Opening and closing to new patients
Primary care providers may open or close their practices to new Priority Health members of any or all of our plans as their patient loads increase or decrease.
- Use the Provider information form to notify us.
We require 60 days advance notice of closing to new patients.
Opening a closed practice to new patients can be effective immediately when we receive your written request.
When your patient switches to a Priority Health plan
When a patient of your practice covered by a different insurance company switches to Priority Health, he or she is considered to be an "established patient." Even if your practice is closed to new patients, he or she can designate you as PCP.
Now processing requests received on:
New providers: July 24, 2019
New behavioral health providers: Behavioral health provider participation requests
Provider changes: Aug. 28, 2019
Last updated: Sept. 12, 2019
- NPI numbers
- Electronic funds transfer (EFT)
- Physician status
- Open or close to new patients
- Availability standards
- Changes to address or staff
- Provider-patient relationship
- Medical & office records
- Medicaid patient treatment
- Medicare patient treatment
- Site visits
- Fraud, waste & abuse
- Utilization Management Program