Join Our Network
The Contracting and Credentialing Process
1
Network Participation
Request
Complete the form and we'll let you know if we're accepting new practitioners. This takes up to:
30 days
2
The Credentialing
Process
After your documents and paperwork are submitted, we'll let you know if you have passed credentialing. This takes up to:
60 days
3
Provider
Setup
After passing credentialing, or you are already a participating provider, you'll be configured in our system within:
30 days
Got questions?
Email Provider RelationsRequired Forms & Documents
To ensure timely processing of your request, please download and submit all forms.
Submit documents to:
dcprovidersolutions@amerigroup.com. Be sure to include the practitioner's name and NPI in all email correspondence.
If you are a:
Non-Participating
Practitioner:
Practitioner:
Applying for participation with a participating group
Applying for participation with a non-participating group
Participating Practitoner:
Opening or changing groups
Amending a contract
Download & complete these forms:
