As a Grow Therapy provider, once you become credentialed in any of the states listed below, you will automatically be enrolled with the corresponding commercial payors unless you encounter any specified restrictions, like residency or licensing requirements. Explore state and payor details below for more information on how this affects your unique credentialing options with Grow.

Medicare and Medicaid

Grow does not automatically enroll providers in Medicare and Medicaid. To enroll with any Medicare or Medicaid payors, your Medicare or Medicaid enrollment preferences must be set to "Yes." You can update your preferences by completing this form. Once you confirm your interest, you will first be enrolled in state Medicare and/or Medicaid. After that, our credentialing team will enroll you with the relevant payors.

⚠️ Note: Grow does not allow providers to bill directly with Medicare or Medicaid. Instead, Grow works with Managed Care plans, which require separate enrollment processes from the state. If you choose to enroll with and see Medicare or Medicaid clients, Grow automatically enrolls you with the Managed Care plans available in your licensed state(s).

Medicaid availability by state

Grow Therapy currently accepts Medicaid in:

California, Connecticut, Florida*, Indiana, Ohio, Texas, and Virginia.

For individual plans, please refer to the state-specific information below.

*Florida Medicaid enrollment is currently on hold due to a recent policy change on Florida Medicaid's end. We’re actively working to resolve the issue, and updates will be sent out to our Florida providers as more information becomes available.

Medicare availability by state

Grow Therapy currently accepts Medicare in:

Arizona, California, Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, and Virginia.

For individual plans, please refer to the state-specific information below.

National contracts and sub-payors

Grow Therapy has national contracts with Aetna, Cigna, and UnitedHealthcare/Optum. As a Grow Therapy provider, you will be automatically enrolled with these payors and their sub-payors unless there is a conflict of interest or your license.

National payor partners, such as UnitedHealthcare, have sub-plans listed individually on your Grow provider profile. To learn more about these sub-payors, refer to the lists below.

National contract license-specific enrollment limitations

Certain license types will not be enrolled in every national contract and its sub-payors. For state-specific plans, refer to the information in the section for each state below.

Insurance Payor	Enrollment restrictions
Aetna	All license types, except LPCs and LMFTs, must be in-network with Medicare to be eligible for enrollment.
Cigna EAP	Prescribers cannot be enrolled.
UnitedHealthcare/Optum: All EAP, commercial, Medicaid, and Medicare plans	Providers with temporary or telehealth licenses are not eligible for enrollment.

Cigna

EAP: Cigna is available in all states
Evernorth
Tufts Health - all states besides Massachusetts, Maine, and New Hampshire

UnitedHealthcare/Optum

Commercial Plans

All Savers
AvMed
Golden Rule
Harvard Pilgrim - all states besides Massachusetts, Maine, and New Hampshire
Optum
OptumHealth Complex Medical Conditions
Oscar
Oxford
Sharp Health Plan
Surest (formerly Bind)
UnitedHealthcare Shared Services
UnitedHealthcare Life Insurance
UnitedHealthcare Student Resources
United Medical Resources

UnitedHealthcare Medicaid Plans

Available in Florida, Indiana, Ohio, Texas, and Virginia.

UnitedHealthcare Medicare Plans

Available in Arizona, California, Delaware, Florida, Georgia, Illinois, Kansas, Massachusetts, Maryland, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Tennessee, Texas, and Virginia.

Employee Assistance Programs (EAP)

EAP: United Healthcare/Optum is available in all states

Residency requirements

Grow Therapy recommends providers use their state of residence as their primary state to optimize the credentialing process. However, providers can ask Grow Therapy to set their primary state to any of Grow's fully operational states listed here.

When considering a primary state, it's essential to note that many payors have residency requirements, meaning the provider must reside in the state in which they are credentialed. One example of a payor that often implements these requirements is Blue Cross Blue Shield (BCBS).

Fully operational states that require residency for BCBS credentialing:

Arizona
California
Connecticut
Florida
Georgia
Indiana
Kentucky
Massachusetts
North Carolina
Ohio
Tennessee
Texas
Virginia
Washington

Grow Therapy Employee Benefit (GTEB)

Beginning November 12, 2025, Grow employees will have access to sessions through the Grow platform.

This benefit is available in all states.
GTEB rates are competitive and equivalent to those for Cigna coverage. You can view these rates by retrieving your rate sheet from the Help Widget in your provider portal.
Externally, this benefit will be called ‘GTEB,’ which stands for the Grow Therapy Employee Benefit.

Click here for more information on this benefit.

Payors by state

Unless license-specific enrollment restrictions are noted below, all license types will be enrolled in the plans listed for the corresponding state. States are listed alphabetically.

