Provider attestation change; updated form

In order to maintain accurate, high-quality provider information and ensure compliance with accreditation standards, additional questions will be added to the provider attestation form in the Provider Portal effective April 4, 2026. These questions are required as part of the attestation process and must be completed to submit the attestation form.

Providers will additionally attest to:

• Average wait time for appointments
• Availability of telemedicine services and direct patient care
• Patient gender restrictions, if applicable. 

If you have questions about the attestation process or the information being requested, please contact your provider representative. If you do not know who your provider representative is, please contact [email protected].

Thank you for your continued partnership and for helping us maintain accurate provider records.