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.

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

Racial Trauma Forum Invitation

Please join us to hear from a diverse panel of experienced Motivo* and Amerigroup Community Care professionals on addressing racial trauma with your patients as well as navigating our experiences and perspectives, ensuring culturally competent care and self-care.

Prior authorization requirements for E0482

Effective November 1, 2020, prior authorization (PA) requirements will change for E0482.

Provider Chat — A fast, easy way to have your questions answered

You now have a new option to have questions answered quickly and easily.

21st Century Cures Act enrollment mandate

The 21st Century Cures Act 114 P.L. 255 requires all Medicaid managed care network providers regardless of specialty to enroll with the state Medicaid program or risk being removed from the managed care provider network.

Medicare updates

Updates to AIM Clinical Appropriateness Guidelines for Radiation Oncology

New specialty pharmacy medical step therapy requirements

Effective January 1, 2021, the following Part B medications from the current Clinical Utilization Management (UM) Guidelines will be included in our medical step therapy precertification review process.

New specialty pharmacy medical step therapy requirements

Effective January 1, 2021, the following Part B medications from the current Clinical Utilization Management (UM) Guidelines will be included in our medical step therapy precertification review process.

Amerigroup Amerivantage (Medicare Advantage) expands specialty pharmacy precertification list effective January 1, 2021

Effective for dates of service on and after January 1, 2021, specialty Medicare Part B drugs listed will be included in our precertification review process.

Medicare Advantage — Provider Notification for UM AROW 1107

On January 1, 2021, Amerigroup prior authorization (PA) requirements will change for certain codes.

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 has been a NCQA Commendable plan in New Jersey since 2017.

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.