Become a provider
If you currently are not affiliated with one of Health New England’s Provider Hospital Organizations and would like to become an Health New England participating provider, please submit a letter of intent.

This letter should include: 
  • A description of the services offered by the prospective provider 
  • Service Area (full address) (include all locations you would like to be considered for inclusion in our Network)  
  • Specialty training 
  • Service availability (office hours/availability) 
  • Any specialty information (including bi‐lingual) 
  • A resume or Curriculum Vitae (CV) 
  • Indicate if the provider has admitting privileges to any hospital(s); If yes, indicate the name(s) of the hospital(s) 
  • Indicate if the provider is currently treating any Health New England members; If yes, please indicate how many members the provider is treating 
  • Indicate if provider is properly accredited, if applicable (e.g. Radiology/Imaging or Sleep Study providers) and provide a copy of appropriate certification 
  • Indicate if the provider participates with MassHealth and/or Medicare 
  • Contact information (please include email)
  • Indicate if you E‐Prescribe 
  • State if you have Electronic Medical Records 
  • Any additional information that will help Health New England to make the decision 

ATTENTION SNF/ECFs and FACILITIES: Please include your insurance liability information with your LOI 

Please email, fax or mail us the Letter of Intent (LOI) to : 


Fax: 413-233-3175

Health New England
Attn: Provider Contracting
One Monarch Place, Suite 1500
Springfield, MA 01144

We will review your letter and make a decision based on the information you provide and our current needs. The review period for a decision is approximately 6 to 8 weeks from the date the letter was received by Health New England. Once we make a decision, or if we need more information, we will contact you either by phone or mail. If you have any questions, please email Provider Contracting at

Note: Applicable to Medical Providers: If a provider is currently participating with an Individual Practice Association (IPA) or Physician Hospital Organization (PHO) the provider must contact the IPA or PHO to discuss the process to join the HNE network.