Understand Your Participation Requirements
Discuss current plans, credentialing documents, practice responsibilities, and onboarding steps with provider relations before committing.
MD Senior Care Medical Group is a 100% physician-owned and operated IPA with no private equity involvement. We partner with independent private-practice MDs and DOs caring for Medicare Advantage patients, supporting coordinated senior care, specialty collaboration, and transparent contracting.
General information only. Participation is subject to current network needs, credentialing, applicable plan requirements, and a fully executed written agreement.
Independent practice should not mean negotiating or coordinating Medicare Advantage care alone. Our physician network is designed to support clearer contracting, local collaboration, and value-based care for older adults while respecting independent clinical judgment.
Discuss current plans, credentialing documents, practice responsibilities, and onboarding steps with provider relations before committing.
Learn about applicable quality-program, documentation, patient follow-up, and care-coordination expectations for participating practices.
Work in a network focused on preventive priorities, chronic-condition support, medication follow-up, and safer transitions from hospital to home.
Participating primary care physicians can coordinate specialist referrals, follow-up, and continuity of care through MD Senior Care's Inland Empire & High Desert network. Referral and authorization requirements depend on the patient's health plan, clinical needs, and specialist availability. Contact our team to confirm current network participation and referral procedures.
MD Senior Care is owned and operated entirely by physicians, with no private equity ownership, investment, or involvement. Participation is designed for independently operated practices, subject to the responsibilities and restrictions in the final written agreement.
Use the secure EZ-NET tools enabled for your account and our published claims instructions. Contact the team to find the appropriate support for other administrative questions.
Primary care and specialty practices have different responsibilities and onboarding requirements. Review the path that may fit your practice.
Our IPA model is designed for eligible independent internists, family physicians, geriatricians, and other PCPs who manage Medicare Advantage patient panels and want a value-based contracting conversation.
Request a direct discussion of current network needs, plan availability, participation requirements, and administrative responsibilities. Any decision should be based on the complete written agreement.
MD Senior Care contracts with qualified specialists who want to serve Medicare Advantage patients and collaborate with community-based PCPs through coordinated treatment and continuity across care settings.
Network need, service area, credentialing, plan requirements, and participation decisions are case-specific. Referrals and network acceptance are not guaranteed.
This page provides general information about provider participation. Detailed contractual and financial terms are discussed directly with qualified practices and are governed only by a fully executed written agreement.
Review current network needs, plan availability, credentialing requirements, provider responsibilities, administrative workflows, and onboarding steps.
Discuss applicable documentation, reporting, care-coordination, quality-program, and patient-safety expectations. Clinical decisions must always be based on medical necessity and each patient’s individual needs.
Our Business Expansion team can explain the current process, required documentation, network fit, and contract terms before you make a commitment.
Tell us your credentials, specialty, service area, Medicare Advantage participation, and patient-panel needs.
Discuss applicable plans, provider responsibilities, authorization and claims workflows, reporting, care-coordination expectations, and transition considerations.
Submit required professional and practice documentation for verification and participation review.
After approval and an effective date, coordinate referrals, claims workflows, reporting, and operational setup.
Our current physician presence includes Inland Empire & High Desert communities in Riverside and San Bernardino counties, including Ontario, Hemet, Riverside, San Bernardino, Perris, Victorville, Fontana, Upland, Menifee, and San Jacinto. Contracting opportunities depend on specialty, geography, plan participation, and current network access needs.
These general answers help private-practice physicians prepare for a contracting conversation. Your final agreement and current network requirements control participation.
An IPA is a network through which independent physicians can participate in managed-care contracts and coordinated clinical programs. Physicians generally retain ownership of their practices, while rights and responsibilities are governed by the participation agreement.
We review inquiries based on credentialing, geography, current network need, applicable plan participation, and agreement requirements.
Detailed agreement terms are discussed directly with qualified practices during contracting. Only a fully executed written agreement creates binding obligations.
The review may cover current network needs, plan availability, credentialing, provider responsibilities, authorization and claims workflows, reporting, care coordination, and implementation requirements.
The IPA model is intended for independently operated practices. The final agreement defines participation requirements, delegated duties, network rules, and any restrictions, so review those terms carefully before signing.
Requirements vary, but physicians may be asked for a current California license, NPI, CAQH profile, W-9, malpractice coverage, work history, board information, hospital affiliations, and other plan-required documentation.
Availability changes by county, product, network need, and effective date. Contact our contracting team for the current list of plan and service-area opportunities before making a decision.
Timing varies based on application completeness, primary-source verification, health-plan requirements, committee review, network need, and the requested effective date. Our team can explain the current process after reviewing your practice profile.
Tell us about your practice, credentials, specialty, location, and Medicare Advantage interests. We can arrange a direct discussion about current network needs, credentialing, participation requirements, and next steps.