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Medica Administrative Manual   > Network Operation and Support Services > Join Our Provider Network

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Join Our Provider Network

provider

The following information outlines the process for out-of-network providers who wish to join the Medica provider network.

Contracting information found on this page is for clinics, facilities/organizations, ancillary services providers (as defined below), and specialty network providers who would like to begin the contracting and credentialing process.

Step 1: Check to make sure you are in the Medica Service Area

The Medica provider network operates in Arizona, Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, Oklahoma, South Dakota, western Wisconsin, and Wyoming.

 

 

Step 2: Select the right application for you

Traditional and Personal Care Providers

This includes clinics, facilities, ancillary services and personal care providers.

Clinics: This includes both primary care and specialty clinics.

Facilities / Organizations: This includes hospitals, nursing homes, skilled nursing facilities and ambulatory surgery centers.

Ancillary Services: This includes home infusion providers, home health care, durable medical equipment (DME) providers, orthotics and prosthetics (O&P) providers, reference labs, hospices, emergency transportation and dialysis providers.

Personal Care Providers: This is personal care assistance (PCA) agency providers.

Start the application process for traditional and personal care provider >

 


Non-Emergency Transportation

This includes non-emergency medical transportation (NEMT).

Start the application process for NEMT >

 


Specialty Network Providers

This includes chiropractic, dental, and behavioral health/mental health providers.

Chiropractic
Optum Physical Health / OptumHealth
Phone: 1 (800) 873-4575
OptumHealth website

Fulcrum Health Inc. (MHPS MN/WI chiropractic network only)
Phone: (877) 866-4941
Fulcrum Health website

Behavioral Health
Medica Behavioral Health (administered by Optum)
Phone: (877) 614-0484
Provider Express website

Dental
Delta Dental
Phone: (651) 994-5252
Delta Dental website

 


Specialty Lists

Medica may deem certain specialties and/or regions in the existing Medica provider network as sufficient or adequate according to access and availability standards. These specialties and/or regions are considered "closed." Currently, Medica is not accepting applications for new providers in "closed" specialties or regions.

View current list of closed specialties and/or regions



REV 3/2024

Provider Service Area Iowa

Please complete the Provider Contract Inquiry Form

Behavioral Health
Phone: 877-614-0484
Provider Express website

 

 

 

 

 

 

 

 

Provider Service Area KS

Please complete the Provider Contract Inquiry Form

Behavioral Health
Phone: 877-614-0484
Provider Express website

 

 

 

 

 

 

 

 

Service Area MN

Step 3: Select the right application for you

Non-Emergency Transportation and Personal Care Providers

This includes non-emergency medical transportation (NEMT) and personal care assistance (PCA) agency providers.

Start the application process for NEMT and PCA >


Traditional Providers

This includes clinics, facilities, and ancillary services.

Clinics: This includes both primary care and specialty clinics.

Facilities / Organizations: This includes hospitals, nursing homes, skilled nursing facilities and ambulatory surgery centers.

Ancillary Services: This includes home infusion providers, home health care, durable medical equipment (DME) providers, orthotics and prosthetics (O&P) providers, reference labs, hospices, emergency transportation and dialysis providers.

Start the application process for traditional providers >


Complementary Providers

This includes chiropractic, dental, pharmacy, and behavioral health/mental health providers.

Chiropractic
ACN / OptumHealth
PO Box 212
Minneapolis, MN 55440-0212
Phone: 1-800-873-4575 (local: 763-595-3200)
OptumHealth website

Behavioral Health
Phone: 877-614-0484
Provider Express website

Dental
Delta Dental
Phone: 651-994-5252
Delta Dental website

 


Specialty Lists

Medica may deem certain specialties and/or regions in the existing Medica provider network as sufficient or adequate according to access and availability standards. These specialties and/or regions are considered "closed." Currently, Medica is not accepting applications for new providers in "closed" specialties or regions.