Alabama (AL)

Payor name	Plan names	Primary state requirement	Residency requirement
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Blue Cross Blue Shield of Alabama	Blue Cross Blue Shield Anthem	✅	✅
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
Optum VA Community Care Network	Optum VA CCN Region 1 Optum VA CCN Region 2 Optum VA CCN Region 3	❌️	❌️

Alaska (AK)

Payor name	Plan names	Primary state requirement	Residency requirement
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️

Arizona (AZ)

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Aetna - Medicare	Aetna - Medicare	❌️	❌️
Blue Cross Blue Shield of Arizona	Blue Cross Blue Shield Anthem	✅	✅
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna, EAP: Evernorth	❌️	❌️
Humana Dual - Medicare & Medicaid	Humana Dual (Medicare & Medicaid)	❌️	❌️
Humana - Medicare	Humana - Medicare	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
UnitedHealthcare/Optum Medicare	United Healthcare/Optum - Medicare	❌️	❌️

Arkansas (AR)

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
Optum VA Community Care Network	Optum VA CCN Region 1 Optum VA CCN Region 2 Optum VA CCN Region 3	❌️	❌️

California (CA)

License-specific information for California

All license types will be enrolled in the plans below, except:

NPs or PHMNPs are not enrolled with Blue Shield of California commercial, Medi-Cal, and Medicare plans.
NPs, MDs, or DOs are not enrolled with Kaiser NorCal commercial, Medicaid, and Medicare plans.
LPCs are not being enrolled with Kaiser Norcal Medicare.

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Aetna - Medicare	Aetna - Medicare	❌️	❌️
Blue Cross Blue Shield of California	Blue Shield	✅	✅
Blue Cross Blue Shield of California - Medi-Cal	Blue Shield of California Promise Health Plan (Medi-Cal) Blue Shield of California - Medi-Cal	✅	✅
Blue Cross Blue Shield of California - Medicare	Blue Shield of California - Medicare	✅	✅
California Anthem Blue Cross	Anthem Blue Cross	✅	✅
Carelon	Carelon Behavioral Health (Commercial) L.A. Care PASC-SEIU L.A. Care Covered L.A. Care Covered Direct Sutter Health Plan	❌️	❌️
Carelon - Medi-Cal	L.A. Care Health Plan (Medi-Cal) Partnership HealthPlan of California (Medi-Cal) San Francisco Health Plan (Medi-Cal) Gold Coast Health Plan (Medi-Cal) Orange County Mental Health Plan (Medi-Cal)	❌️	❌️
Carelon - Kaiser	Carelon Kaiser Medi-Cal Carelon Kaiser Medicare	❌️	❌️
Centene California	Health Net (Commercial) Ambetter Health from Health Net	✅	❌️
Centene - Medi-Cal	Health Net (Medi-Cal) CalViva Health (Medi-Cal) Community Health Plan of Imperial Valley (Medi-Cal)	✅	❌️
Central California Alliance for Health - Medi-Cal	Central California Alliance for Health (Medi-Cal)	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
Health Plan of San Joaquin - Medi-Cal	Health Plan of San Joaquin - Medi-Cal	❌️	❌️
Humana Dual - Medicare & Medicaid	Humana Dual (Medicare & Medicaid)	❌️	❌️
Humana - Medicare	Humana - Medicare	❌️	❌️
Kaiser NorCal	Kaiser NorCal	❌️	❌️
Kaiser NorCal - Medicare	Kaiser NorCal - Medicare	❌️	❌️
Kaiser NorCal - Medi-Cal	Kaiser NorCal - Medi-Cal	❌️	❌️
Kern Family Health Care - Medi-Cal	Kern Family Health Care - Medi-Cal	✅	❌️
L.A. Care Health Plan Dual	L.A. Care Medicare Plus (HMO D-SNP)	❌️	❌️
Santa Clara Family Health Plan - Medi-Cal	Santa Clara Family Health Plan - Medi-Cal	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
UnitedHealthcare/Optum Medicare	United Healthcare/Optum - Medicare	❌️	❌️

Colorado (CO)

License-specific restrictions for Colorado

All license types will be enrolled in the plans below, except:

Prescribers are not enrolled in Kaiser Permanente Colorado commercial or Medicare plans.

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Aetna - Medicare	Aetna - Medicare	❌️	❌️
Anthem Blue Cross Blue Shield of Colorado	Anthem Blue Cross Blue Shield	❌️	❌️
Anthem Blue Cross Blue Shield of Colorado - Medicare	Anthem - MedicareBlue Cross Blue Shield - Medicare	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna, EAP: Evernorth	❌️	❌️
Humana Dual - Medicare & Medicaid	Humana Dual (Medicare & Medicaid)	❌️	❌️
Humana - Medicare	Humana - Medicare	❌️	❌️
Kaiser Permanente Colorado	Kaiser Permanente Kaiser Colorado	✅	❌️
Kaiser Permanente Colorado - Medicare	Kaiser Permanente - Medicare Kaiser Colorado - Medicare	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️

Connecticut (CT)

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Aetna - Medicare	Aetna - Medicare	❌️	❌️
Anthem Blue Cross Blue Shield of Connecticut,	Anthem Blue Cross Blue Shield	✅	✅
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
Humana Dual - Medicare & Medicaid	Humana Dual (Medicare & Medicaid)	❌️	❌️
Humana - Medicare	Humana - Medicare	❌️	❌️
Medicaid - Husky Health	Husky Health, Medicaid	✅	✅
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
Optum VA Community Care Network	Optum VA CCN Region 1 Optum VA CCN Region 2 Optum VA CCN Region 3	❌️	❌️

Delaware (DE)

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Aetna - Medicare	Aetna - Medicare	❌️	❌️
Centene Delaware Medicare	WellCare	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
Humana Dual - Medicare & Medicaid	Humana Dual (Medicare & Medicaid)	❌️	❌️
Humana - Medicare	Humana - Medicare	❌️	❌️
Highmark	Blue Cross Blue Shield Highmark	❌️	❌️
Independence Blue Cross (IBX)	Independence Blue Cross AmeriHealth Administrators Independence Administrator IBX Keystone Health Plan East	✅	❌️
Independence Blue Cross - Medicare	Independence Blue Cross - Medicare AmeriHealth Administrators - Medicare Independence Administrators - Medicare	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
UnitedHealthcare/Optum Medicare	United Healthcare/Optum - Medicare	❌️	❌️
Optum VA Community Care Network	Optum VA CCN Region 1 Optum VA CCN Region 2 Optum VA CCN Region 3	❌️	❌️

District of Columbia (DC)

License-specific information for the District of Columbia

DC credentialed providers can be credentialed with CareFirst, regardless of whether DC is their primary or secondary state.

All license types will be enrolled in the plans below, except:

NPs, MDs, or DOs are not enrolled with Kaiser Mid-Atlantic commercial and Medicare plans.

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Aetna - Medicare	Aetna - Medicare	❌️	❌️
CareFirst District of Columbia	Blue Cross Blue Shield CareFirst	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
Humana Dual - Medicare & Medicaid	Humana Dual (Medicare & Medicaid)	❌️	❌️
Humana - Medicare	Humana - Medicare	❌️	❌️
Kaiser Mid-Atlantic States	Kaiser Permanente Kaiser Mid-Atlantic States	❌️	❌️
Kaiser Mid-Atlantic - Medicare	Kaiser Permanente - Medicare Kaiser Mid-Atlantic States - Medicare	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
Optum VA Community Care Network	Optum VA CCN Region 1 Optum VA CCN Region 2 Optum VA CCN Region 3	❌️	❌️

Florida (FL)

License-specific restrictions for Florida

All license types will be enrolled in the plans below, except:

All license types except LPCs and LMFTs must be in-network with Medicare to enroll in Centene Florida commercial plans.

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Aetna - Medicare	Aetna - Medicare	❌️	❌️
Centene Florida	Ambetter Health	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
Florida Blue	Florida Blue Anthem Blue Cross Blue Shield	✅	✅
Florida Blue - Medicare	Blue Cross Blue Shield - Medicare Florida Blue - Medicare	✅	✅
Humana Dual - Medicare & Medicaid	Humana Dual (Medicare & Medicaid)	❌️	❌️
Humana - Medicare	Humana - Medicare	❌️	❌️
Medicare		❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
United Healthcare/Optum - Medicaid	United Healthcare/Optum - Medicaid	❌️	❌️
UnitedHealthcare/Optum Medicare	United Healthcare/Optum - Medicare	❌️	❌️
Optum VA Community Care Network	Optum VA CCN Region 1 Optum VA CCN Region 2 Optum VA CCN Region 3	❌️	❌️

Georgia (GA)

License-specific restrictions for Georgia

All license types will be enrolled in the plans below, except:

NPs, MDs, or DOs are not enrolled with Kaiser Georgia commercial plans.
NPs, MDs, DOs, LPCs, and LMFTs are not enrolled with Kaiser Georgia Medicare plans.
Providers must be in-network with Medicare to accept Centene Georgia commercial plans.
LMFTs and LPCs are not enrolled in Centene Georgia Medicare.

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Aetna - Medicare	Aetna - Medicare	❌️	❌️
Anthem Blue Cross Blue Shield of Georgia	Anthem Blue Cross Blue Shield	✅	✅
Centene Georgia	Ambetter Health	❌️	❌️
Centene Georgia Medicaid	Medicaid - Peach State Health Plan Peach State Health Plan (Managed Medicaid)	❌️	❌️
Centene Georgia Medicare	WellCare	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
Humana Dual - Medicare & Medicaid	Humana Dual (Medicare & Medicaid)	❌️	❌️
Humana - Medicare	Humana - Medicare	❌️	❌️
Kaiser Permanente Georgia	Kaiser Permanente Kaiser Georgia	❌️	❌️
Kaiser Georgia - Medicare	Kaiser Permanente - Medicare Kaiser Georgia - Medicare	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
UnitedHealthcare/Optum Medicare	United Healthcare/Optum - Medicare	❌️	❌️
Optum VA Community Care Network	Optum VA CCN Region 1 Optum VA CCN Region 2 Optum VA CCN Region 3	❌️	❌️

Hawaii (HI)

License-specific restrictions for Hawaii

NPs, MDs, or DOs are not enrolled with Kaiser Hawaii commercial plans and Medicaid & Medicare plans.

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Aetna - Medicare	Aetna - Medicare	❌️	❌️
Anthem Blue Cross Blue Shield of Colorado	Anthem Blue Cross Blue Shield	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
Kaiser Hawaii	Kaiser Permanente Kaiser Hawaii	❌️	❌️
Kaiser Hawaii - Medicaid	Kaiser Permanente - Medicaid Kaiser Hawaii - Medicaid	❌️	❌️
Kaiser Hawaii - Medicare	Kaiser Permanente - Medicare Kaiser Hawaii - Medicare	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️

Idaho (ID)

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Aetna - Medicare	Aetna - Medicare	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️

Illinois (IL)

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Aetna - Medicare	Aetna - Medicare	❌️	❌️
Blue Cross Blue Shield of Illinois	Blue Cross Blue Shield Anthem	✅	✅
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
Humana Dual - Medicare & Medicaid	Humana Dual (Medicare & Medicaid)	❌️	❌️
Humana - Medicare	Humana - Medicare	❌️	❌️
UnitedHealthcare/Optum	AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources UMR - Advocate Aurora Health	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
UnitedHealthcare/Optum Medicare	United Healthcare/Optum - Medicare	❌️	❌️
Optum VA Community Care Network	Optum VA CCN Region 1 Optum VA CCN Region 2 Optum VA CCN Region 3	❌️	❌️

Indiana (IN)

License-specific restrictions for Indiana

All license types will be enrolled in the plans below, except:

LMFTs and LPCs will not be enrolled in Centene Indiana Medicare (WellCare).

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Aetna - Medicare	Aetna - Medicare	❌️	❌️
Anthem Blue Cross Blue Shield of Indiana	Anthem Blue Cross Blue Shield	✅	✅
Centene Indiana	Ambetter Health	❌️	❌️
Centene Indiana Medicaid	Medicaid - Managed Health Services Managed Health Services (Managed Medicaid)	❌️	❌️
Centene Indiana Medicare	WellCare	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
Humana Dual - Medicare & Medicaid	Humana Dual (Medicare & Medicaid)	❌️	❌️
Humana - Medicare	Humana - Medicare	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
United Healthcare/Optum - Medicaid	United Healthcare/Optum - Medicaid	❌️	❌️
UnitedHealthcare/Optum Medicare	United Healthcare/Optum - Medicare	❌️	❌️
Optum VA Community Care Network	Optum VA CCN Region 1 Optum VA CCN Region 2 Optum VA CCN Region 3	❌️	❌️

Iowa (IA)

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
HealthPartners	HealthPartners	❌️	❌️
HealthPartners - Medicaid	HealthPartners - Medicaid	❌️	❌️
HealthPartners - Medicare	HealthPartners - Medicare	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Medica Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
Optum VA Community Care Network	Optum VA CCN Region 1 Optum VA CCN Region 2 Optum VA CCN Region 3	❌️	❌️

Kansas (KS)

License-specific restrictions for Kansas

Kansas can be added as a secondary state only, and providers will be credentialed with United Medicare, Aetna Medicare, and Grow's national payors.

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Aetna - Medicare	Aetna - Medicare	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna, EAP: Evernorth	❌️	❌️
Humana Dual - Medicare & Medicaid	Humana Dual (Medicare & Medicaid)	❌️	❌️
Humana - Medicare	Humana - Medicare	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Medica Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
UnitedHealthcare/Optum Medicare	United Healthcare/Optum - Medicare	❌️	❌️
Optum VA Community Care Network	Optum VA CCN Region 1 Optum VA CCN Region 2 Optum VA CCN Region 3	❌️	❌️

Kentucky (KY)

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Aetna - Medicare	Aetna - Medicare	❌️	❌️
Blue Cross Blue Shield of Kentucky	Blue Cross Blue Shield Anthem	✅	✅
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna, EAP: Evernorth	❌️	❌️
Humana Dual - Medicare & Medicaid	Humana Dual (Medicare & Medicaid)	❌️	❌️
Humana - Medicare	Humana - Medicare	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
Optum VA Community Care Network	Optum VA CCN Region 1 Optum VA CCN Region 2 Optum VA CCN Region 3	❌️	❌️

Louisiana (LA)

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Aetna - Medicare	Aetna - Medicare	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna, EAP: Evernorth	❌️	❌️
Humana Dual - Medicare & Medicaid	Humana Dual (Medicare & Medicaid)	❌️	❌️
Humana - Medicare	Humana - Medicare	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
Optum VA Community Care Network	Optum VA CCN Region 1 Optum VA CCN Region 2 Optum VA CCN Region 3	❌️	❌️

Maine (ME)

License-specific information for Maine

Providers will be credentialed with Point32 and our national payors, regardless of whether Maine is their primary or secondary state.

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Anthem Blue Cross Blue Shield of Maine	Anthem Blue Cross Blue Shield	❌️	❌️
Cigna	Cigna Evernorth Centivo	❌️	❌️
EAP: Cigna	EAP: Cigna, EAP: Evernorth	❌️	❌️
Point32	Harvard Pilgrim Tufts Health	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
Optum VA Community Care Network	Optum VA CCN Region 1 Optum VA CCN Region 2 Optum VA CCN Region 3	❌️	❌️

Maryland (MD)

License-specific restrictions for Maryland

MD credentialed providers can be credentialed with CareFirst, regardless of whether MD is their primary or secondary state.

All license types will be enrolled in the plans below, except:

NPs, MDs, or DOs are not enrolled with Kaiser Mid-Atlantic commercial and Medicare plans.

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Aetna - Medicare	Aetna - Medicare	❌️	❌️
CareFirst	CareFirst Blue Cross Blue Shield Anthem	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
Humana Dual - Medicare & Medicaid	Humana Dual (Medicare & Medicaid)	❌️	❌️
Humana - Medicare	Humana - Medicare	❌️	❌️
Kaiser Mid-Atlantic States	Kaiser Permanente Kaiser Mid-Atlantic States	❌️	❌️
Kaiser Mid-Atlantic States - Medicare	Kaiser Permanente - Medicare Kaiser Mid-Atlantic States - Medicare	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
UnitedHealthcare/Optum Medicare	United Healthcare/Optum - Medicare	❌️	❌️
Optum VA Community Care Network	Optum VA CCN Region 1 Optum VA CCN Region 2 Optum VA CCN Region 3	❌️	❌️

Massachusetts (MA)

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Aetna - Medicare	Aetna - Medicare	❌️	❌️
Blue Cross Blue Shield of Massachusetts	Blue Cross Blue Shield, Anthem Blue Benefit Administrators of Massachusetts	✅️	✅️
Cigna	Cigna Evernorth Centivo	❌️	❌️
EAP: Cigna	EAP: Cigna, EAP: Evernorth	❌️	❌️
Humana Dual - Medicare & Medicaid	Humana Dual (Medicare & Medicaid)	❌️	❌️
Humana - Medicare	Humana - Medicare	❌️	❌️
Point32	Harvard Pilgrim Tufts Health	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
UnitedHealthcare/Optum Medicare	United Healthcare/Optum - Medicare	❌️	❌️
Optum VA Community Care Network	Optum VA CCN Region 1 Optum VA CCN Region 2 Optum VA CCN Region 3	❌️	❌️

Michigan (MI)

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Aetna - Medicare	Aetna - Medicare	❌️	❌️
Blue Cross Blue Shield of Michigan	Blue Care Network Blue Cross Blue Shield Blue Cross Blue Shield of Michigan - Federal	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
Humana Dual - Medicare & Medicaid	Humana Dual (Medicare & Medicaid)	❌️	❌️
Humana - Medicare	Humana - Medicare	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
UnitedHealthcare/Optum Medicare	United Healthcare/Optum - Medicare	❌️	❌️
Optum VA Community Care Network	Optum VA CCN Region 1 Optum VA CCN Region 2 Optum VA CCN Region 3	❌️	❌️

Minnesota (MN)

License-specific restrictions for Minnesota

All license types will be enrolled in the plans below, except:

Providers must be opted in to both Medicare and Medicaid to be enrolled in Blue Cross Blue Shield of Minnesota.

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Aetna - Medicare	Aetna - Medicare	❌️	❌️
Blue Cross Blue Shield of Minnesota	Blue Cross Blue Shield	❌️	❌️
Blue Cross Blue Shield of Minnesota - Medicaid	Blue Cross Blue Shield of Minnesota - Medicaid	❌️	❌️
Blue Cross Blue Shield of Minnesota - Medicare	Blue Cross Blue Shield of Minnesota - Medicare	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
HealthPartners	HealthPartners	❌️	❌️
HealthPartners - Medicaid	HealthPartners - Medicaid	❌️	❌️
HealthPartners - Medicare	HealthPartners - Medicare	❌️	❌️
Humana Dual - Medicare & Medicaid	Humana Dual (Medicare & Medicaid)	❌️	❌️
Humana - Medicare	Humana - Medicare	❌️	❌️
UCare - Medicaid	UCare - Medicaid	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Medica Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
Optum VA Community Care Network	Optum VA CCN Region 1 Optum VA CCN Region 2 Optum VA CCN Region 3	❌️	❌️

Mississippi (MS)

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
Optum VA Community Care Network	Optum VA CCN Region 1 Optum VA CCN Region 2 Optum VA CCN Region 3	❌️	❌️

Missouri (MO)

License-specific information for Missouri

Providers will be credentialed with Humana Medicare/Humana Dual and Aetna Medicare, as well as our national payors, regardless of whether MO is their primary or secondary state

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Aetna - Medicare	Aetna - Medicare	❌️	❌️
Anthem Blue Cross Blue Shield of Missouri	Anthem Blue Cross Blue Shield	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
Humana Dual - Medicare & Medicaid	Humana Dual (Medicare & Medicaid)	❌️	❌️
Humana - Medicare	Humana - Medicare	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Medica Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
Optum VA Community Care Network	Optum VA CCN Region 1 Optum VA CCN Region 2 Optum VA CCN Region 3	❌️	❌️

Montana (MT)

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Aetna - Medicare	Aetna - Medicare	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️

Nebraska (NE)

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Medica Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
Optum VA Community Care Network	Optum VA CCN Region 1 Optum VA CCN Region 2 Optum VA CCN Region 3	❌️	❌️

Nevada (NV)

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Anthem Blue Cross Blue Shield of Nevada	Anthem Blue Cross Blue Shield	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️

New Hampshire (NH)

License-specific information for New Hampshire

Providers will be credentialed with Point32 and our national payors, regardless of whether NH is their primary or secondary state.

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Aetna - Medicare	Aetna - Medicare	❌️	❌️
Anthem Blue Cross Blue Shield of New Hampshire	Anthem Blue Cross Blue Shield	❌️	❌️
Cigna	Cigna Evernorth Centivo	❌️	❌️
EAP: Cigna	EAP: Cigna, EAP: Evernorth	❌️	❌️
Point32	Harvard Pilgrim Tufts Health	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
Optum VA Community Care Network	Optum VA CCN Region 1 Optum VA CCN Region 2 Optum VA CCN Region 3	❌️	❌️

New Jersey (NJ)

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Aetna - Medicare	Aetna - Medicare	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
Horizon Blue Cross Blue Shield of New Jersey	Blue Cross Blue Shield Horizon	❌️	❌️
Horizon Blue Cross Blue Shield of New Jersey - Medicare	Blue Cross Blue Shield - Medicare Horizon - Medicare Braven - Medicare	❌️	❌️
Humana Dual - Medicare & Medicaid	Humana Dual (Medicare & Medicaid)	❌️	❌️
Humana - Medicare	Humana - Medicare	❌️	❌️
Highmark	Blue Cross Blue Shield Highmark	❌️	❌️
Independence Blue Cross (IBX)	Independence Blue Cross AmeriHealth Administrators Independence Administrator IBX Keystone Health Plan East	✅	❌️
Independence Blue Cross - Medicare	Independence Blue Cross - Medicare AmeriHealth Administrators - Medicare Independence Administrators - Medicare	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
UnitedHealthcare/Optum Medicare	United Healthcare/Optum - Medicare	❌️	❌️
Optum VA Community Care Network	Optum VA CCN Region 1 Optum VA CCN Region 2 Optum VA CCN Region 3	❌️	❌️

New Mexico (NM)

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️

New York (NY)

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Aetna - Medicare	Aetna - Medicare	❌️	❌️
Anthem Blue Cross Blue Shield of New York	Blue Cross Blue Shield Anthem	❌️	❌️
Anthem Blue Cross Blue Shield of New York - Medicare	Blue Cross Blue Shield - Medicare Anthem - Medicare	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna, EAP: Evernorth	❌️	❌️
Humana Dual - Medicare & Medicaid	Humana Dual (Medicare & Medicaid)	❌️	❌️
Humana - Medicare	Humana - Medicare	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
UnitedHealthcare/Optum Medicare	United Healthcare/Optum - Medicare	❌️	❌️
Optum VA Community Care Network	Optum VA CCN Region 1 Optum VA CCN Region 2 Optum VA CCN Region 3	❌️	❌️

North Carolina (NC)

License-specific restrictions for Maryland

All license types will be enrolled in the plans below, except:

Non LPC and LMFT license holders have to be INN with Medicare to be enrolled in NC State Health Plan. LPCs and LMFTs license types can have deals created without Medicare.

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA NC State Health Plan [Aetna]	❌️	❌️
Aetna - Medicare	Aetna - Medicare	❌️	❌️
Blue Cross Blue Shield of North Carolina	Blue Cross Blue Shield Anthem	✅️	✅️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna, EAP: Evernorth	❌️	❌️
Humana Dual - Medicare & Medicaid	Humana Dual (Medicare & Medicaid)	❌️	❌️
Humana - Medicare	Humana - Medicare	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
UnitedHealthcare/Optum Medicare	United Healthcare/Optum - Medicare	❌️	❌️

North Dakota (ND)

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
HealthPartners	HealthPartners	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Medica Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
Optum VA Community Care Network	Optum VA CCN Region 1 Optum VA CCN Region 2 Optum VA CCN Region 3	❌️	❌️

Ohio (OH)

License-specific restrictions for Ohio

All license types will be enrolled in the plans below, except:

LMFTs and LPCs will not be enrolled in Centene Ohio Medicare.

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Aetna - Medicare	Aetna - Medicare	❌️	❌️
Anthem Blue Cross Blue Shield of Ohio	Anthem Blue Cross Blue Shield	✅	✅
CareSource - Medicaid	CareSource - Medicaid	❌️	❌️
Centene Ohio	Ambetter Health	❌️	❌️
Centene Ohio Dual	Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan)	❌️	❌️
Centene Ohio Medicaid	Buckeye Health Plan Buckeye Health Plan (Managed Medicaid) Medicaid - Buckeye Health Plan	❌️	❌️
Centene Ohio Medicare	WellCare of Ohio	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
Humana Dual - Medicare & Medicaid	Humana Dual (Medicare & Medicaid)	❌️	❌️
Humana - Medicare	Humana - Medicare	❌️	❌️
Medical Mutual of Ohio	Medical Mutual of Ohio	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
United Healthcare/Optum - Medicaid	United Healthcare/Optum - Medicaid	❌️	❌️
UnitedHealthcare/Optum Medicare	United Healthcare/Optum - Medicare	❌️	❌️
Optum VA Community Care Network	Optum VA CCN Region 1 Optum VA CCN Region 2 Optum VA CCN Region 3	❌️	❌️

Oklahoma (OK)

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
Optum VA Community Care Network	Optum VA CCN Region 1 Optum VA CCN Region 2 Optum VA CCN Region 3	❌️	❌️

Oregon (OR)

License-specific information for Oregon

Oregon can be added as a secondary state only, and providers will be credentialed with Humana Medicare/Humana Dual as well as our national payors.
Kaiser Northwest requires providers to be opted in to both Commercial & Medicare plans. This means that toggling Kaiser Permanente Northwest on or off in the provider portal will apply to both plan types.

