Note: Nominating a provider does not guarantee participation in the iCare network

“Please complete the form below to nominate a provider currently not participating in the iCare network. Once the form is submitted, our network recruitment team will review the information and then contact the provider and gauge their interest in participating with iCare. If successful, the process can take up to 90 days for completion of the recruiting process, contracting, and credentialing process

Please provide following information

What health plan are you affiliated with?

Provider information