Amerigroup. An Anthem Company.

Iowa Providers

Welcome, providers!

Here you will find resources that help healthcare professionals do what they do best — care for our members.

At Amerigroup Iowa, Inc., we value your partnership as a provider in our network. That's why we’ve redesigned the provider site to make it more useful for you and easier to use.

Interested in joining our provider network? We look forward to working with you to provide quality services to our members.

COVID-19 information

Amerigroup is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners.

Availity access

The Availity Portal offers healthcare professionals free access to real-time information and instant responses in a consistent format, regardless of the payer.

At Availity, you can:

Request authorizations
Submit claims
Confirm eligibility

Receive email from Amerigroup

Amerigroup is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email.

Critical incident reporting

Amerigroup has a critical incident reporting and management system for incidents that occur in a home- and community-based long-term care services and supports delivery setting. As a participating Amerigroup provider, you’re required to participate in critical incident reporting.

Provider news and updates

Get the latest articles and announcements on Amerigroup policies, clinical/utilization management guideline updates, state and federal regulatory changes, and much more.

Medicaid updates

Voluntary recall of Philips Respironics

CPAP machine, BiPAP machine, and ventilators Blurb: On June 14, 2021, Philips Respironics* issued a voluntary recall on specific brands of their continuous positive airway pressure (CPAP) machines, bilevel positive airway pressure (BiPAP) machines, and ventilators.

Clinical Criteria Updates Notification March 2021

On March 25, 2021, and April 8, 2021, the Pharmacy and Therapeutics (P&T) Committee approved the following Clinical Criteria applicable to the medical drug benefit for Amerigroup Iowa, Inc. These policies were developed, revised, or reviewed to support clinical coding edits.

Medicare updates

Medicare Advantage - MCG Care Guidelines 25th Edition

Effective September 1, 2021, Amerigroup will upgrade to the 25th edition of MCG* care guidelines for the following modules: inpatient and surgical care (ISC), general recovery care (GRC), chronic care (CC), recovery facility care (RFC), and behavioral health care (BHC).

Featured resources

Pharmacy information

Search for up-to-date drug information, including hundreds of brand-name and generic medications.

Maternal child program

When it comes to our pregnant members, we are committed to keeping both mom and baby healthy. That’s why we encourage all our moms-to-be to take part in our Taking Care of Baby and Me® program, a comprehensive, proactive case management and care coordination program for all expectant mothers and their newborns.

Behavioral health

We work collaboratively with hospitals, group practices and independent behavioral healthcare providers, community and government agencies, human service districts, and other resources to successfully meet the needs of members with mental health, substance use, and intellectual and developmental disabilities.

NCQA Health Plan Recognition

NCQA accredited Health Plan

Provider tools & resources

Interested in becoming a provider in the Amerigroup network?

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