Facility Credentialing & Network Participation
Centene Corporation is a leading multi-national healthcare enterprise serving over 28 million members through government-sponsored programs including Medicaid, Medicare, and Health Insurance Marketplace. They operate under various local brand names including Ambetter, WellCare, Fidelis Care, Health Net, and numerous state-specific health plans. Following the acquisition of Magellan Health in 2022, Centene has expanded its behavioral health capabilities significantly.
Largest Medicaid managed care organization in the U.S. with strong presence in ACA marketplaces through Ambetter brand. Serves approximately 1 in 15 Americans.
Everything you need to know about contracting with Centene Corporation for behavioral health services
Coverage details & levels of care
Centene provides comprehensive behavioral health services through its Magellan Health subsidiary and integrated care models. Focus on vulnerable populations with extensive community-based support services. Noted increase in behavioral health medical costs in 2025.
Behavioral Health Manager
Magellan Health (acquired 2022)
All treatment settings accepted by Centene
What sets Centene apart
Required credentials for network participation
Prior Authorization
Medical Necessity Criteria
InterQual Behavioral Health Criteria and MCG (Milliman) guidelines; ASAM criteria for substance use
Payment and billing information
Current network needs and priority areas for facility contracting with Centene
Current Network Needs
Actively recruiting facilities in underserved areas with enhanced contracting terms
High-demand service areas and locations
Available Incentives
Enhanced rates and expedited contracting for facilities in underserved areas
Centene Corporation provides coverage in 27 states across the United States
27 states nationwide
Corporate Headquarters
St. Louis, Missouri
Our team specializes in Centene Corporation contracting for behavioral health facilities. We'll help you secure competitive rates and streamline your credentialing process.
Achieve significantly better reimbursement through expert negotiation
Reduce credentialing timeline from months to weeks
CAQH, state licensing, and accreditation guidance
Your personal contracting specialist throughout the process
500+
Facilities Contracted
45
Days Avg. Timeline
98%
Success Rate
50
States Covered