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Charlotte Lozier Institute

Phone: 202-223-8073
Fax: 571-312-0544

2776 S. Arlington Mill Dr.
#803
Arlington, VA 22206

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Charlotte Lozier Institute

Phone: 202-223-8073
Fax: 571-312-0544

2776 S. Arlington Mill Dr.
#803
Arlington, VA 22206

Maternal & Public Health

Fact Sheet: Looking Up Medicaid Providers in Your State

As efforts to defund Planned Parenthood and other big abortion chains make their way through the courts, an increasing number of Planned Parenthood centers are closing. While big abortion advocates argue these closures will be devastating to healthcare access for low-income individuals, Medicaid providers around the country are available to stand in the gap. The Charlotte Lozier Institute has compiled a list of state Medicaid provider directories as a resource for people interested in finding providers in their area.

States vary in how their Medicaid plans are structured, and the type of Medicaid coverage an individual receives depends on one’s needs, eligibility, and the specific program qualifications. For some enrollees, state Medicaid reimburses their providers directly (fee-for-service); others are enrolled in insurance plans that receive a set fee for each person participating in the plan (managed care). This table provides a link to relevant directories in each state as well as important context regarding the information available in each directory. The listings are not necessarily comprehensive. States may not provide directories for each plan, directories may change, or directories may not be publicly accessible.

Please click the ‘Print/Download’ button above for a PDF version of this fact sheet.

State Context Directory Link(s)
Alabama Alabama has one main Medicaid provider directory with options to search by provider specialty and/or location (by city or county only). Alabama Medicaid Provider Directory
Alaska Alaska has one main Medicaid provider directory with an option to search by location. This state has the option to search by provider type but not specialty (e.g., OB-GYN is not included in drop-down box). Alaska Medicaid Directory
Arizona Arizona has one main Medicaid provider directory with options to search by provider specialty and/or location. AHCCS Medicaid Provider Search
Arkansas Arkansas has one main Medicaid provider directory with options to search by provider specialty and/or location. Arkansas Medicaid Provider Search
California California has one main Medicaid provider directory with an option to search by location. This state has the option to search by provider type but not specialty (e.g., OB-GYN is not included in drop-down box). Medi-Cal Managed Care Find a Provider
Colorado Colorado has one main Medicaid provider directory with options to search by health plan, provider specialty, and/or location. Health First Colorado Find a Doctor
Connecticut Connecticut has one main Medicaid provider directory with options to search by provider specialty and/or location. HUSKY Health Provider Search
Delaware Delaware has one main Medicaid provider directory with options to search by health plan, provider specialty, and/or location. Delaware Medicaid Provider Search
District of Columbia DC has one main Medicaid provider directory with options to search by provider specialty and/or location. DC Medicaid Provider Search
Florida Florida has one main Medicaid provider directory with options to search by health plan, provider specialty, and/or location. Select the “find a provider” option. Florida Medicaid Managed Care Find a Provider
Georgia Georgia has one main Medicaid provider directory with options to search by health plan, provider specialty, and/or location. Georgia MMIS Find a Provider
Hawaii Hawaii has one main Medicaid provider directory with options to search by health plan, provider specialty, and/or location (by island or city only). Hawaii Medicaid Provider Directory
Idaho Idaho has one main Medicaid provider directory with options to search by provider specialty and/or location. Idaho Medicaid Provider Directory
Illinois Illinois has one main Medicaid managed care provider directory with options to search by health plan, provider specialty, and/or location. Illinois HealthChoice Provider Search
Indiana Indiana has a Medicaid provider directory for those enrolled in traditional Indiana Medicaid. There is a separate provider directory for those enrolled in Healthy Indiana Plan (HIP), Hoosier Care Connect, and Hoosier Healthwise. Those enrolled in Indiana PathWays for Aging must search their particular health insurance company’s (Anthem, Humana, or United Healthcare) provider directory. All of these directories provide options to search by provider specialty and/or location.

Traditional Indiana Medicaid

Healthy Indiana Plan (HIP), Hoosier Care Connect, and Hoosier Healthwise

Indiana Pathways for Aging:

    Anthem

Humana

United Healthcare

Iowa Iowa has one main Medicaid provider directory with options to search by provider specialty and/or location (by county only). Iowa Medicaid Provider Search
Kansas Kansas has one main Medicaid provider directory with options to search by health plan, provider specialty, and/or location. Kansas Medical Assistance Program Provider Directory
Kentucky Kentucky has one main Medicaid provider directory with options to search by provider specialty and/or location. Kentucky Medicaid Provider Directory
Louisiana Louisiana has one main Medicaid provider directory with options to search by health plan, provider specialty, and/or location. Louisiana Medicaid Find a Provider
Maine Maine has one main Medicaid provider directory with options to search by provider specialty and/or location. MaineCare Provider Directory
Maryland Maryland has one main Medicaid provider directory with options to search by provider specialty and/or location. Maryland Medicaid Provider Finder
Massachusetts Massachusetts has one main Medicaid provider directory with options to search by health plan and location. The state does not have the option to search by provider specialty but has the option to search by practice type, which includes OB-GYN. MassHealth Primary Care Provider Finder
Michigan Michigan does not have its own Medicaid provider directory. Enrollees must go to the individual health insurance company website to search for providers. Each directory has the option to search by provider specialty and/or location.

