Regulatory Notice to Ohio Providers

Pursuant to Ohio HB 125, Integrated Health Plan is required to provide you with a Summary Disclosure Form describing the terms and conditions of our provider contract. HB 125 also requires us to use a specified application form (the "CAQH" form) for credentialing purposes. To access these forms and to find out more about HB 125, please enter the user name and password below. If you do not have the user name and password for this purpose, please call our Provider Relations Department.