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We’re glad to hear that you are interested in joining the Amerigroup Community Care network.

We have a diverse network of exceptional healthcare professionals who help ensure our members have uninterrupted access to the healthcare they need.

Enroll as a provider in our network for a variety of benefits designed to help keep your patients healthy while protecting them from unexpected costs.

 

You make your patients' lives better. We'll do the same for you.

Our prior authorization, referrals, claims and payment processes are streamlined to help you focus on what you do best — caring for your patients.

We support you with:

  • A coordinated approach to care with innovative patient outreach/education.
  • Disease and case management resources.
  • Patient-centered medical home transformation.
  • Online self-service tools and live-agent support
  • Local Provider Relations staff committed to your success.
 

Application and credentialing process

Credentialing and recredentialing process for Medicaid providers

Georgia's Department of Community Health (DCH) now has an NCQA certified centralized Credentialing Verification Organization (CVO) that is responsible for credentialing and recredentialing Medicaid providers currently enrolled or seeking to enroll with Amerigroup in the state of Georgia.

  • Providers are required to credential through the Department of Community Health’s (DCH) Centralized Credentialing Verification Organization (CVO).
  • All individual practitioners and facilities currently enrolled or seeking to enroll with a Care Management Organization (CMO) will be credentialed and recredentialed through the centralized CVO. 
  • The CVO’s Credentialing Committee is responsible for credentialing Medicaid providers enrolled or seeking enrollment in the Georgia Families or Georgia Families 360°SM programs.
  • Independent Physician Practice Associations (IPA) and Physician Hospital Organizations (PHO) that conduct their own credentialing and to whom the CMOs delegate credentialing are excluded from this process.
  • Pharmacies are excluded from the DCH CVO requirements. Once they have established a National Council for Prescription Drug Program (NCPDP) profile with their Medicaid ID and NPI, new pharmacies must contact CVS/Caremark — which oversees the pharmacy network for CarelonRx, Inc. — to enroll into our network.

Submit an application for Medicaid provider credentialing through the GAMMIS web portal .

Questions regarding the centralized CVO initiative can be directed to cvo.dch@dch.ga.gov .

If you have questions regarding joining our pharmacy network, contact CVS/Caremark at 866-488-4708 or caremark.com .

Need help?

We are happy to assist you with any questions about joining the Amerigroup provider network.

Related resources

Provider tools & resources

Interested in becoming a provider in the Amerigroup network?

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