Each plan below has recorded coverage in Texas. The lines of business shown are the ones that plan operates in this state — a carrier can run commercial business in one state and Medicaid managed care in the next, and each line is a separate contract.
Coverage data as of July 28, 2026. Payer footprints change with contract cycles; we verify against current payer requirements at the start of any engagement.
National carriers
National carriers credential centrally, so one application generally covers every state you practice in. Network participation and fee schedules are still contracted separately by state and by line of business.
| Payer | Parent company | Lines of business in Texas | Credentialing guide |
|---|---|---|---|
| Aetna | CVS Health | CommercialMedicare AdvantageMedicaid | Full guide |
| Alignment Health Plan | Alignment Healthcare | Medicare Advantage | — |
| Ambetter Health | Centene Corporation | Marketplace | Full guide |
| Centene Corporation | Independent | Medicare AdvantageMedicaidMarketplace | Full guide |
| Cigna Healthcare | The Cigna Group | CommercialMarketplace | Full guide |
| Clover Health | Independent | Medicare Advantage | — |
| Devoted Health | Independent | Medicare Advantage | — |
| Elevance Health | Independent | Medicare AdvantageMedicaidMarketplace | Full guide |
| GEHA | Independent | Commercial | — |
| Humana | Independent | Medicare Advantage | Full guide |
| Molina Healthcare | Independent | Medicare AdvantageMedicaidMarketplace | Full guide |
| Oscar Health | Independent | Marketplace | — |
| SCAN Health Plan | SCAN Group | Medicare Advantage | — |
| UnitedHealthcare | UnitedHealth Group | CommercialMedicare AdvantageMedicaidMarketplace | Full guide |
| Wellcare | Centene Corporation | Medicare Advantage | Full guide |
Blue Cross Blue Shield plans
Blue Cross Blue Shield is a federation of independent licensees. Each plan credentials on its own — being in-network with one Blue plan does not make you in-network with another.
| Payer | Parent company | Lines of business in Texas | Credentialing guide |
|---|---|---|---|
| Blue Cross and Blue Shield of New Mexico | Health Care Service Corporation | Medicare Advantage | Full guide |
| Blue Cross and Blue Shield of Texas | Health Care Service Corporation | CommercialMedicare AdvantageMedicaidMarketplace | Full guide |
| Blue Cross Blue Shield Association | Independent | Commercial | Full guide |
| Health Care Service Corporation | Independent | CommercialMedicare AdvantageMedicaidMarketplace | Full guide |
Medicaid managed care
Medicaid managed-care organizations contract under a state Medicaid agency. Most require an active state Medicaid provider ID before they will begin credentialing, so the state enrollment has to finish first.
| Payer | Parent company | Lines of business in Texas | Credentialing guide |
|---|---|---|---|
| Aetna Better Health | Aetna | Medicaid | Full guide |
| Cook Children's Health Plan | Cook Children's Health System | Medicaid | — |
| Driscoll Children's Health Plan | Driscoll | Medicaid | — |
| El Paso Health Plans, Inc., dba El Paso Health | El Paso County Hospital District - dba University Medical Center of El Paso | Medicaid | — |
| Health Care Service Corp., dba Blue Cross Blue Shield | Health Care Service Corporation | Medicaid | — |
| Parkland Community Health Plan | Dallas County Hospital District | Medicaid | — |
| Seton Health Plan, Inc., dba Dell Children's Health Plan | Seton Insurance Services Corporation | Medicaid | — |
| SHA, LLC dba FirstCare Health Plans | Baylor Scott & White Health Plan | Medicaid | — |
| Superior HealthPlan | Centene Corporation | Medicaid | Full guide |
| Texas Children's Health Plan | Texas Children's | Medicaid | — |
Regional & local plans
Regional plans operate in a limited footprint and more often credential in-house rather than through a delegated CVO. Turnaround varies more than it does with national carriers.
| Payer | Parent company | Lines of business in Texas | Credentialing guide |
|---|---|---|---|
| American Health Advantage of Texas | Mitchell Family Office | Medicare Advantage | — |
| Baylor Scott & White Health Plan | Baylor Scott & White Health | CommercialMedicare AdvantageMedicaidMarketplace | — |
| CHRISTUS Health Advantage | CHRISTUS Health | Medicare Advantage | — |
| CHRISTUS Health Plan | Independent | Marketplace | — |
| Community First | Bexar County Hospital District | Medicare AdvantageMedicaidMarketplace | — |
| Community Health Choice | Harris Health System | CommercialMedicare AdvantageMedicaidMarketplace | — |
| El Paso Health Medicare Advantage | El Paso County Hospital District | Medicare Advantage | — |
| Harbor Health | Independent | Marketplace | — |
| Imperial Insurance Companies | Independent | Marketplace | — |
| KelseyCare Advantage | UnitedHealthcare | Medicare Advantage | — |
| Memorial Hermann Health Plan | Memorial Hermann Health System | Medicare Advantage | — |
| Moda Health | Independent | CommercialMarketplace | — |
| ProCare Advantage | First Sacramento Capital Funding | Medicare Advantage | — |
| Prominence Health Plan | Universal Health Services | Medicare Advantage | — |
| Provider Partners Health Plans | Rifkin Managed Care Holding | Medicare Advantage | — |
| Sendero Health Plans, Local Nonprofit | Independent | Marketplace | — |
| Texas Independence Health Plan | Regency ISNP Holdings | Medicare Advantage | — |
| Verda Health Plan of Texas | Verda Healthcare | Medicare Advantage | — |
Networks & IPAs
Networks, IPAs, and rental networks aggregate provider panels. Joining one can reach several payers at once, but the contracting party is the network — not the payer whose members you end up seeing.
| Payer | Parent company | Lines of business in Texas | Credentialing guide |
|---|---|---|---|
| ChoiceCare Network | Humana | Commercial | — |
| Evernorth Behavioral Health | Cigna Healthcare | Commercial | — |
| First Health Network | Aetna | Commercial | — |
| Galaxy Health Network | Independent | Commercial | — |
| HealthSmart | Independent | Commercial | — |
| MultiPlan (Claritev) | Claritev Corporation | Commercial | — |
| PHCS Network | MultiPlan (Claritev) | Commercial | — |
| Prime Health Services | Independent | Commercial | — |
| Three Rivers Provider Network (TRPN) | Independent | Commercial | — |
| UMR | UnitedHealthcare | Commercial | — |
| Zelis Network | Zelis Healthcare | Commercial | — |
Government programs
Government programs enroll providers through their own systems rather than commercial credentialing. Enrollment is usually a prerequisite for participating in the managed-care plans built on top of them.
| Payer | Parent company | Lines of business in Texas | Credentialing guide |
|---|---|---|---|
| Humana Military | Humana | Government program | Full guide |
| Medicare (Original Medicare / Part A & B) | Centers for Medicare & Medicaid Services | Government program | Full guide |
| TriWest Healthcare Alliance | Independent | Government program | Full guide |
| VA Community Care Network | U.S. Department of Veterans Affairs | Government program | — |
Credentialing in Texas
Read our Texas guide for how Medicare, state Medicaid, the local Blue plan, and the commercial carriers fit together: provider credentialing in Texas.
Get in-network in Texas
We handle the applications, the portals, and the follow-up until you have an effective date in hand.
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