Organizational Providers Application

Thank you for your interest in joining Mid-State Health Network (MSHN). Please review the application checklist prior to starting your application as it cannot be saved once the application has been started. The checklist will identify documentation required to be uploaded with your application.

MSHN directly contracts with Substance Use Disorder (SUD) treatment, prevention, and recovery providers. If you are a provider of SUD services, please click ‘Next’ to complete the application. Upon completion, the MSHN Provider Network Department will contact you directly.

There are twelve Community Mental Health Service Participants (CMHSPs) in the MSHN region that contract directly with mental health providers. If you are a provider of mental health services, please select the CMHSPs for which you are applying. A list of CMHSPs and their catchment area may be found on the MSHN website. Upon completion, the CMHSP Provider Network Department will contact you directly.

If the CMHSP determines a need for services and to pursue a contract, the CMHSP will notify the provider directly. The notification will guide the next steps, including accessing the MDHHS Universal Credentialing system to apply for credentialing approval to provide services. This process requires completion of a credentialing application and submission of documentation. A provider must be credentialed to provide services.

For your convenience, please click here and download the checklist before continuing.