We want to work with you to ensure our members have access to the best possible behavioral health care. Join our network today!
To become a participating provider:
Becoming a participating behavioral health provider is simple, and we’re here to help every step of the way! To get started, complete following forms:
- Ancillary Practitioner Data Form Behavioral Health or a Ancillary Data Form Community Mental Health Center/Substance Use Treatment Center
- W9 Form
Please return completed forms in one of the following ways:
For Harvard Pilgrim Health Care:
- Email: email@example.com
- Fax: 1-866-884-3843
- U.S. Mail: Harvard Pilgrim Health Care, Provider Processing Center, 1600 Crown Colony Drive, Quincy, MA 02169
For Tufts Health Plan:
- Email (other than Rhode Island): Tufts_Health_Plan_Credentialing_Department@point32health.org
- Email (for Rhode Island providers): RIProviderEnrollment@point32health.org
Please note: A credentialing application must also be submitted at proview.caqh.org.
If you have questions about becoming a participating provider, please contact: AHCBehavioralHealth@point32health.org