| 1 | | NO | NO | https://medicaid.alabama.gov/content/10.0_Contact/10.3_Provider_Contacts/10.3.4_Provider_Enrollment.aspx | |
| 2 | | NO | NO | https://health.alaska.gov/en/services/medicaid-provider-assistance/ | |
| 3 | | NO | NO | https://www.azahcccs.gov/PlansProviders/NewProviders/packet.html | |
| 4 | | NO | NO | https://medicaid.mmis.arkansas.gov/Provider/Enrollment | |
| 5 | | NO | NO | https://www.dhcs.ca.gov/provgovpart/Pages/PED.aspx | |
| 6 | | NO | NO | https://www.colorado.gov/pacific/hcpf/provider-enrollment | |
| 7 | | NO | NO | https://www.ctdssmap.com/CTPortal/Provider/ProviderEnrollment/tabid/44/Default.aspx | |
| 8 | | NO | NO | https://medicaid.dhss.delaware.gov/provider | |
| 9 | | NO | NO | https://www.flmedicaidmanagedcare.com/ProviderEnrollment | |
| 10 | | NO | NO | https://www.mmis.georgia.gov/portal/PubAccess.Enrollment/tabId/54/Default.aspx | |
| 11 | | NO | NO | https://medquest.hawaii.gov/en/plans-providers/become-a-provider.html | |
| 12 | | NO | NO | https://www.idmedicaid.com/ProviderEnrollment | |
| 13 | | NO | NO | https://www.illinois.gov/hfs/MedicalProviders/Enrollment/Pages/default.aspx | |
| 14 | | YES | YES | https://www.in.gov/medicaid/providers/enrollment/ | |
| 15 | | NO | NO | https://dhs.iowa.gov/ime/providers/enrollment | |
| 16 | | YES | YES | https://www.kmap-state-ks.us/ProviderEnrollment | Pharmacist enrolling with KanCare do not currently need to submit a separate request to UnitedHealthcare. |
| 17 | | YES | YES | https://chfs.ky.gov/agencies/dms/Pages/default.aspx | |
| 18 | | NO | NO | https://www.lamedicaid.com/provweb1/Provider_Enrollment/Provider_Enrollment_Index.htm | |
| 19 | | NO | NO | https://www.maine.gov/dhhs/oms/provider-enrollment | |
| 20 | | YES | YES | https://mmcp.health.maryland.gov/Pages/Provider-Enrollment.aspx | |
| 21 | | NO | NO | https://www.mass.gov/how-to/enroll-as-a-masshealth-provider | |
| 22 | | NO | NO | https://www.michigan.gov/mdhhs/0,5885,7-339-71551_2945_42542---,00.html | |
| 23 | | YES | NO | https://mn.gov/dhs/partners-and-providers/policies-procedures/minnesota-health-care-programs/provider-enrollment/ | |
| 24 | | NO | NO | https://medicaid.ms.gov/providers/provider-enrollment/ | |
| 25 | | NO | NO | https://mmac.mo.gov/providers/provider-enrollment/ | |
| 26 | | NO | NO | https://medicaidprovider.mt.gov/providerenrollment | |
| 27 | | NO | NO | https://dhhs.ne.gov/Pages/Medicaid-Provider-Enrollment.aspx | |
| 28 | | Pending | | https://www.medicaid.nv.gov/providers/enroll.aspx | |
| 29 | | NO | NO | https://www.dhhs.nh.gov/programs-services/medicaid/medicaid-provider-enrollment | |
| 30 | | NO | NO | https://www.njmmis.com/ProviderEnrollment | |
| 31 | | YES | YES | https://www.hsd.state.nm.us/providers/enrollment/ | |
| 32 | | NO | NO | https://www.emedny.org/info/ProviderEnrollment | |
| 33 | | YES | YES | https://medicaid.ncdhhs.gov/providers/provider-enrollment | Pharmacists enrolling with North Carolina Medicaid do not need to submit a separate request to enroll with United Healthcare. |
| 34 | | NO | NO | https://www.nd.gov/dhs/services/medicalserv/medicaid/provider-enrollment.html | |
| 35 | | YES | YES | https://medicaid.ohio.gov/providers/provider-enrollment | |
| 36 | | NO | NO | https://oklahoma.gov/ohca/providers/provider-enrollment.html | |
| 37 | | NO | NO | https://www.oregon.gov/oha/HSD/OHP/Pages/Provider-Enrollment.aspx | |
| 38 | | YES | YES | https://www.dhs.pa.gov/providers/Providers/Pages/Enrollment.aspx | Promise ID required for provider enrollment |
| 39 | | NO | NO | https://eohhs.ri.gov/providers-partners/provider-enrollment | |
| 40 | | NO | NO | https://www.scdhhs.gov/provider | |
| 41 | | NO | NO | https://dss.sd.gov/medicaid/providers/ | |
| 42 | | YES | YES | https://www.tn.gov/tenncare/providers/provider-registration.html | |
| 43 | | NO | NO | https://www.tmhp.com/topics/provider-enrollment | |
| 44 | | NO | NO | https://medicaid.utah.gov/become-medicaid-provider | |
| 45 | | NO | NO | https://dvha.vermont.gov/providers/provider-enrollment | |
| 46 | | YES | YES | https://www.virginiamedicaid.dmas.virginia.gov/wps/portal/ProviderEnrollment | Pharmacists must first enroll with Virginia Medicaid as a provider through the Provider Services Solution (PRSS) portal. Individual enrollment now open. Group enrollment begins October 15, 2023. |
| 47 | | YES | YES | https://www.hca.wa.gov/billers-providers-partners/apple-health-medicaid-providers/enroll-provider | |
| 48 | | NO | NO | https://dhhr.wv.gov/bms/Provider/Enrollment/Pages/default.aspx | |
| 49 | | YES | YES | https://www.forwardhealth.wi.gov/WIPortal/Subsystem/Public/Enrollment/EnrollmentHome.aspx | |
| 50 | | NO | NO | https://wymedicaid.portal.conduent.com/WYPortal/ProviderEnrollment | |