CMS requires us to regularly contact our network providers to confirm the accuracy of our directory information. Up-to-date directory information helps our members find new providers when they need care and ensures more timely and accurate claims processing.
Please Note: Forms are intended for participating providers or those currently in the contracting process.
Read more in the Provider Portal User Guide [PDF] or Contact Us.
Tips for practice administrators:
Please use our web-based provider data management tool to submit real-time changes:
Call 1-800-348-9804 to add a new facility (hospital, skilled nursing facility, ambulatory surgical center, etc.). A new participation agreement and/or credentialing application may be required.
PORTAL ACCESS LIST UPDATE: To ensure accurate updates to our provider portal, billing organizations must directly email Martin's Point to add Taxpayer Identification Numbers (TINs) to their access lists. Please refrain from using the Provider Datapoint forms for this purpose, as it could impact processing.
Email: [email protected]
Mail: Martin’s Point Health Care, Network Management Department, PO Box 9746, Portland, ME 04104
CMS now allows providers to use the NPPES to certify their NPI data. Information and FAQs about using NPPES as a reliable source for provider directory data are available at https://www.cms.gov/Medicare/Health-Plans/ManagedCareMarketing/index.
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Practice, Group and Facility changes that require notice include, but are not limited to:
*Changes in tax ID numbers may require an amendment or new participation agreement depending on the reason for the change.
Check with your provider representative for specific information.
Provider changes that require notice include, but are not limited to:
** If adding a provider or a specialty, in most cases the provider must first be credentialed before rendering treatment to any plan member. Please see the Credentialing page for further detail.
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If you are interested in participating in the Martins Point network or need to make changes to your information, please contact the Behavioral Healthcare Program (BHCP) at 1-800-538-9698.
You can also visit their website: https://www.bhcp.org/ProviderServices.aspx to download the BHCP Provider Change Form.
By updating your information, you are ensuring the accuracy of our provider directory and creating a better experience for our members to search for and find the provider that is right for them.
Please help us maintain an accurate provider directory by checking your provider listing for important information like address, phone number, and panel status.
Access the Provider Directory for the Martin's Point Generations Advantage plans.
Access the Provider Directory for the Martin's Point US Family Health plan.
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By providing Martin’s Point Health Care with this information, your group will receive important updates and changes in a more timely and effective way. In order to better communicate with your group, Martin’s Point is now collecting contact information for the following roles:
| Role | Communication Description |
|---|---|
|
Administrative |
Authorization and referral updates |
|
Billing |
Claim and payment policy updates |
|
Clinical |
Medical policy updates |
|
Contracting |
Contract notices and updates |
|
Credentialing |
Credentialing and delegation updates |
|
Executive |
Performance and quality updates |
|
Medical Records |
Requests for medical records updates |
|
Population Health |
Quality updates |
|
Practice Manager |
General notice updates |
|
Provider Data |
Requests for demographic updates |
|
Risk Adjustment |
Comprehensive Visit updates |
If you have questions about updating your provider information or related items, contact the Martin's Point Network Management department below.
You can also find more information in the Provider Manual.