Allied Health Providers
Start the Credentialing and Contracting Application Process
View, download and complete the specific credentialing application checklist and any additional forms and documents as outlined in the checklists below. Submit forms and documents by either emailing them to AlliedContracting@tufts-health.com or by faxing them to 617.673.0909. To facilitate review of a provider's application, submit all materials together.
Note: All individually credentialed Allied Health providers must complete the CAQH application. Allied Health providers that are credentialed at the group or facility level do not need to fill out the CAQH application.
Ambulatory Surgical Center
Durable Medical Equipment (DME)
Home Health Agency
Inpatient and Outpatient Rehabilitation
Orthotics and Prosthetics
PT/OT/ST Provider Groups
Skilled Nursing Facility
Frequently Asked Questions (FAQs)
Last Updated: November 12, 2020
1. How do I contract a physical, occupational or speech therapy group?
As of January 1, 2018, individual physical, occupational and speech therapists are no longer credentialed. Tufts Health Plan contracts at a “group level” for these services. To contract at the “group level,” providers are asked to fill out the Ancillary Provider Application, a W-9 form and include proof of both professional and general liability insurance. Email this information to firstname.lastname@example.org or fax the information to 617.673.0909.
2. If I already have a contracted group, how do I link a provider for payment?
If the group already holds a Commercial products (including Tufts Health Freedom Plan), Tufts Medicare Preferred HMO or Tufts Health Plan Senior Care Options (SCO) Allied Health Contract, simply fill out the Request Addition of PT/OT/ST Provider to Group form and email it to email@example.com. Note: On the form, be sure to include the date the provider started at your location to ensure there are no future claims issues.
If you are trying to link a provider to a group for a Tufts Health Public Plans product, you can simply send an HCAS form to firstname.lastname@example.org with a request to link the provider to the contracted group.
3. How can I confirm that the provider was successfully linked?
Linking providers takes about 1-2 weeks to complete. Providers can check on the status by either emailing email@example.com or calling the appropriate Provider Services phone number:
- Commercial products (including Tufts Health Freedom Plan): 888.884.2404
- Tufts Health Public Plans products: 888.257.1985
- Senior Products: 800.279.9022
4. If I am a solo ancillary provider, how do I obtain a contract?
For many other services we can contract a provider at the solo level. To apply for a solo contract, providers are asked to fill out the Ancillary Provider Application, a W-9 form and include proof of both professional and general liability insurance. Email this information to firstname.lastname@example.org or fax the information to 617.673.0909.
If the information submitted is complete and accurate, Allied Health Contracting will forward this information to Tufts Health Plan’s Credentialing department. The credentialing phase usually takes about a month to complete. After that step is complete a contract will be sent to you for your signature.
5. If I need to make a simple address or name change, what is the process?
For a simple “practice” or “mailing” address change, removal or addition, providers are asked to email a Provider Information Change Form to Provider_Information_Dept@tufts-health.com. Be sure to indicate on the form if you are adding, removing or updating an address. For a “payment address change” or “name change” forward this form to email@example.com.
6. How do I terminate my contract or leave a group contract?
If you wish to terminate a contract, Tufts Health Plan must receive written notification within 90 days. Notice of termination should be provided in writing, signed with demographic information and a reason for terming. This information can be sent by mail to:
Allied Health Contracting
705 Mount Auburn Street
Watertown, MA 02472
Faxed to 617.673.0909 or emailed to firstname.lastname@example.org.
If you are leaving one group and moving to another group, be sure to email email@example.com.
If you are a PT, OT or ST provider you can fill out the Request Addition of PT/OT/ST Provider to Group with the new group information. The previous group can simply notify Tufts Health Plan in writing or by emailing firstname.lastname@example.org.
7. I have tried contacting Allied Health Contracting by phone and have not heard back. What do I do to get in touch with someone from this department?
Allied Health Contracting supports thousands of individual and group contracts so the turnaround time to answer a voicemail is within 3-5 business days. Note: Email is the preferred method of contact for Allied Health Contracting as it establishes a paper trail and can be responded to at any hour. With all of our staff working remotely due to the pandemic, we ask that you try to utilize email (email@example.com) as the form of communication whenever possible.