All license types will be enrolled in the plans below, except:

NPs, MDs, or DOs are not eligible for enrollment in Kaiser Northwest commercial plans.

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Aetna - Medicare	Aetna - Medicare	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
Humana Dual - Medicare & Medicaid	Humana Dual (Medicare & Medicaid)	❌️	❌️
Humana - Medicare	Humana - Medicare	❌️	❌️
Kaiser Northwest	Kaiser Permanente Kaiser Northwest	❌️	❌️
Kaiser Northwest - Medicare	Kaiser Permanente - Medicare, Kaiser Northwest - Medicare	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️

Pennsylvania (PA)

License-specific information for Pennsylvania

Providers should be INN with Geisinger Commercial prior to enrolling in Geisinger Medicare.

All license types will be enrolled in the plans below, except:

PHMNPs and NPs cannot have Independence Blue Cross (IBX) deals created in Delaware and New Jersey as secondary states. All other license types are not impacted by this restriction.
PA credentialed providers can be credentialed with Highmark, regardless of whether PA is their primary or secondary state.

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Aetna - Medicare	Aetna - Medicare	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
Geisinger	Geisinger - Commercial	❌️	❌️
Geisinger - Medicare	Geisinger - Medicare	❌️	❌️
Highmark of Pennsylvania	Highmark Blue Cross Blue Shield	❌️	❌️
Highmark of Pennsylvania - Medicare	Blue Cross Blue Shield - Medicare Highmark - Medicare	❌️	❌️
Humana Dual - Medicare & Medicaid	Humana Dual (Medicare & Medicaid)	❌️	❌️
Humana - Medicare	Humana - Medicare	❌️	❌️
Independence Blue Cross (IBX)	Independence Blue Cross AmeriHealth Administrators Independence Administrator IBX Keystone Health Plan East	✅	❌️
Independence Blue Cross - Medicare	Independence Blue Cross - Medicare AmeriHealth Administrators - Medicare Independence Administrators - Medicare	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
UnitedHealthcare/Optum Medicare	United Healthcare/Optum - Medicare	❌️	❌️
Optum VA Community Care Network	Optum VA CCN Region 1 Optum VA CCN Region 2 Optum VA CCN Region 3	❌️	❌️
UPMC Health Plan	UPMC Health Plan	❌️	❌️
UPMC Health Plan - Medicare	UPMC Health Plan - Medicare	❌️	❌️

Rhode Island (RI)

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
Optum VA Community Care Network	Optum VA CCN Region 1 Optum VA CCN Region 2 Optum VA CCN Region 3	❌️	❌️

South Carolina (SC)

State-specific information for South Carolina

South Carolina can be added as a secondary state only, and providers will be credentialed with Humana Medicare/Dual & Aetna Medicare, as well as our national payors.

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Aetna - Medicare	Aetna - Medicare	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
Humana Dual - Medicare & Medicaid	Humana Dual (Medicare & Medicaid)	❌️	❌️
Humana - Medicare	Humana - Medicare	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
Optum VA Community Care Network	Optum VA CCN Region 1 Optum VA CCN Region 2 Optum VA CCN Region 3	❌️	❌️

South Dakota (SD)

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
HealthPartners - Commercial	HealthPartners	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️

Tennessee (TN)

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Aetna - Medicare	Aetna - Medicare	❌️	❌️
Blue Cross Blue Shield of Tennessee	Blue Cross Blue Shield Anthem	✅	✅
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
Humana Dual - Medicare & Medicaid	Humana Dual (Medicare & Medicaid)	❌️	❌️
Humana - Medicare	Humana - Medicare	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
UnitedHealthcare/Optum Medicare	United Healthcare/Optum - Medicare	❌️	❌️
Optum VA Community Care Network	Optum VA CCN Region 1 Optum VA CCN Region 2 Optum VA CCN Region 3	❌️	❌️

Texas (TX)

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Aetna - Medicare	Aetna - Medicare	❌️	❌️
Blue Cross Blue Shield of Texas	Anthem Blue Cross Blue Shield	✅	✅
Centene Texas Medicare	WellCare	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
Humana Dual - Medicare & Medicaid	Humana Dual (Medicare & Medicaid)	❌️	❌️
Humana - Medicare	Humana - Medicare	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
United Healthcare/Optum - Medicaid	United Healthcare/Optum - Medicaid	❌️	❌️
UnitedHealthcare/Optum Medicare	United Healthcare/Optum - Medicare	❌️	❌️

Utah (UT)

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️

Vermont (VT)

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️

Virginia (VA)

License-specific restrictions for Virginia

All license types will be enrolled in the plans below, except:

NPs, MDs, or DOs are not being enrolled with Kaiser Mid-Atlantic commercial, Medicaid, or Medicare plans.

