Forms


This is a library of the forms most frequently used by health care professionals. Looking for a form but don't see it here? Please contact your provider representative at ARProviderQuestions@Summitcommunitycare.com or by calling 1-844-462-0022 for assistance.

Additional forms can be found on the Arkansas Department of Human Services  and  Arkansas Medicaid websites.

Provider tools & resources

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We look forward to working with you to provide quality service for our members.