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: email@example.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: firstname.lastname@example.org
(providers are suggested to copy the following email address as well: email@example.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.
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.