Behavioral Health Providers
Start the Credentialing and Contracting Application Process
Note: This process is applicable to individual practitioners who wish to contract with Tufts Health Plan. This process does not apply to hospital-based behavioral health clinicians or non-physician behavioral health clinicians billing under a Tufts Health Plan contracted supervising psychiatrist.
To join the Tufts Health Plan provider network, follow the steps below:
Step 1: Submit the credentialing application to CAQH ProView. Note: If the CAQH registration process has previously been completed, log in to update any information that has changed since the last attestation and authorize the release of data to Tufts Health Plan.
Step 2: After the online CAQH application has been completed, complete the appropriate Ancillary Practitioner Data Form below:
Step 3: Complete the documents listed below:
- W-9 Form
- Copy of the property General Liability insurance (i.e., insurance covering the physical facility in which work is performed) indicating amounts and dates of coverage for each practice location
Step 4: Send completed documents via email to Tufts_Health_Plan_Credentialing_Department@tufts-health.com.
Note: Review materials before submitting to ensure everything is complete and accurate. Tufts Health Plan will only process applications when all required materials are received. Providers will be notified via email if the application is missing information. After a completed application is submitted, providers may check the status of the application by emailing Tufts_Health_Plan_Credentialing_Department@tufts-health.com.
Step 5: Tufts Health Plan will email a contract to the provider.
Step 6: Sign and return the signature page of the contract to the above email address.
Step 7: Tufts Health Plan will complete the credentialing process and notify the provider of their effective date. Providers should not see Tufts Health Plan members until notification of approval is received from Tufts Health Plan.
Non-physician behavioral health providers should fill out the application below as applicable to the type of license:
Reference the Individual Behavioral Health Clinician Checklist and Outpatient Behavioral Health or Substance Use Disorder Clinic Checklist to ensure all information is included in the application. If no additional information is needed, the application will be processed within 30 days and a contract will be issued. Note: Credentialing will occur when a signed contract is received.