We are committed to supporting you in providing quality care and services to the enrollees in our network. Here, you will find frequently used forms, PDFs, provider manuals and guides, prior authorization information, practice policies, and support for delivering benefits to our enrollees.
Provider forms are located in our online library for easy access.
Policies, guidelines and manuals
Amerigroup provider manuals and guides provide key administrative information, including quality improvement and utilization management programs, quality standards for participation, claims appeals, and reimbursement and administration policies.
Amerigroup District of Columbia, Inc. offers training and tutorials to support providers in continuing their education. We will add presentations, videos, and other training documentation as they become available.
Amerigroup makes determinations based on selected inpatient or outpatient medical services including surgeries, major diagnostic procedures, and referrals to validate medical necessity.
Learn about Availity Essentials
Many of the tools you need — such as eligibility and benefits inquiries, claims submission or status inquiries, and prior authorizations — can now be accessed by logging into your account on the Availity Essentials Portal .
Provider tools & resources
- Log in to Availity Essentials
- Launch provider learning hub
- Learn about Availity
- Prior Authorization Lookup Tool
- Prior Authorization Requirements
- Claims Overview
- Eligibility & Pharmacy Overview
- Provider Manuals and Guides
- Provider Search Tool
- Training Academy
- Pharmacy Information
- Electronic Data Interchange (EDI)