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» Health Care Services » The Medical Access Program » Provider Self-Service

Provider Self-Service


Provider Handbook for the Medical Assistance Program, Sendero Health Plans - updated Oct. 2011 

Provider Self-Service Registration & Instructions

MAP Pharmacy Formulary

 

Other Mapping Options


Self-Service Registration

Please fill out the form to pre-register for access to the eligibility database.  This service is only for providers wishing to register for service delivery through Central Health. Individuals seeking MAP or other health care services eligibility should call 978-8130. 

First Name:

Last Name:

Organization:

Department:

Email Address:

Phone Number / extension:

Physical Work Address:

City:

County:

State:

ZIP Code:

Security Question 1:
Security Question 1 Response:

Security Question 2:
Security Question 2 Response:

Create registration:

Delete registration: