Contracting Applications

Contracting Applications2018-01-13T00:07:50+00:00

Individual, group, and facility providers will need to submit one contracting application and Form W-9 for their practice.

Each practitioner, hospital, or facility will also need to submit a credentialing application with supporting documentation. There are a number of ways to complete a credentialing application. Please choose from one of the options described in the “Credentialing Applications” section.