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Medicaid provider enrollment by state
Where and how to enroll as a Medicaid provider in each state: the enrollment portal, the fiscal agent that runs it, fees, risk screening and how often you must revalidate.
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States still being compiled are marked; a state is published only once confirmed against its official source.
| State | Enrollment portal | Fiscal agent | Steps | Revalidation |
|---|---|---|---|---|
| Alabama | Alabama Medicaid Electronic Provider Enrollment Application Portal (AMMIS) | Gainwell Technologies (runs the Provider Enrollment Unit… | 5 | Alabama notifies providers when they are due and posts monthly lists of… |
| Alaska | Alaska Medicaid Health Enterprise portal (online provider enrollment) | HMS Gainwell (Gainwell Technologies) — provider enrollment… | 6 | Alaska sets each provider's revalidation timing by its risk level; providers… |
| Arizona | AHCCCS Provider Enrollment Portal (APEP) | None — AHCCCS runs provider enrollment and its own claims… | 5 | AHCCCS requires revalidation every four years (stricter than the federal five)… |
| Arkansas | Arkansas Medicaid Health Care Provider Portal (MMIS provider enrollment) | Gainwell Technologies (Medicaid Provider Enrollment Unit… | 6 | Arkansas requires all providers to revalidate every five years; the portal… |
| California | Provider Application and Validation for Enrollment (PAVE) | California MMIS Fiscal Intermediary (claims/billing)… | 6 | Revalidation requests come through PAVE. In June 2026 DHCS told CMS it would… |
| Colorado | Colorado interChange Provider Web Portal (Gainwell) | Gainwell Technologies (Colorado interChange MMIS) | 5 | Health First Colorado and CHP+ providers must revalidate at least every five… |
| Connecticut | CMAP Provider Enrollment/Re-enrollment Wizard (www.ctdssmap.com) | Gainwell Technologies (Provider Enrollment Unit, Hartford) | 5 | Connecticut calls revalidation 're-enrollment': most provider types re-enroll… |
| Delaware | DMAP Provider Portal — Provider Enrollment | Gainwell Technologies (DMAP provider portal and Provider… | 6 | DMAP mails revalidation instructions 60 days before the due date and terminates… |
| District of Columbia | DC Medicaid Provider Data Management System (PDMS) | Gainwell Technologies (fiscal agent and claims vendor since… | 5 | Federal rule (42 CFR 455.414): every enrolled provider must be revalidated at… |
| Florida | Florida Medicaid Web Portal (FLMMIS) — Enrollment Wizard | Gainwell Technologies (Florida Medicaid Web Portal / FLMMIS) | 6 | Florida calls revalidation 'renewal': AHCA re-enrolls every provider at least… |
| Georgia | Georgia Medicaid Management Information System (GAMMIS) — Enrollment Wizard | Gainwell Technologies (GAMMIS fiscal agent / third-party… | 5 | DCH suspended providers that had not revalidated as of July 1, 2026; claims for… |
| Hawaii | HOKU provider enrollment system | Med-QUEST's 2010 general-information manual names… | 5 | Med-QUEST began revalidating all providers in 2017 and requires revalidation… |
| Idaho | Idaho Medicaid Health PAS OnLine (www.idmedicaid.com) — Trading Partner Account and Provider Enrollment Application | Gainwell Technologies | 6 | Idaho is moving its high-risk provider types to revalidation every three years… |
| Illinois | IMPACT (Illinois Medicaid Program Advanced Cloud Technology) provider enrollment system | None named — HFS runs provider enrollment itself through… | 4 | HFS restarted revalidation in IMPACT in rolling stages from September 3, 2024… |
| Indiana | IHCP Provider Healthcare Portal (IHCP Portal) | Gainwell Technologies (IHCP fiscal agent for provider… | 5 | IHCP has said DME and home medical equipment providers (including pharmacies… |
| Iowa | Iowa Medicaid Provider Enrollment Unit (Universal Provider Enrollment Application 470-0254); Iowa Medicaid Portal Access (IMPA) for enrolled providers | Iowa Medicaid Enterprise (IME) Provider Enrollment Unit… | 6 | Iowa says providers revalidate every five years. Its 2026-2028 revalidation… |
| Kansas | KMAP provider portal (provider enrollment) | Gainwell Technologies (KMAP fiscal agent) | 4 | Federal rule (42 CFR 455.414): every enrolled provider must be revalidated at… |
| Kentucky | Kentucky Medicaid Partner Portal Application (MPPA) | Gainwell Technologies (fiscal agent for KY Medicaid claim… | 5 | Federal rule (42 CFR 455.414): every enrolled provider must be revalidated at… |
| Louisiana | Louisiana Medicaid Provider Enrollment Portal (via www.lamedicaid.com) | Gainwell Technologies (Louisiana Medicaid fiscal… | 4 | Louisiana revalidates all providers, including ordering/referring providers, at… |
| Maine | MIHMS Health PAS Online Portal — Provider Enrollment Application (PEA) via Trading Partner Account (moving to the new 'MaineCare Partner Portal' in late September 2026) | Gainwell Technologies (MaineCare provider enrollment… | 6 | MaineCare revalidates at least every five years (every three years for DME… |
| Maryland | Maryland Provider Registration and Information Management Enterprise (MPRIME), replacing ePREP in October 2026 | — | 4 | To prepare for MPRIME, Maryland moved revalidations due May-October 2026… |
| Massachusetts | MassHealth Provider Application Request Form (FFS) / MassHealth LTSS Provider Portal (LTSS programs); Provider Online Service Center (POSC) for enrolled providers and revalidation | MassHealth Provider Enrollment and Credentialing (PEC)… | 6 | MassHealth contacts providers when revalidation is due; providers then have 45… |
| Michigan | Community Health Automated Medicaid Processing System (CHAMPS) — Provider Enrollment | None named — MDHHS runs CHAMPS provider enrollment itself | 7 | MDHHS revalidates at least every five years (or sooner on request), with a… |
| Minnesota | Minnesota Provider Screening and Enrollment (MPSE) portal | None named — Minnesota DHS enrolls providers itself… | 5 | Under the federally directed 'Minnesota Revalidate 2026' effort, providers of… |
| Mississippi | Medicaid Enterprise System Assistance (MESA) Provider Portal | Gainwell Technologies (DOM fiscal agent; sends… | 4 | DOM restarted revalidation on October 1, 2023, mailing notices to providers… |
| Missouri | MMAC online provider enrollment application / eMOMED | None named on the enrollment pages — Missouri Medicaid… | 6 | MMAC revalidates every active provider at least every five years through eMOMED… |
| Montana | MPATH Provider Services Portal | Conduent (Montana Provider Relations handles enrollment and… | 6 | Federal rule (42 CFR 455.414) requires the state to revalidate every enrolled… |
| Nebraska | Maximus Provider Data Management System (PDMS) | Maximus is the enrollment and screening contractor. DHHS's… | 5 | Every 5 years from the date of first enrollment. Maximus emails a notice as… |
| Nevada | Provider Flex (new enrollments, re-enrollments, ownership changes); Provider Web Portal (revalidations and updates) | Gainwell Technologies | 6 | At least every 5 years; DMEPOS providers (provider type 33) every 3 years… |
| New Hampshire | New Hampshire MMIS Health Enterprise Portal | Conduent (runs the NH MMIS portal and the Provider… | 6 | Every enrolled provider (billing, rendering and ordering/referring/prescribing)… |
| New Jersey | NJMMIS.com Provider Enrollment Applications (downloadable packages by provider type) | Gainwell Technologies | 6 | New Jersey revalidates providers every five years under the ACA. To revalidate… |
