Amerigroup. An Anthem Company.

New Jersey Providers

Welcome, providers!

Resources that help health care professionals do what they do best — care for our members.

At Amerigroup Community Care, we value you as a provider in our network. That is why we have 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 health care 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.

Learning opportunities

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.

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.

Provider News

The latest articles and announcements on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, prescription information, and more.

Medicaid updates

Amerigroup Digital Tools training invitation

This web-based training will cover provider updates, reminders, and how to use the Amerigroup digital tools and we will have guest speakers from: Availity®.* We will have guest speaker Karen Mulcahy to discuss Availity attachments and dispute process using Claim Status.

Preventing the Flu

The CDC recommends that patients (including infants 6 months and older, pregnant patients, the elderly, and patients with chronic medical conditions) get the flu vaccine in September or October, at the earliest, to provide protection for the duration of the flu season, which begins in October and ends in May.

AGP Provider Relations appointment verification Letter

MedZed* provides a valuable service to members enrolled in Amerigroup Community Care. In collaboration with the Care Management team of Amerigroup, MedZed provides the following services for designated Amerigroup members during enrollment to the MedZed Program.

988 Suicide & Crisis Lifeline Tool Kit

988 is the new three-digit dialing code for the Suicide and Crisis Lifeline. Starting July 16, you can call or text 988 or chat if you or someone you know is having thoughts of suicide or experiencing a mental health or substance use crisis.

Hospitals & Birthing Centers: Reimbursement for early elective deliveries

To improve birth outcomes for our members and further reduce early elective deliveries (EEDs), effective as of January 1, 2021, any labor and delivery claims are billed with ICD-10 diagnosis code indicating weeks of gestation.

Medicare updates

Medicare Advantage - Register Today: Continuing to Explore the Intersection of Race and Disability

Register today for the Exploring the Intersection of Race and Disability forum hosted for providers on September 21, 2022. We believe that continuing the discussion we started at our June 2022 event to deepen the conversation about the disability experience for people of color is critically important.

Medicare Advantage — Join us in talking about racism and its impact on health

 At Amerigroup Community Care, we are committed to addressing racism in our society through open discussions about trauma, injustice, and inequality. These conversations are critical to improving the wellbeing of all Americans and the communities in which we live and serve.

Medicare Advantage — PN for UM AROW Item 1577

On September 1, 2021, Amerigroup prior authorization (PA) requirements will change for the following codes.

Medicare Advantage — PN for UM AROW Item 1330

On April 1, 2021, Amerigroup prior authorization (PA) requirements will change for the following codes.

Updates to AIM Clinical Appropriateness Guidelines for Radiation Oncology

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. We encourage all our moms-to-be to take part in our Taking Care of Baby and Me® program, which is a comprehensive, proactive case management and care coordination program for all expectant mothers and their newborns.

Behavioral health provider

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

NCQA Health Plan Recognition

Amerigroup Community Care is an NCQA Accredited Plan in New Jersey.

Accredited NCQA Health Plan Distinction NCQA Long Term Services and Supports Accredited NCQA Managed Behavioral Healthcare Organization Distinction NCQA Multicultural Health Care

Provider tools & resources

Interested in becoming a provider in our network?

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