Under Maintenance
As of January 1, 2026, the Join Our Network submission form is currently under maintenance and unavailable. While this form is under maintenance, organizations that are not currently contracted with The Health Plan (THP) may request to join the network by emailing ProviderNetworkManagement@healthplan.org. As a reminder, if your organization is already contracted with THP and you need to add a practitioner, please complete the Credentialing Request Form located on THP’s secure provider portal at myplan.healthplan.org.
Join Our Network
Please read our Standards of Participation before filling out this form. Access our Provider Manual to learn more about THP during the contracting process.
Organizations that are not currently contracted with The Health Plan (THP) may request to join the network by completing the form below.
If your organization is already contracted with THP and you need to add a practitioner, please complete the Credentialing Request Form located on THP’s secure provider portal.