State Specific Agreements and Forms: Certain states have specific requirements for Providers participating in Healthcare Networks. Click on the appropriate link based on Provider location:
Arkansas Providers Click here.
Illinois Providers Click here.
Texas Providers Click here.
All other Providers should utilize the agreements below.
Provider Agreement: Use this agreement if you are an individual provider or a provider group.
IPA Agreement: Use this agreement if you are a group of providers accepting delegated credentialing.
Ancillary Agreement: Use this agreement for facilities providing Outpatient Services only.
Facility Agreement: For more information about contracting your facility, please contact USA MCO’s Provider Marketing Department at (800) USA-0820 or at the address below:
Mail completed agreements to:
Provider Marketing Department
USA Managed Care Organization
4609 Bee Caves Road, Suite 200
Austin, Texas 78746
(800) USA-0820