Join TIOPA
Your journey to becoming a TIOPA member.
Eligible Provider Specialties
The following provider specialties are eligible to join:
- Applied Behavior Analyst
- Board Certified Behavior Analyst
- Certified Nurse Midwife
- Certified Registered Nurse Anesthetist
- Doctor of Chiropractic
- Doctor of Education
- Doctor of Optometry
- Doctor of Pediatric Medicine
- Doctor of Philosophy
- Doctor of Physical Therapy
- Licensed Certified Social Worker
- Licensed Professional Counselor
- MD and DOs
- Nurse Practitioner
- Occupational Therapist
- Physician Assistant
- Psychologist
- Registered Dietitian
- Registered Nurse
Important Notes
Remember these key points during your application process.
- BCBS/Medicare/Medicaid IDs required for submission to the networks.
- Demographic updates via Provider Resources link.
- Annual dues every September
- Network issues? Contact us
- Reappointment every 3 years
- No refund policy
Step 1: Request Your Application
You have two options:
- 1. Download and complete the application, then submit it through our Request Application form.
- 2. Submit the request without an application and complete the process online.
Step 2: Gather Your Documents
Collect the necessary documents to complete your application.
- Application Packet
- DEA Certificate
- Protocols
- Addendum
- Provider Agreement
- TSCA Application
- Provider Relations Packet
- Application Fee
Step 3: Submit Your Application
Submit your completed application and receive notification from our staff within 5 days.
Still have questions about the application process? Contact the Credentialing Department.
Miss the initial application deadline? Expedited options may be available (must be approved).
Step 4: Wait for Board Approval
Your application will be reviewed by the TIOPA board. Please note that Board Approval is not guaranteed.
After Board Approval
Once your application is approved by the board, the average turnaround time to receive effective dates from the payors is 60-90 business days.
APPLICATION DEADLINES
Stay informed about the important application deadlines. Ensure your applications are submitted on time.
Initial Applications for the month of
Expedited Applications for the month of
Download Your Application
Select and download the application form that fits your needs.