Become a Provider

Thank you for your interest in participating with Arkansas Total Care. We are excited for the chance to work with you to provide high-quality care.

If you are interested in joining our network, call toll free 1-844-631-6830 or fill out the form below.

As an Arkansas Total Care 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 Code *

Practice County *

Tax ID Number

Individual NPI

Group NPI

Medicare Number

Arkansas 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 Code *

Contact Phone Number *

Contact Email *

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