Medical Contracting

New to the network

Thank you for your interest in becoming a medical network provider. The first step is to let us know that you’d like to join our network.

Please click below to submit an online application:

Medical, ABA & Dental Providers

Hospital and Healthcare Facilities, Primary Care and Specialist Providers, Dental Care Providers, please click Join our Network below to create an account and submit a letter of intent.

Join our Network »

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.

Existing Network Providers

In order to help provide the highest quality of care to our members, our provider advocate team is available to support our network of providers. This includes onsite and telephonic access to address questions. To contact our provider advocate team, click here.

Requesting contract updates/changes?

If you’re an existing provider in the network but would like to request a change in your agreement, please send us a letter of intent by email at

Your letter to request a contract change should include the following information:

  • Requested change
  • Provider/Group name
  • Tax ID
  • Group NPI
  • Roster (to include provider name, NPI, specialty, practice locations)
  • Practice locations

Existing group provider adds for specialists that do require credentialing, please submit a Provider Addition Request.

Existing group provider adds for specialties that do not require credentialing, the following items are required:

*Providers should not see members until you receive a Welcome Letter indicating that the provider has been added to the group contract.*

Contact Us

To contact the Provider Services team, please call 702-242-7088 or email

New Medical Provider Letter of Intent Applications

New Behavioral Health Provider Letter of Intent Applications