To begin the process of becoming a Baby Arizona provider, each provider must complete
a Provider Agreement.
The Provider Agreement was created by the Arizona
Medical Association (ArMA). The Provider Agreement asks the provider to
agree to the following:
My name, practice address, and phone number may be given to a potential patient
by the ADHS Pregnancy Information Hotline and other participating referral system.
When contacted by a referred patient or the hotline, my office will schedule an
appointment to assist in the S.O.B.R.A. eligibility process pursuant to the training
we have received.
My office will perform the same clinical services for a referred patient on the
initial visit that we provide patients referred from other sources.
If a patient is subsequently determined not to be S.O.B.R.A. eligible, we will continue
her care based upon a reasonable payment schedule developed between my office and
If a patient determined eligible is assigned to another provider or opts to receive
care from another provider, we will transfer her records to that provider within
ten (10) working days of receiving a signed release from the patient.
Download the Provider Agreement here. [PDF]