Please follow the links for more information on the COVID-19 response and small business aid.


Provider Education Series 

Please see our collection of instructional powerpoints as they pertain to the credentialing process


Credentialing Forms

Facility Credentialing / Recredentialing Application

Organization Data Form

Practitioner Data Form

Letter Templates

Lead Plan Acknowledgment

Initial Approval Letter

Approval Letter Amendment

Renewal Approval Letter

Notice Templates

Approval Notice

Denial Notice

Deficiency Notice

Contact Us

Pat Seabert, AzAHP’s Credentialing manager, would be happy to answer any of your questions or concerns. Please click on the button to get in contact with her.