Manuals & Forms for Providers | Ambetter from Arkansas Health & Wellness
Provider Resources
On April 22, 2024, UnitedHealth Group issued a press release, providing an update on the Change Healthcare cybersecurity incident that occurred on Feb. 21, 2024. Given the size of the data impacted, the investigation to determine whose data is impacted is expected to take several months. UnitedHealth Group believes this situation will impact “a substantial proportion of people in America” and is offering immediate credit monitoring and identity protection services, as well as a dedicated contact center to address questions. Visit Change Healthcare Cyberattack Support and/or reach out to the contact center at 1-866-262-5342 regarding any questions.
Ambetter provides the tools and support you need to deliver the best quality of care.
Reference Materials
- 2024 Provider and Billing Manual (PDF)
- 2023 Provider and Billing Manual (PDF)
- Quick Reference Guide (PDF)
- ICD-10 Information
- Payspan (PDF)
- Secure Portal (PDF)
- Provider Portal Initiative FAQ (PDF)
- Envolve Vision Plan Specifics (PDF)
- Ambetter Reimburses for Substance Use Services (PDF)
- Long-Acting Medications as First-Line Treatment in Schizophrenia (PDF)
- Provider Data Change Form (PDF)
- Non-Formulary And Step Therapy Exception Request Form (PDF)
- Opioid Resources for Prescribers
- Adult Immunization (PDF)
- METS (Members Empowered to Succeed) (PDF)
- METS Frequently Asked Questions (PDF)
Medical Management/Behavioral Health
- Pre-Auth Needed?
- Prior Authorization Guide (PDF)
- Inpatient Prior Authorization Fax Form (PDF)
- Outpatient Prior Authorization Fax Form (PDF)
- Grievance and Appeals
- Discharge Consultation Form (PDF)
- Turning Point Prior Authorization
- Benefit Inquiry Form (PDF)
Claims and Claim Payment
Quality
- Practice Guidelines (PDF)
- Cultural Competency Plan (PDF)
- Quality Improvement (QI)
- Ambetter Member Reassignment Form (PDF)
- Providing Quality Care
Provider Credentialing
Attention
If you would like to become a provider within our network, please fill out the Become a Provider form. Or call us at 1-844-631-6830 or by emailing ArkansasContracting@centene.com.
- Allied and Advance Practice Nurse Credentialing Application (PDF)
- Medical Doctor or Doctor of Osteopathy Credentialing Application (PDF)