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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 |
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Complete the Contract Update Form for your provider type. |
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Submit a Standardized Provider Information Change Form. The Change Form is managed by the Mass Collaborative. |
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Update your CAQH Provider Data Portal (formerly ProView) record or submit a Standardized Provider Information Change Form. |