added under your clinic's existing contract.

We review our provider panels annually to determine areas of need. If the panel for your specialty is closed, we are above capacity for that provider type in your geographical service area. Please check back for changes to panel availability.

If the new location will be using the same Tax ID as your existing participating clinic, all you will need to do is email our provider updates at providerupdates@modahealth.com and provider relations at providerrelations@modahealth.com to notify them of the new clinic location. If the Tax ID will be different, please submit a new provider network participation request form.

Contact our provider relations team at providerrelations@modahealth.com to discuss the possibility of being added to that network. Then, we will contact you.

Please email providernominations@modahealth.com , and a contracting representative will review your case.

The average turnaround time for a response to a new contracting request is 30 business days from date of submission. Average time to full execution from the date the contracting request is submitted is 90 – 120 days. This time period will be extended if providers require credentialing, as credentialing must be completed before a contract offer is sent. Once the offered contract has been signed and returned to Moda Health, it can take an additional 30 days to set up the contract in our system before it goes into effect.