Mental Health and Substance Use Services for Adult Members

DHP looks forward to working with you!

To contract and credential with Driscoll Health Plan, please complete the desired form below and email: [email protected]. Complete this form for all practices or facility locations.

Upon receipt of this request form, DHP will notify Verysis (CVO) to start the credentialing process with your completed credentialing application on CAQH or Availity.

Ensure all information in CAQH or Availity is updated and required documents are current. Please note that providers must be enrolled in Texas Medicaid and have an active NPI before submission of this request.


Forms & Documents

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