Manuals, Forms and Resources
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 Advance Practice Nurse Credentialing Application (PDF)
- Medical Doctor or Doctor of Osteopathy Credentialing Application (PDF)
- Arkansas State Medical Board Attestation form 2020 (PDF)
This form must be returned with your MD/DO Credentialing Application (PDF) in order to complete your submission.
Ambetter Manuals & Forms
For Ambetter information, please visit our Ambetter website.
Allwell Manuals & Forms
For Allwell information, please visit our Allwell website.