Become A Provider

Thank you for your interest in participating with Arkansas Health & Wellness. We are excited that you selected our provider network as your network of choice. If you are interested in joining our network call toll free 1-844-631-6830 or fill out the form below.

As a Arkansas Health & Wellness provider, you can rely on:

A comprehensive approach to care for your patients through disease management programs, healthy behavior incentives and 24-hour toll-free access to bi-lingual registered nurses
Initial and ongoing provider education through orientations, office visits, training and updates
A dedicated claims team to ensure prompt payment
Minimal referral requirements and limited prior authorizations
A dedicated provider relations team to keep you informed and maintain support in person, by email or by phone
The ability to check member eligibility, authorization and claims status online
Healthcare collateral for your patients (e.g., information about our benefits and services) and educational displays for your office

Legal Practice Name or DBA *

Specialty *

Practice Address *

Practice Address Line Two

Practice City *

Practice State *

Practice Zip *

Practice County *

Tax ID Number *

Individual NPI *

Group NPI *

Medicare Number *

Medicaid Number *

Contact Name (First and Last Name) *

Contact Title *

Contact Address for Certified Mailings *

Contact Address Line 2

Contact City *

Contact State *

Contact Zip *

Contact Phone Number *

Contact Email *

Agreement * I understand that this inquiry does not guarantee my participation in the Ambetter network. I understand that failure to complete this inquiry accurately and completely will result in the delay of evaluating my request.