Join our provider network
Become a Providence behavioral health provider
Thank you for your interest in becoming a participating provider with Providence Health Plan! At Providence, we believe that healthcare isn’t a commodity service, but a community pursuit, and we are so excited to have you as part of our community.
Whether you are a new provider with a new solo or group practice, a new provider joining an in-network group or an in-network provider starting a new solo or group practice; wherever you are in your career, we are interested in hearing from you.
Our open provider panel
Please review our nomination panel below to see specialty types and locations for which we are currently accepting new providers.
Providence Health Plan values contracting with providers who identify as or provide:
- Black/African American centered care
- Hispanic and Latinx centered care
- Indigenous/Native American centered care
- Asian and Pacific Islander centered care
- Gender affirming & LGBTQAI+ centered care
- Bilingual care
Oregon open provider panel
| Category | Specialties | County Status |
|---|---|---|
| Behavioral Health | ABA Therapy Licensed Professional Counselors (LPC) Licensed Clinical Social Worker (LCSW) Licensed Marriage/Family Therapist (LMFT) Psychiatrist/PMHNP Licensed Psychologist |
Open counties: All Oregon counties |
Washington open provider panel
| Category | Specialties | County Status |
|---|---|---|
| Behavioral Health | ABA Therapy Licensed Professional Counselors (LPC) Licensed Clinical Social Worker (LCSW) Licensed Marriage/Family Therapist (LMFT) Psychiatrist/PMHNP Licensed Psychologist |
Open counties: Clark, Skamania, Klickitat, Cowlitz, and Wahkiakum |
Ready to join our network?
To initiate the contracting process, complete the Oregon Practitioner Credentialing Application (OPCA) or Washington Provider Credentialing Application (WPCA) and New Behavioral Health Provider Profile form listed below.
Please email your completed application and form to PHP_BH_Network@Providence.org.
- Oregon Practitioner Credentialing Application (OPCA) (PDF)
- Washington Practitioner Credentialing Application (WPCA) (PDF)
- New Behavioral Health Provider Profile Form (PDF)
Please complete if you are a new provider interested in contracting with PHP or if you are currently contracted and would like to add providers to your group or start a new solo practice.
Submission tips:
If you have a CAQH, please include the New Provider Profile Form in your email.
If you do not have a CAQH, please include New Provider Profile Form and the OPCA or WPCA in your email.
Credentialing & contracting process
Step 01
Application Submitted
Your application is received by the Behavioral Health team for review.
Step 02
Credentialing
Your application is reviewed by the Credentialing team. You will be notified of a decision within 90 days.
Step 03
Contracting
Once approved by the provider/group, PHP will countersign and issue a fully executed copy of the agreement.
Step 04
Notification of Contract Effective Date
You will receive notification via email for when you can begin seeing patients.
Behavioral health provider resources
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Claims and benefit information
Get access to claims and member benefit information by creating a OneHealthPort account.
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Policy information
Review our policies such as supervisory billing, coding, and more in ProvLink.
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EFT payments
We partner with Zelis to provide secure and convenient EFT payments to our providers.
Please contact your representative for more information.
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Practice updates, address, tax-id, etc.
Please send all practice updates to your representative 30 days prior to the desired date of change.
The following items can be found within ProvLink:
- Address form
- Blank W-9
- Providence’s POS policy for telehealth
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Request a copy of your contract
Please reach out to your representative for a copy of your provider contract.
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Providers outside of Oregon/Southwest Washington
Providers practicing outside our territory of Oregon and Southwest Washington may provide services to Providence members, but you must be contracted through Carelon, who manages our national network.
Have questions?
Visit CarelonBehavioralHealth.com to learn more. You may also call Carelon at 800-397-1630 or email Carelon directly at BeaconPHPPR@carelon.com. -
Out-of-network provider assistance
Our Customer Service team is available to assist providers. Call Customer Service at 503-574-7440, Monday through Friday, 8 a.m. to 5 p.m. (Pacific Time).
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Contracted provider assistance
Our Provider Relations team is available to help:
- Educate providers on administrative policies and procedures
- Communicate changes and updates that assist providers in the efficient administration of our plans
- Advocate on behalf of our providers when working to resolve an issue
- Initiate the credentialing process for new providers
- Represent Providence networks in a knowledgeable and respectful way
- Assess the changing needs of a particular service area
- Manage changes to the demographic information of participating providers
To connect with a representative, please complete the request form.
Have questions?
For contracted providers or providers interested in contracting with Providence Health Plan, please email PHP_BH_Network@providence.org.
For out-of-network providers, please call our Customer Service team at 503-574-7440, Monday through Friday, 8 a.m. to 5 p.m. (Pacific Time).