Before you enter the Provider Application, complete and save the required form for your provider type.
Ancillary Institutional Providers: | |
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1. These provider types must upload the Additional Site of Service form as an attachment when they fill out the Provider Application.
2. These provider types must upload the Behavioral Health for Children and Adolescents (BHCA) form as an attachment when they fill out the Provider Application. They must include all their Massachusetts-licensed sites as well as the sites used for home-based BHCA services.
Be sure to click the "Yes" button on the final screen to submit your application: