Applications

If you are a provider specializing in Chiropractic or Physical, Speech or Occupational Therapy services, please go directly to these Web sites:

Interested in Joining the Arizona Foundation?

The Arizona Foundation is committed to ensuring access to high-quality healthcare through an extensive network of physicians, hospitals and other medical professionals. That commitment to quality begins with highly qualified, fully vetted providers.

To ensure this, we start with certain basic selection criteria - including a valid license, training appropriate to the profession and acceptable malpractice claims history. The Arizona Foundation couples that with a rigorous credentialing process that verifies your education, employment history and so on.

Criteria for joining the Arizona Foundation includes:

  • Current valid licensure or other authorization to practice
  • Training appropriate to the profession
  • Admitting privileges in good standing at participating hospitals, if applicable
  • DEA certificate, if applicable
  • Acceptable malpractice claims history
  • Acceptable record with applicable disciplinary boards or other regulatory authorities

The decision whether to accept an applicant is based not only on the information gathered during the application process, but on network requirements as well.

The types of Providers in Arizona Foundation's Network

Providers are categorized in three ways on the Arizona Foundation Web site: Medical, Chiropractic and Worker’s Comp.

  • Medical includes providers and facilities contracted with AFMC. Each network plan type offers a combination of physicians and facilities dependent upon contracted rates.
  • Chiropractic (Chiropractic Cost Containment System (CCCS) - offered in conjunction with Chiro Source) is a stand-alone network of chiropractors that offer employer groups and individuals sound management of chiropractic care at lower costs. Policyholders access a growing network of chiropractors that have agreed to comply with a strict utilization management and re-pricing structure.
  • Workers’ Compensation includes Arizona Foundation's contracted physicians and facilities that have elected to participate in this plan.

For contracting purposes, the Arizona Foundation divides medical providers into the following categories:

  • Allied Health - Allied health professions are clinical healthcare professions distinct from medicine, dentistry, and nursing. They work in a healthcare team to make the healthcare system function. Because their job descriptions become more specialized, they must adhere to national training and education standards, their professional scope of practice, and often prove their skills through diplomas, certified credentials, and continuing education. Examples of Allied Health professionals are: Nurse Practitioners, Medical Assistants and Surgical Technologists.
  • Behavioral Health – Treats and prevents mental, emotional and/or behavioral disorders.
  • DPM – Podiatrists treat corns, calluses, ingrown toenails, bunions, heel spurs, and arch problems; ankle and foot injuries, deformities, and infections; and foot complaints associated with diabetes and other diseases.
  • MD/DO – This category includes all specialities not listed in the previous three categories and includes areas of interest such as allergists, anesthesiologist, cardiologists, dermatologists, emergency medicine, family medicine, internal medicine, pediatricians, urologists, and many others.
  • Physical Therapy Providers - Physical therapists, sometimes referred to as simply PTs, are healthcare professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions, illnesses, or injuries that limits their abilities to move and perform functional activities as well as they would like in their daily lives. Physical therapists examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness and wellness-oriented programs for healthier and more active lifestyles. Physical therapists often consult and practice with a variety of other professionals, such as physicians, dentists, nurses, educators, social workers, occupational therapists, speech-language pathologists, and audiologists.

Credentialing Process

Arizona Foundation's credentialing process verifies each practitioner's education, training and experience. They also check your background, employment history and malpractice history. They use nationally recognized credentialing criteria and standards to determine which healthcare practitioners they select.

How to Join

If you're interested in becoming an Arizona Foundation contracted provider, you can request an individual contract or a contract as a medical group. In either case, you must meet our credentialing and other criteria. If the information submitted in the application is complete, the process will typically take 60 to 90 days. Arizona Foundation will assign and notify you of the effective date for your participation when they have completed the application and credentialing process.

Individual physicians may join the network by completing the initial request form below. Upon receipt, Arizona Foundation's Provider Relations Department will contact you to start the application process.

Group practices/organizations/facilities may also join our provider network. If you represent an organization that would like to join the Arizona Foundation Network, please fill out the information below and submit your request to us.

Please allow five (5) business days to process your request before contacting us.

Arizona Foundation
Provider Relations

2700 N Central Ave Ste 810
Phoenix, AZ 85004-1162

Tel: 800-624-4277
Fax: 602-495-8684
E-mail: providerrelations@azfmc.com

Request Form to Become an AFMC Provider
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