View current list of closed specialties and/or regions

Provider Service Area MO

If you are located in Clay, Cass, Jackson, or Platte counties, please complete the Provider Contract Inquiry Form

Behavioral Health
Phone: 877-614-0484
Provider Express website

 

 

 

 

 

 

 

Provider Service Area NE

Step 3: Select the right application for you

Non-Emergency Transportation and Personal Care Providers

This includes non-emergency medical transportation (NEMT) and personal care assistance (PCA) agency providers.

Start the application process for NEMT and PCA >


Traditional Providers

This includes clinics, facilities, and ancillary services.

Clinics: This includes both primary care and specialty clinics.

Facilities / Organizations: This includes hospitals, nursing homes, skilled nursing facilities and ambulatory surgery centers.

Ancillary Services: This includes home infusion providers, home health care, durable medical equipment (DME) providers, orthotics and prosthetics (O&P) providers, reference labs, hospices, emergency transportation and dialysis providers.

Start the application process for traditional providers >


Complementary Providers

This includes chiropractic, dental, pharmacy, and behavioral health/mental health providers.

Chiropractic
ACN / OptumHealth
PO Box 212
Minneapolis, MN 55440-0212
Phone: 1-800-873-4575 (local: 763-595-3200)
OptumHealth website

Behavioral Health
Phone: 877-614-0484
Provider Express website

Dental
Delta Dental
Phone: 651-994-5252
Delta Dental website

Provider Service Area ND

Step 3: Select the right application for you

Non-Emergency Transportation and Personal Care Providers

This includes non-emergency medical transportation (NEMT) and personal care assistance (PCA) agency providers.

Start the application process for NEMT and PCA >


Traditional Providers

This includes clinics, facilities, and ancillary services.

Clinics: This includes both primary care and specialty clinics.

Facilities / Organizations: This includes hospitals, nursing homes, skilled nursing facilities and ambulatory surgery centers.

Ancillary Services: This includes home infusion providers, home health care, durable medical equipment (DME) providers, orthotics and prosthetics (O&P) providers, reference labs, hospices, emergency transportation and dialysis providers.

Start the application process for traditional providers >


Complementary Providers

This includes chiropractic, dental, pharmacy, and behavioral health/mental health providers.

Chiropractic
ACN / OptumHealth
PO Box 212
Minneapolis, MN 55440-0212
Phone: 1-800-873-4575 (local: 763-595-3200)
OptumHealth website

Behavioral Health
Phone: 877-614-0484
Provider Express website

Dental
Delta Dental
Phone: 651-994-5252
Delta Dental website

 


Specialty Lists

Medica may deem certain specialties and/or regions in the existing Medica provider network as sufficient or adequate according to access and availability standards. These specialties and/or regions are considered "closed." Currently, Medica is not accepting applications for new providers in "closed" specialties or regions.

View current list of closed specialties and/or regions

Provider Service Area OklahomaPlease complete the Provider Contract Inquiry Form

Behavioral Health
Phone: 877-614-0484
Provider Express website

 

 

 

 

 

 

 

 

Provider Service Area SD

Step 3: Select the right application for you

Non-Emergency Transportation and Personal Care Providers

This includes non-emergency medical transportation (NEMT) and personal care assistance (PCA) agency providers.

Start the application process for NEMT and PCA >


Traditional Providers

This includes clinics, facilities, and ancillary services.

Clinics: This includes both primary care and specialty clinics.

Facilities / Organizations: This includes hospitals, nursing homes, skilled nursing facilities and ambulatory surgery centers.

Ancillary Services: This includes home infusion providers, home health care, durable medical equipment (DME) providers, orthotics and prosthetics (O&P) providers, reference labs, hospices, emergency transportation and dialysis providers.

Start the application process for traditional providers >


Complementary Providers

This includes chiropractic, dental, pharmacy, and behavioral health/mental health providers.

