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.
The Availity Portal offers healthcare professionals free access to real-time information and instant responses in a consistent format, regardless of the payer.
Find learning opportunities to assist with administering your patient’s health plan using Availity Essentials multi-payer features and payer spaces applications. Use the library of self-paced courses and instructor-led training sessions, available 24/7 at no cost. Be prepared with the knowledge to assist our members.
Amerigroup is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email.
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.
Get the latest articles and announcements on Amerigroup policies, clinical/utilization management guideline updates, state and federal regulatory changes, and much more.
Updated Denial Code Explanations
It’s Time for Some of Your Patients to Renew their Medicaid BenefitsAs states begin to recommence Medicaid renewals, we want to ensure you have the information needed to help your Medicaid patients renew their healthcare coverage.
Beginning June 27, 2022, your health plan will be implementing a new early elective delivery (EED) claim submission process, which will capture non-medically necessary EEDs and, at the same time, distinguish uncomplicated spontaneous labor/vaginal deliveries at 37 to 38 weeks’ gestation.
We require all services that are rendered in an office, professional building, medical office building, clinic, or a space owned by a hospital or an institutional provider, other than the primary structure on the campus of the hospital or institutional provider, to be billed on a CMS-1500 Claim form. When billing for these professional services on a CMS 1500, they should be billed with place of service (POS) 19 or 22, not POS 11 or 12.
Amerigroup Iowa, Inc. wishes to update and remind our behavioral health (BH) provider network of the importance of including the rendering therapist detail on the CMS-1500 Claims Form when submitting for a member who is dually enrolled with Medicare and Medicaid.
Amerigroup Iowa, Inc. wishes to update and remind our behavioral health (BH) provider network of the importance of including the rendering therapist detail on the CMS-1500 Claims Form when submitting for a member who is dually enrolled with Medicare and Medicaid.
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).
In a recent provider bulletin, we advised we would no longer require prior authorization (PA) for the following drugs used to treat ocular conditions, effective May 1, 2021. Please be advised that PA will continue to be required for these drugs.
On February 19, 2021, and March 4, 2021, the Pharmacy and Therapeutics (P&T) Committee approved the following Clinical Criteria applicable to the medical drug benefit for Amerigroup Iowa, Inc.
Search for up-to-date drug information, including hundreds of brand-name and generic medications.
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.
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.
