Request to Join CountyCare & Single Case Agreements

CountyCare believes great member care starts with great providers. To learn more about joining CountyCare’s network of providers, please submit a completed request form to CountyCareContracting@cookcountyhhs.org. After your form has been submitted, a CountyCare representative will reach out to you if CountyCare decides to pursue a contract with your organization. Please note: submitting this form is a request and not official registration.