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.

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

Hysterectomies and sterilization consent form

TennCare has updated the hysterectomies, and sterilization consent form instructions on the website

Voluntary recall of Philips Respironics CPAP machine, BiPAP machine, and ventilators

On June 14, 2021, Philips Respironics* issued a voluntary recall on specific brands of their continuous positive airway pressure (CPAP) machines, bilevel positive airway pressure (BiPAP) machines, and ventilators.

In Pursuit of Racial Equity: Deconstructing Bias

Please join us on June 9th to hear from a diverse panel of experienced professionals about racial equity and implicit bias.

Correction to a Step Therapy Update

Notification that effective May 1, 2021 specific codes would be included in our step therapy review process.

Provider newsletter message: Pharmacy 90 Day Prescription

Reminder: The TennCare pharmacy program allows for a 90-day supply to be dispensed due to COVID-19. Amerigroup Community Care wants to ensure that our members have uninterrupted access to medications during the COVID-19 threat. Temporary procedures have been deployed by TennCare to ensure that the members continue to receive their medications in this time of crisis.

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.