Become a Provider

We are currently at capacity for our provider needs, however if you are interested in becoming part of the Flatwater provider network, complete the form below and we’ll notify when our needs change. We appreciate your interest in our Program.

Interest Form

Become a Provider

To be an active part of the Flatwater network, providers are required to:

  • Have a signed, written Business Associate Agreement with Flatwater prior to the provision of any therapy services to Flatwater program participants

  • Complete HIPAA and Texas Privacy and Security Law training provided by Flatwater prior to the provision of any therapy services to Flatwater program participants and again if there are any material changes to HIPAA requirements that impact the Provider’s practice

  • Ensure all documents and practices are in place for HIPAA and Texas Privacy and Security Law compliance

  • Ensure an active liability insurance policy is on file with Flatwater and that a new policy is provided upon expiration date

  • Ensure verification of an active mental health license in the state of Texas is on file with Flatwater and that a new verification is provided upon expiration date

  • Have a current W-9 on file with Flatwater and ensure that a new document is provided if business changes occur

  • Ensure that all required information for provider profile is current within Flatwater program services platform and that information is regularly reviewed and updated as needed

  • Be available to accept a Flatwater referral at least once per calendar year 

  • Ensure that therapy services provided are focused on cancer-related needs in order to be funded by Flatwater

  • Ensure that the maximum number of Flatwater funded sessions (40) is not exceeded 

  • Ensure that appointments are logged for services delivered within Flatwater program services platform in a timely manner and at a minimum, monthly by 11:59pm on the 5th of each month (for services provided in preceding month) to ensure payment 

  • Notify Flatwater within 3 business days of a change in participant’s program status

  • Complete annual training provided by Flatwater relevant to the clinical treatment or support of those impacted by cancer

  • Utilize language provided by Flatwater when referencing Flatwater or their relationship to Flatwater in any communications, including their clinical practice website

  • Support and respond to any participant surveying process requests initiated by Flatwater

  • Attend annual provider meeting (held in late winter/early spring)

  • Attend one individual meeting with Flatwater program staff annually

PLEASE NOTE: We are currently at capacity with providers, however we are happy to hear from those interested in joining our network. Please check back for updates as we will gladly interview new providers when our needs change.