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.
The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format, regardless of the payer.
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.
Amerigroup is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email.
As federally required, Tennessee plans on completing all renewals within a 12-month period and will begin each monthly cycle with an attempt to auto-renew members using existing data sources, including SNAP eligibility. Those who can be auto-renewed will not be required to submit a renewal form and will receive a notification in the mail or electronically that they have been auto-renewed.
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.
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.
In April 2022, Amerigroup Community Care will replace its current internal provider demographic management system with a new Strategic Provider System (SPS).
The included medication codes that are billed on medical claims from current or new Clinical Criteria documents will now require prior authorization. This is effective for dates of service on and after March, 1 2022.
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.
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.
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.
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 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.
Search for up-to-date drug information, including hundreds of brand-name and generic medications.
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
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.
Amerigroup: Serving Tennessee families since 2007
