Provider Resources Overview
We are committed to supporting you in providing quality care and services to the members in our network. Here you will find frequently used forms, PDFs, provider manuals and guides, policies, and support for delivering benefits to our members.
Provider Forms
Provider forms are located on the Forms page of this site for easy access.
Provider Education
Amerigroup Community Care offers training and tutorials to support providers in continuing their education through the Provider Training Academy. We will add presentations, videos and other training documentation as they become available.
Provider Manuals, Policies and Guidelines
Amerigroup provider manuals contain key administrative information, details regarding programs including the utilization management program and case management programs, quality standards for provider participation, guidelines for claims and appeals, and more.
Details regarding dental, vision and behavioral health services can also be found in the provider manuals.
Learn about Availity
Many of the tools you need — such as eligibility and benefits inquiry, claims submission, claims status inquiry, and authorizations — can now be accessed by logging into your account on the Availity Essentials .
Prior Authorization Resources
For information related to submitting a prior authorization request, please refer to your provider manual or visit the Prior Authorization Requirements page.
The Prior Authorization Lookup Tool Online can help you determine a code’s precertification or prior authorization requirement before a request is submitted.
Behavioral Health
The Behavioral Health provider network at Amerigroup includes community-based behavioral health providers, Community Service Boards (CSB), psychiatrists, psychologists, social workers, psychiatric nurses, and other mental health and employee assistance health care professionals.
Our facility network includes hospital inpatient units, residential treatment centers, partial hospitalization programs, and intensive outpatient services and programs.
Provider Directory
To find a doctor, group or facility in our network, use the online provider search tool below.
Provider Demographics
All demographic changes for Georgia Medicaid providers must be made through Georgia Medicaid Management Information System (GAMMIS). Providers with a delegated credentialing arrangement with Amerigroup will continue to submit demographic changes to the health plan.
Need to report changes in practice status to Amerigroup? Please visit the contact us page.
Provider tools & resources
- Log in to Availity
- Launch Provider Learning Hub Now
- Learn about Availity
- Prior Authorization Lookup Tool
- Prior Authorization Requirements
- Claims Overview
- Reimbursement Policies
- Provider Manuals, Policies & Guidelines
- Referrals
- Provider Training Academy
- Forms
- Pharmacy Information
- Georgia Families 360°℠