CAQH Attestation: Why the 120-Day Clock Catches Texas Medicaid Groups Off Guard

Most practices think of CAQH ProView as a one-time setup: register, fill out the profile, submit. In practice, it's a recurring obligation — CAQH requires every provider to re-attest their profile every 120 days, not once a year. Miss that window and the profile lapses, which can stall payer credentialing applications that depend on an active CAQH attestation.

What actually triggers re-attestation

• The standard 120-day cycle, counted from the provider's last attestation date
• A license renewal — providers must re-attest within 30 days of a license being renewed
• Any "material change" to the profile, such as switching malpractice carriers — this requires immediate re-attestation, not a wait for the next cycle

Why groups miss it

The 120-day cycle doesn't line up with any other credentialing deadline a practice already tracks — not the TMHP revalidation cycle, not license renewal dates, not payer contract renewals. Without a dedicated tracker, it sits on no one's calendar until a payer flags an expired attestation during a claims review.

How TrueEnroll handles it

Every attestation date recorded in TrueEnroll automatically sets the next due date 120 days out, and the tracker flags a profile "Expiring Soon" inside the 30-day window before it lapses — so the reminder shows up before the deadline, not after.

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