Amerigroup. An Anthem Company.

Tennessee 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.

CoverKids

Effective January 1, 2021, Amerigroup will offer coverage to CoverKids eligible children.

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.

Sign up to receive email from Amerigroup

In order to communicate more efficiently with providers, Amerigroup is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email. Email is the quickest and most direct way to receive important information from Amerigroup.

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

Prior authorization requirements for E0482

Effective December 1, 2020, prior authorization (PA) requirements will change for E0482. The medical codes listed below will require PA by Amerigroup Community Care.

Updates to AIM Clinical Appropriateness Guidelines for Radiation Oncology

The following updates will apply to the AIM Specialty Health* Clinical Appropriateness Guidelines for Radiation Oncology for claims with dates of service on and after March 14, 2021. Please note that there are no restrictive changes in this update.

Specialty Pharmacy Prior Authorization Updates

Effective for dates of service on and after January 1, 2021, the following specialty pharmacy codes from current or new clinical criteria documents will be included in our precertification review process.

CoverKids transition FAQ (Effective January 1, 2021)

Now available: frequently asked questions with information regarding the CoverKids transition. CoverKids is effective January 1, 2021.

Medicare updates

Essential/Everyday Extras

Essential/Everyday Extras is a Medicare Advantage benefit in which the member can choose from a list of optional services to tailor their plan to best suit their needs.

Updated claims submission requirements for Adult Day Center benefit

Effective January 1, 2021, claims submission requirements for day care services provided under Medicare supplemental benefits for Amerigroup for the Adult Day Center benefit in AZ, IA, NJ, TN and TX are as outlined in this document.

Personal Home Helper FAQ

Personal Home Helper provides in-home support for caregiver respite, home-based chores and activities of daily living (ADL) to address needs while recovering from injury or illness. It covers up to four hours per day for up to 62 days or 248 hours of care in a calendar year.

Medicare Advantage — Provider Chat Flier

You now have a new option to have questions answered quickly and easily. With Amerigroup Chat, providers can have a real-time, online discussion through a new digital service, available through Payer Spaces on Availity.

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: Serving Tennessee families since 2007

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.