Manuals, Forms and Resources

Attention

Before submitting a credentialing application, please complete the contracting process first. To learn more about contracting with Arkansas Health & Wellness fill out this Contracting From.

Arkansas Health & Wellness Credentialing Applications

Allied and Advanced Practice Nurse Credentialing Application (PDF)
Medical Doctor or Doctor of Osteopathy Credentialing Application (PDF)

Arkansas Health & Wellness Manuals & Forms

Account Manager Secure Portal (PDF)
PAI Provider Self Reporting Form (PDF)
Provider Data Change Form (PDF)

Ambetter Manuals & Forms

For Ambetter information, please visit our Ambetter website.

Wellcare by Allwell Manuals & Forms

For Wellcare by Allwell information, please visit our Wellcare by Allwell website.