Allied Health Providers

Start the Credentialing and Contracting Application Process

Download your specific credentialing application checklist and any additional forms and documents.

Complete and submit the materials listed on the checklist according to the instructions below.


Ambulatory Surgical Center

Birthing Centers


Durable Medical Equipment (DME)

Family Planning

Home Health Agency

Hospice Agency

Imaging Facility

Inpatient and Outpatient Rehabilitation


Orthotics and Prosthetics

Sleep Centers

Skilled Nursing Facility

How to Submit Forms and Documents

You can submit your forms and documents by either emailing them to or faxing 617.673.0909. To facilitate review of your application, please submit all materials together.

plans card