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Provider Resources

Arkansas Total Care provides the tools and support you need to deliver the best quality of care.

Reference Materials

Medical Management

Behavioral Health

  • Discharge Consultation Form (PDF) - Coming soon
  • Electroconvulsive Therapy (ECT) Authorization Request Form (PDF) - Coming soon
  • Intensive Outpatient/Day Treatment Form for Mental Health/Chemical Dependency (PDF) - Coming soon
  • Outpatient Treatment Request Form (PDF) - Coming soon
  • OTR Tip Sheet (PDF) - Coming soon
  • Psychological or Neuropsych Testing Authorization Request Form (PDF) - Coming soon

Claims and Claim Payment

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 1-866-282-6280 or TDD/TTY: 711.