| New Mexico | Provider & PED Enrollment System at YES.NM.GOV | — | 6 | New Mexico revalidates every three years, which is more often than the federal… |
| New York | NYS Medicaid Provider Services Portal (PSP) | eMedNY (NYS DOH's Medicaid claims system). Revalidation… | 6 | Revalidation frequency depends on risk level: high-risk every 3 years, moderate… |
| North Carolina | NCTracks Provider Portal | GDIT (NCTracks; the enrollment page still lists the call… | 6 | NC calls revalidation 'recredentialing' or 'reverification'. It is due every… |
| North Dakota | ND Health Enterprise MMIS Web Portal | Noridian Healthcare Solutions (provider enrollment… | 5 | All provider records revalidate at least every five years; DME suppliers every… |
| Ohio | Provider Network Management (PNM) module of the Ohio Medicaid Enterprise System (OMES) | — | 6 | ODM revalidates under 42 CFR 455.414 (at least every 5 years). It sends a… |
| Oklahoma | OHCA Provider Portal (ohcaprovider.com) — online provider contracting | — | 5 | OHCA screens and enrolls providers and revalidates them periodically, as… |
| Oregon | Oregon MMIS Provider Portal (or-medicaid.gov) | — | 6 | OHA rescreens every actively enrolled provider at least once every 5 years. It… |
| Pennsylvania | PROMISe Provider Portal — Electronic Provider Enrollment (PE) Application | PROMISe (DHS claims and enrollment system); the DHS… | 6 | Federal rule (42 CFR 455.414) requires the state to revalidate every enrolled… |
| Rhode Island | RI Medicaid Healthcare Portal (riproviderportal.org) — Enrollment Application | Gainwell Technologies | 6 | EOHHS mails revalidation letters, and the provider has 35 days from the letter… |
| South Carolina | SCDHHS online Provider Enrollment web application | — | 6 | Since June 1, 2026, high-risk providers (federal or state-designated)… |
| South Dakota | South Dakota Medicaid Provider Enrollment (PE) Portal | — | 5 | Federal rule (42 CFR 455.414) requires the state to revalidate every enrolled… |
| Tennessee | TennCare Provider Registration portal, plus Data Spring (formerly CAQH ProView) for individual providers | — | 6 | Every TennCare provider enrollment must be revalidated every 3 years, more… |
| Texas | Provider Enrollment and Management System (PEMS), run by TMHP | Texas Medicaid & Healthcare Partnership (TMHP), the claims… | 6 | Revalidation is due by the end of the enrollment period, called the… |
| Utah | PRISM Provider Portal | — | 6 | Federal rule (42 CFR 455.414) requires the state to revalidate every enrolled… |
| Vermont | Provider Management Module (PMM) | Gainwell Technologies (enrollment department and… | 6 | Providers get system notices 90 and 45 days before their contract end date, and… |
| Virginia | Medicaid Enterprise System (MES) Provider Services Solution (PRSS), the 'Provider Portal' | Gainwell Technologies (PRSS enrollment and revalidation… | 5 | Fee-for-service and MCO network providers enroll in PRSS and revalidate at… |
| Washington | ProviderOne | — | 6 | HCA revalidates providers every five years under 42 CFR 455 and mails one… |
| West Virginia | Provider Enrollment Application Portal (PEAP) on the BMS fiscal agent's site (wvmmis.com) | Gainwell Technologies | 6 | As part of federal revalidation, providers confirm their enrollment information… |
| Wisconsin | ForwardHealth Portal — Become a Provider / Provider Enrollment Information | Gainwell Technologies (supports ForwardHealth interChange… | 6 | Wisconsin revalidates every enrolled provider every three years, more often… |
| Wyoming | Discover Your Provider (DyP) provider enrollment portal, run by HHS Technology Group (HTG) | CNSI (operates the Benefits Management System claims… | 6 | Federal rule (42 CFR 455.414) requires the state to revalidate every enrolled… |