Additional Resources / TIN Add Documents

ADDITIONAL RESOURCES

Access the resources you need with ease. Below are the key documents and agreements that can be downloaded directly.

Plan Checklist

Download the comprehensive Plan Checklist for 2023-2024.

Plan Checklist BH

Behavioral Health providers can download the Plan Checklist here.

Collaborative Agreement for NP

Collaborative Agreement specifically for Nurse Practitioners.

Collaborative Agreement for PA

Collaborative Agreement specifically for Physician Assistants.

Tiopa Addendum

Download the Tiopa Addendum document.

March 2024 W9 Form

Access the W9 Form for March 2024.


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