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Aetna - Medicare	Aetna - Medicare	❌️	❌️
Anthem Blue Cross Blue Shield of Virginia	Anthem Blue Cross Blue Shield	✅	✅
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
Humana Dual - Medicare & Medicaid	Humana Dual (Medicare & Medicaid)	❌️	❌️
Humana - Medicare	Humana - Medicare	❌️	❌️
Kaiser Mid-Atlantic States	Kaiser Permanente Kaiser Mid-Atlantic States	❌️	❌️
Kaiser Mid-Atlantic States - Medicaid	Kaiser Permanente - Medicaid Kaiser Mid-Atlantic States - Medicaid	❌️	❌️
Kaiser Mid-Atlantic - Medicare	Kaiser Permanente - Medicare Kaiser Mid-Atlantic States - Medicare	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
United Healthcare/Optum - Medicaid	United Healthcare/Optum - Medicaid	❌️	❌️
UnitedHealthcare/Optum Medicare	United Healthcare/Optum - Medicare	❌️	❌️
Optum VA Community Care Network	Optum VA CCN Region 1 Optum VA CCN Region 2 Optum VA CCN Region 3	❌️	❌️

Washington (WA)

License-specific information for Washington

Washington can be added as a secondary state only, and providers will be credentialed with Humana Medicare/Humana Dual & Aetna Medicare, as well as our national payors.
NPs, MDs, or DOs are not eligible for enrollment in Kaiser Northwest commercial plans.

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Aetna - Medicare	Aetna - Medicare	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
Humana Dual - Medicare & Medicaid	Humana Dual (Medicare & Medicaid)	❌️	❌️
Humana - Medicare	Humana - Medicare	❌️	❌️
Kaiser Northwest	Kaiser Permanente Kaiser Northwest	❌️	❌️
Kaiser Northwest - Medicare	Kaiser Permanente - Medicare, Kaiser Northwest - Medicare	❌️	❌️
Premera Blue Cross Washington	Premera Blue Cross Blue Cross Blue Shield	✅	✅
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️

West Virginia (WV)

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️

Wisconsin (WI)

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Aetna - Medicare	Aetna - Medicare	❌️	❌️
Anthem Blue Cross Blue Shield of Wisconsin	Anthem Blue Cross Blue Shield	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
HealthPartners	HealthPartners	❌️	❌️
HealthPartners - Medicare	HealthPartners - Medicare	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Dean Health Plan Golden Rule Harvard Pilgrim Medica Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️
Optum VA Community Care Network	Optum VA CCN Region 1 Optum VA CCN Region 2 Optum VA CCN Region 3	❌️	❌️

Wyoming (WY)

Payor name	Plan names	Primary state requirement?	Residency requirement?
Aetna	Aetna Aetna - Allied Benefits Aetna - Luminare Aetna - Moda Aetna - WebTPA	❌️	❌️
Cigna	Cigna Evernorth Centivo Tufts Health	❌️	❌️
EAP: Cigna	EAP: Cigna EAP: Evernorth	❌️	❌️
UnitedHealthcare/Optum	All Savers AvMed Golden Rule Harvard Pilgrim Optum OptumHealth Complex Medical Conditions Oscar Oxford Sharp Health Plan Surest (formerly Bind) UnitedHealthcare Shared Services UnitedHealthcare Life Insurance UnitedHealthcare Student Resources United Medical Resources	❌️	❌️
EAP: United Healthcare/Optum	EAP: United Healthcare/Optum	❌️	❌️

Enrolling with payors

Medicare and Medicaid

Medicaid availability by state

Medicare availability by state

National contracts and sub-payors

National contract license-specific enrollment limitations

Cigna

UnitedHealthcare/Optum

​Commercial Plans

UnitedHealthcare Medicaid Plans

UnitedHealthcare Medicare Plans

Employee Assistance Programs (EAP)

Residency requirements

Fully operational states that require residency for BCBS credentialing:

Grow Therapy Employee Benefit (GTEB)

Payors by state

Alabama (AL)

Alaska (AK)

Arizona (AZ)

Arkansas (AR)

California (CA)

License-specific information for California

Colorado (CO)

License-specific restrictions for Colorado

Connecticut (CT)

Delaware (DE)

District of Columbia (DC)

License-specific information for the District of Columbia

Florida (FL)

License-specific restrictions for Florida

Georgia (GA)

License-specific restrictions for Georgia

Hawaii (HI)

License-specific restrictions for Hawaii

Idaho (ID)

Illinois (IL)

Indiana (IN)

License-specific restrictions for Indiana

Iowa (IA)

Kansas (KS)

License-specific restrictions for Kansas

Kentucky (KY)

Louisiana (LA)

Maine (ME)

License-specific information for Maine

Maryland (MD)

License-specific restrictions for Maryland

Massachusetts (MA)

Michigan (MI)

Minnesota (MN)

License-specific restrictions for Minnesota

Mississippi (MS)

Missouri (MO)

License-specific information for Missouri

Montana (MT)

Nebraska (NE)

Nevada (NV)

New Hampshire (NH)

License-specific information for New Hampshire

New Jersey (NJ)

New Mexico (NM)

New York (NY)

North Carolina (NC)

License-specific restrictions for Maryland

North Dakota (ND)

Ohio (OH)

License-specific restrictions for Ohio

Oklahoma (OK)

Oregon (OR)

License-specific information for Oregon

Pennsylvania (PA)

License-specific information for Pennsylvania

Rhode Island (RI)

South Carolina (SC)

State-specific information for South Carolina

South Dakota (SD)

Tennessee (TN)

Texas (TX)

Utah (UT)

Vermont (VT)

Commercial Plans