Become a Provider
Become a Provider
Contracted Providers
To add your facilities including Ancillary, Behavioral Health, and Hospital providers to your existing participating contract:
Please download and complete our
HDO Application and email it to
To add practitioners to your current contract:
Please download and complete our Provider Data Form, Provider Roster Template, and a W-9 Form dated within the last 12 months and email it to CCP.Provider@ccpcares.org.
To Become a Provider
Thank you for your interest in joining Community Care Plan’s Provider Network. Community Care Plan (CCP) is an entity owned and operated by South Florida’s most experienced names in healthcare: Broward Health (North Broward Hospital District) and Memorial Healthcare System (South Broward Hospital District) in Broward County.
To start the credentialing process, please complete the Letter of Interest (LOI) form below and follow the submission instructions. Once this information is received, you will be notified by CCP of the next steps in the credentialing process. Credentialing connects you with a growing network of professionals across Florida, whose qualifications are carefully vetted and approved to distinguish the network as one that is committed to quality across all standards of care.
Please be assured that our staff is here to assist you in the process and answer any questions you may have. Should you have any questions or concerns, please call 1-855-819-9506 or email CCP.Provider@ccpcares.org.