Behavioral Health Providers
Mental Health or Substance Abuse Providers.
Join our Network »
To prevent delays in processing, please be sure to include:
- W-9
- Provider roster
- Document attachments in PDF format
After submitting an online application, what happens next?
- Your application will be assigned to a contracting representative.
- Your application will be reviewed within 30 business days.
- Upon application approval, a contracting representative will reach out to you with next steps.
- If credentialing is required, you will be directed to submit credentialing applications.
- After all required documents have been received and processed, contracts will be sent for your review and signature.
- Once signed contracts are returned, they will be submitted to the network for final execution and an effective date.
*LOI submission does not guarantee participation with the health plan. Approved and signed physician contracts are required for participation.