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.

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

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.

Autism Spectrum Disorder (ASD): DIR treatment

In accordance with the requirements of the federally mandated comprehensive and preventive child health program, Early and Periodic Screening, Diagnostic and Treatment Services (EPSDT), Amerigroup Community Care is required to furnish all medically necessary services needed to correct and ameliorate health conditions for Medicaid members from birth through age 20.

Updates to Medicaid/NJ FamilyCare Coverage of Midwifery

Medicaid/NJ FamilyCare expanded scope of midwifery care, of enrollment eligibility of any midwife licensed by the NJ Board of Medical Examiners, and of updated billing guidance for fee-for-service reimbursement of midwifery care.

Register today: Exploring the intersection of race and disability

Amerigroup is committed to making healthcare simpler and reducing health disparities. Open discussion about the disability experience for people of color and reducing implicit bias for those in healthcare is critical to improving the health and well-being of the communities in which we live and serve — all Americans.

Home Health Provider Training Invitation

This training will discuss EVV and why it is required, how to get started with CareBridge EVV and who to contact with specific questions.

Update: Presumptive drug screens and definitive drug testing

Effective May 1, 2022, Amerigroup Community Care updated the requirements and coverage for presumptive drug screens and definitive drug testing to align with NJ FamilyCare.

Mail order pharmacy reminder

The IngenioRx* Home Delivery Pharmacy provides all eligible Amerigroup Community Care members the opportunity to have prescriptions delivered to their home, free of charge.

Provider Training for Cures Act EVV Mandate

The recording is now available for the webinar cohosted by Amerigroup Community Care and CareBridge* for providers required to be in full compliance with the Cures Act EVV mandate.

Medicare updates

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.