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.
