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GOBHI Provider Network

Thank you for your interest in becoming an addition to GOBHI’s array of dedicated and caring in-network behavioral health providers. We regularly evaluate our network needs to ensure adequate member access to behavioral health services. If you would like to be considered for GOBHI’s provider network, please fill out the GOBHI/EOCCO Provider Interest Form  and return it via secure email to Additionally, please allow two to four weeks to process your request.​

Required Reporting

  1. The ADA compliance form and attestation will be due once a year unless changes occur. Please submit to

  2. The Practitioner list will be due on a monthly basis.  Due by the 7th of the following month. If no changes are made please still submit with a note that there are no changes, i.e. terminations, new hires.  Please submit the form to

  3. Access Reporting is also due by the 7th for the following month. Please submit the form to

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