Report a Problem

Have you found any inaccurate data on Find a Provider? Use this form to help us ensure that the Provider data on our Find a Provider tool is accurate. Members, please do not share any of your personal information like your Medicaid ID, phone number or address on this form. This form is only intended to capture provider data.

If you would like to submit this information by phone, or if you have any questions please contact us at:

Provider Services: 1-844-477-8313

Required fields are marked with an asterisk (*)

Are you a * Member Provider Other

If Other, Please Explain: *

Provider First Name *

Provider Last Name *

Facility Name

National Provider Identifier (NPI) Number *

Provider Phone *

Provider Email

Provider Street Address *

Provider City *

Provider State *

Provider Zip Code *

Contact First Name *

Contact Last Name *

Contact Phone Number *

Type of Issue Being Reported: * Incorrect address Practitioner not at location Incorrect office hours Incorrect phone number Not accepting plan