Providers – Provider Partners Health Plans

Provider Services Line

For all provider inquiries, please call 1-855-969-5907 (TTY users should call 711) Hours are 8:00 A.M. to 8:00 P.M., seven days a week from October 1 through March 31; 8:00 A.M. to 8:00 P.M. Monday to Friday from April 1 through September 30.

Provider partners: Committed to High-Quality Long-Term Care

Provider Partners Health Plans welcomes providers in our service areas that are committed to quality, compassionate patient care for patients enrolled in our Institutional Special Needs Plans (I-SNP) and Institutional Equivalent Special Needs Plans (IE-SNP).

In Illinois in 2025, Provider Partners Health Plans covers care in 7 Illinois counties – Cook, DuPage, Kane, Lake, McHenry, Will, and Winnebago.

In Indiana in 2025, Provider Partners Health Plans covers care in 18 Indiana counties – Cass, DeKalb, Delaware, Elkhart, Hamilton, Hendricks, Howard, Johnson, Madison, Marion, Marshall, Monroe, Morgan, Porter, St. Joseph, Vanderburgh, Warrick, and Whitley.

In Maryland in 2025, Provider Partners Health Plans covers care in 16 Maryland counties – Allegany, Anne Arundel, Baltimore, Baltimore City, Caroline, Carroll, Dorchester, Frederick, Garrett, Harford, Howard, Kent, Queen Anne’s, Talbot, Washington, and Worcester.

In Missouri in 2025, Provider Partners Health Plans covers care in 65 Missouri counties – Audrain, Barry, Boone, Butler, Caldwell, Callaway, Camden, Cape Girardeau, Carroll, Cedar, Chariton, Christian, Clay, Clinton, Cole, Crawford, Dade, Dallas, DeKalb, Dent, Douglas, Franklin, Greene, Henry, Hickory, Howard, Iron, Jackson, Jasper, Jefferson, Laclede, Lafayette, Lawrence, Lincoln, Livingston, Madison, Maries, McDonald, Miller, Mississippi, Moniteau, Montgomery, New Madrid, Phelps, Platte, Polk, Pulaski, Ray, Reynolds, Ripley, St. Charles, St. Francois, St. Louis, St. Louis City, Saline, Scott, Stoddard, Stone, Taney, Texas, Vernon, Warren, Washington, Webster, and Wright.

In North Carolina in 2025, Provider Partners Health Plans covers care in 6 North Carolina counties – Cabarrus, Davie, Forsyth, Gaston, Guilford, and Lincoln.

In Pennsylvania in 2025, Provider Partners Health Plans covers care in 17 Pennsylvania counties – Allegheny, Armstrong, Beaver, Bucks, Butler, Chester, Crawford, Delaware, Fayette, Greene, Lancaster, Lawrence, Mercer, Montgomery, Philadelphia, Somerset, and Westmoreland.

In Texas in 2025, Provider Partners Health Plans covers care in 82 Texas counties – Anderson, Angelina, Bandera, Bexar, Brazos, Brown, Burnet, Cass, Chambers, Cherokee, Comanche, Concho, Cooke, Crane, Dallas, Delta, Denton, Ector, El Paso, Falls, Fannin, Fort Bend, Freestone, Goliad, Gregg, Grimes, Guadalupe, Hamilton, Harris, Henderson, Hood, Hopkins, Howard, Hutchinson, Jefferson, Jim Wells, Karnes, Kaufman, Lavaca, Limestone, Lubbock, Madison, Maverick, McLennan, Medina, Midland, Moore, Nacogdoches, Navarro, Orange, Palo Pinto, Parker, Potter, Randall, Red River, Refugio, Robertson, Rockwall, Runnels, San Saba, Shelby, Smith, Somervell, Tarrant, Titus, Tom Green, Tyler, Upshur, Uvalde, Val Verde, Victoria, Washington, Wichita, Williamson, Wise, and Young.

At least one of your practice locations must be within our service area for you to become a participating provider.

Woman speaking to elderly woman and holding her hand

More Information

Learn more about Institutional Special Needs Plans (I-SNP)

2025 Documents for Providers

Page Last Updated: 10/10/2024