Blue Cross Complete

Aetna Better Health

Molina Healthcare

McLaren Health Plan

Meridian Health Plan

Priority Health

United Healthcare

Upper Peninsula Health Plan

Minnesota Minnesota has one main Medicaid provider directory with options to search by provider specialty and/or location. Minnesota Health Care Programs Provider Directory
Mississippi Mississippi has one main Medicaid provider directory with options to search by provider specialty and/or location. Mississippi Medicaid Provider Search
Missouri Missouri has one main Medicaid provider directory with options to search by health plan, provider specialty, and/or location. Missouri HealthNet Provider Search
Montana Montana has one main Medicaid provider directory with options to search by health plan, provider specialty, and/or location. Montana Provider Portal
Nebraska Nebraska has one main Medicaid provider directory with options to search by provider specialty and/or location. The state directory also links to specific health plan directories for those who wish to search by managed care organization. Nebraska Medicaid Provider Directory
Nevada Nevada has one main Medicaid provider directory. Additionally, those enrolled in managed care plans can search for providers directly at the plans’ websites. Each of the directories has the option to search by provider specialty and/or location.

Main Directory

Managed Care Plans:


Anthem Blue Cross and Blue Shield Healthcare Solutions

Health Plan of Nevada Medicaid

Molina Healthcare of Nevada

SilverSummit Healthplan

New Hampshire New Hampshire has one main Medicaid provider directory with an option to search by location. This state has the option to search by provider type but not specialty (e.g., OB-GYN is not included in drop-down box). New Hampshire MMIS Health Enterprise Portal
New Jersey New Jersey has one main Medicaid provider directory with options to search by provider specialty and/or location (by city or county only). New Jersey MMIS Provider Directory
New Mexico New Mexico has one main Medicaid provider directory which requires an NPI, provider name, or other provider ID to search. The option to search by provider specialty or location is unavailable. However, individual managed care plan websites allow search by provider specialty and location.

State Provider Directory

 

Managed Care Plans:


     Blue Cross Blue Shield of New Mexico

Molina Healthcare of New Mexico

Presbyterian Health Plan

United Healthcare Community Plan of New Mexico

New York New York has one main Medicaid provider directory with an option to search by location (county only). This state has the option to search by provider type/service but not specialty (e.g., OB-GYN is not included in drop-down box). New York Medicaid Enrolled Provider Lookup
North Carolina North Carolina has one main Medicaid provider directory with options to search by health plan, provider specialty, and/or location. North Carolina Medicaid Find a Provider
North Dakota North Dakota has one main Medicaid provider directory with options to search by provider specialty and/or location. North Dakota MMIS Provider Search
Ohio Ohio has one main Medicaid provider directory with options to search by health plan and/or location. This state has the option to search by provider type/service but not specialty (e.g., OB-GYN is not included in drop-down box). Ohio Medicaid Find a Provider
Oklahoma Oklahoma has one main Medicaid provider directory with options to search by health plan, provider specialty, and/or location. Oklahoma Health Care Authority Provider Search
Oregon Oregon ended its Oregon Provider Directory (OPD) program as a result of budget reductions. Not available
Pennsylvania Pennsylvania has one main Medicaid provider directory with options to search by provider specialty and/or location. Pennsylvania Medical Assistance Provider Search
Rhode Island Rhode Island has one main Medicaid provider directory with options to search by health plan, provider service (includes specialty), and/or location. Rhode Island Medical Assistance Provider Search
South Carolina South Carolina has one main Medicaid provider directory with an option to search by location (county only). This state has the option to search by provider type but not specialty (e.g., OB-GYN is not included in drop-down box). South Carolina Medicaid Provider Search
South Dakota South Dakota has one main Medicaid provider directory with an option to search by location (county only). South Dakota Care Management Provider List Tool
Tennessee Tennessee has one main Medicaid provider directory that only allows search by the name of the provider. However, individual managed care plan websites have the option to search by provider specialty and location.

Tennessee Medical Provider Lookup

 

Managed Care

Wellpoint

BlueCare

United Healthcare Community Plan

Texas Texas has one main Medicaid provider directory with options to search by health plan and/or location. This state has the option to search by provider type but not specialty (e.g., OB-GYN is not included in drop-down box). Texas Medicaid Provider Search
Utah Utah has one main Medicaid provider directory with options to search by provider specialty and/or location. Utah Medicaid Find a Provider
Vermont Vermont has one main Medicaid provider directory with options to search by provider specialty and/or location. Vermont Medicaid Portal Provider Lookup
Virginia Virginia has one Medicaid provider directory for its Fee for Service Medicaid program and one for its Medicaid Managed Care Program. Both directories have the option to search by location. The Fee for Service directory also includes the option to search by provider specialty. The Managed Care Program’s directory has the option to search by provider type, which includes a few provider specialties such as OB-GYN.

Fee for Service Medicaid Program

Medicaid Managed Care Program

Washington Washington has one main Medicaid provider directory for those who receive Apple Health coverage without a managed care plan. Those with managed care plans must search for a provider through the plan’s website. Each of the directories provides options to search by provider specialty and/or location.

Apple Health (without a managed care plan)

Managed Care Plans:


      Community Health Plan of Washington

Wellpoint Washington

Coordinated Care

Molina Healthcare of Washington

United Healthcare Community Plan

West Virginia West Virginia does not have its own Medicaid provider directory. Enrollees must go to the individual health insurance company websites to search for providers. Each of the directories has options to search by provider specialty and/or location.

Aetna Better Health

The Health Plan of West Virginia

Highmark

Wellpoint

Wisconsin Wisconsin has one main Medicaid provider directory with options to search by health plan, provider specialty, and/or location. There is no drop-down box for provider specialty but it can be manually entered if known. Wisconsin ForwardHealth Find Care
Wyoming Wyoming has one main Medicaid provider directory with options to search by provider specialty and/or location. Wyoming Medicaid Provider Locator

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