Search Application Information

Forms & Documents > Provider Resources > Contract Providers > Network Provider Resources > Application Information

Name Description

Network Provider Current Rate Schedule

Network-Provider-Handbook_June 2022

Network Provider Handbook


Network Provider Application


Network Provider Scope of Practice Worksheet

Please contact our access line at 1 (800) 838-1381 for information or to schedule an appointment. All services are available in Spanish.

“Licensed by the State Department of Health Care Services.