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Become a Provider

MetroPlus Health Plan partners with Beacon Health Options to provide Behavioral Health and Substance Use Disorder services to our members. Interested Providers should contact Beacon via e-mail at: nyprelations@beaconhealthoptions.com, or via phone at 1.781.994.7556.

Interested Dental Provider/Orthodontist should contact Healthplex at 1.888.468.2183.

DME Orthotics/Prosthetic providers should contact Integra at 1.888.729.8818. Email: credentialing@accessintegra.com (providers are suggested to copy the following email address as well: networkdevelopment@accessinetgra.com for all credentialing requests).

Please note, currently, the network is closed to Transportation Vendors, Laboratory, Optometry, Podiatry, CDPAP, Personal Care (Licensed Home Care), Certified Home Health Agencies, Physical Therapy, Urgent Care, and Radiology. However, Optometry, Physical Therapy, Podiatry, Urgent Care, and Radiology are all OPEN in Staten Island.

To begin your credentialing process, please complete this simple form. Note, that all requested information is required.

IMPORTANT: If you wish to participate with MetroPlus at more than one location, complete this form for each additional practice location. Note, the information for all sites (to be credentialed/contracted) must be reflected on the CAQH application.

PLEASE NOTE: Effective November 16, 2018, MetroPlus is transitioning utilization for high-tech radiology services and will require notification and authorization for a number of high-tech radiology services. Learn more here.

First Name:

Last Name:

Middle Name:

Suffix:

Date of Birth:

Degree:

NYS Reg. License Number:

Individual NPI Number:

CAQH Provider ID Number:

Specialty:

Are you a member of one of our IPAs? If yes, Select one below: [add this language and drop down menu below]:

Practicing Clinical Email:

Primary Practice Name:

Primary Practice Tax ID:

Primary Practice Address:

Primary Practice City:

Primary Practice State:

Primary Practice Zip Code:

Primary Practice Appointment Phone:

( ) -

Primary Practice Alternate Appointment Phone:

( ) -

Primary Practice Fax:

( ) -

Credentialing Agent Email:

Credentialing Agent Confirm Email:

Credentialing Agent Phone:

( ) -

Best Time to Call:

Comments:

MetroPlus Health Plan, Inc. utilizes the Council for Affordable Quality Health Care (CAQH) Universal Provider DataSource (UPD) for gathering credentialing data for physicians and other health care professionals.

Provider Services

This service is free for physicians and other health care professionals. This service eliminates redundancies in completing credentialing applications for multiple health plans, eliminates the need to print and mail credentialing applications, minimizes paperwork by allowing physicians and other health care providers to make updates online, and enables physicians and other health care professionals to easily access their information. Every four months, CAQH will require physicians and health care professionals to attest to the accuracy of their data.

Become a Provider

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