If you’re newly licensed as a different provider type, you will need a new contract. Submit the appropriate contracting application.
For changes related to your clinical profile in our provider directory, complete the clinical profile form.
| For changes related to | You should |
|---|---|
|
Complete the Contract Update Form for your provider type. |
|
Submit a Standardized Provider Information Change Form. The Change Form is managed by the Mass Collaborative. |
|
Update your CAQH Provider Data Portal (formerly ProView) record or submit a Standardized Provider Information Change Form. |
