This page applies to MDs and DOs, but not psychiatrists, podiatrists, or chiropractors (see Behavioral Health or Ancillary professionals).
| For changes related to | You should |
|---|---|
|
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. |
If you're not credentialed by us and you're joining or opening a new practice
Complete the:
- HCAS Enrollment Form (see the Resource Documents section on hcasma.org)
- Physician Group Application (Type 2 NPI required).
If you are becoming a concierge practice
Review our Concierge Practice fact sheet.
