Online or Paper Enrollment Requirement:
A Web-based provider enrollment application has been added to the Arkansas Medicaid website. You can find a link to the online application by selecting "Provider information," then selecting “Start an application” in the "Enrollment" section of the navigation bar on the left of your screen.
Mail applications to:HP Enterprise ServicesAttn: Provider EnrollmentP.O. Box 8105Little Rock, AR 72203-8105
If you have questions about how to enroll, call Arkansas Medicaid Provider Enrollment at (501) 376-2211 (local or out of state) or (800) 457-4454 (Arkansas). When prompted, select 0 for "Other Inquiries", then option 3 for "Provider Enrollment".
https://www.medicaid.state.ar.us/InternetSolution/provider/enroll/enroll.aspx