Chiropractic
ACN / OptumHealth
PO Box 212
Minneapolis, MN 55440-0212
Phone: 1-800-873-4575 (local: 763-595-3200)
OptumHealth website

Behavioral Health
Phone: 877-614-0484
Provider Express website

Dental
Delta Dental
Phone: 651-994-5252
Delta Dental website

Provider Service Area-WIS

Step 3: Select the right application for you

Non-Emergency Transportation and Personal Care Providers

This includes non-emergency medical transportation (NEMT) and personal care assistance (PCA) agency providers.

Start the application process for NEMT and PCA >


Traditional Providers

This includes clinics, facilities, and ancillary services.

Clinics: This includes both primary care and specialty clinics.

Facilities / Organizations: This includes hospitals, nursing homes, skilled nursing facilities and ambulatory surgery centers.

Ancillary Services: This includes home infusion providers, home health care, durable medical equipment (DME) providers, orthotics and prosthetics (O&P) providers, reference labs, hospices, emergency transportation and dialysis providers.

Start the application process for traditional providers >


Complementary Providers

This includes chiropractic, dental, pharmacy, and behavioral health/mental health providers.

Chiropractic
ACN / OptumHealth
PO Box 212
Minneapolis, MN 55440-0212
Phone: 1-800-873-4575 (local: 763-595-3200)
OptumHealth website

Behavioral Health
Phone: 877-614-0484
Provider Express website

Dental
Delta Dental
Phone: 651-994-5252
Delta Dental website

 


Specialty Lists

Medica may deem certain specialties and/or regions in the existing Medica provider network as sufficient or adequate according to access and availability standards. These specialties and/or regions are considered "closed." Currently, Medica is not accepting applications for new providers in "closed" specialties or regions.

View current list of closed specialties and/or regions

Step 3: Select the right application for you

Non-Emergency Transportation and Personal Care Providers

This includes non-emergency medical transportation (NEMT) and personal care assistance (PCA) agency providers.

Start the application process for NEMT and PCA >


Traditional Providers

This includes clinics, facilities, and ancillary services.

Clinics: This includes both primary care and specialty clinics.

Facilities / Organizations: This includes hospitals, nursing homes, skilled nursing facilities and ambulatory surgery centers.

Ancillary Services: This includes home infusion providers, home health care, durable medical equipment (DME) providers, orthotics and prosthetics (O&P) providers, reference labs, hospices, emergency transportation and dialysis providers.

Start the application process for traditional providers >


Complementary Providers

This includes chiropractic, dental, pharmacy, and behavioral health/mental health providers.

Chiropractic
ACN / OptumHealth
PO Box 212
Minneapolis, MN 55440-0212
Phone: 1-800-873-4575 (local: 763-595-3200)
OptumHealth website

Behavioral Health
Phone: 877-614-0484
Provider Express website

Dental
Delta Dental
Phone: 651-994-5252
Delta Dental website

Step 3: Select the right application for you

Non-Emergency Transportation and Personal Care Providers

This includes non-emergency medical transportation (NEMT) and personal care assistance (PCA) agency providers.

Start the application process for NEMT and PCA >


Traditional Providers

This includes clinics, facilities, and ancillary services.

Clinics: This includes both primary care and specialty clinics.

Facilities / Organizations: This includes hospitals, nursing homes, skilled nursing facilities and ambulatory surgery centers.

Ancillary Services: This includes home infusion providers, home health care, durable medical equipment (DME) providers, orthotics and prosthetics (O&P) providers, reference labs, hospices, emergency transportation and dialysis providers.

Start the application process for traditional providers >


Complementary Providers

This includes chiropractic, dental, pharmacy, and behavioral health/mental health providers.

Chiropractic
ACN / OptumHealth
PO Box 212
Minneapolis, MN 55440-0212
Phone: 1-800-873-4575 (local: 763-595-3200)
OptumHealth website

Behavioral Health
Phone: 877-614-0484
Provider Express website

Dental
Delta Dental
Phone: 651-994-5252
Delta Dental website

Date: 4/16/2024 9:13:02 AM Version: 4.0.30319.42000 Machine Name: PWIM4-CDWEB01