Provider Contract Request

Become a valued partner in our network!

We are always looking for qualified providers to join our network. If you are interested in partnering with us and delivering exceptional service to our members, we encourage you to learn more about the benefits of being a provider in our network.

Additional information

For a faster response, you can contact us directly at (866) 945-2292. Our representatives are available Monday-Friday, 8 a.m. - 5 p.m. CST to answer your questions.

Please do not submit member or protected health information (PHI) through this form.

Important Notice for Existing Providers:
If you already have an active contract or contracted TIN with HCH, please update your information or add providers by completing the ATC file here. This file is also available on our Provider Resources page under "Update Your Provider Information".