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.

Learning opportunities

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.

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

Infant Early Childhood Mental Health (IECMH) Program Memo

Information pertaining to Infant Early Childhood Mental Health (IECMH) program for ages 0-5. TennCare along the Managed Care Organizations have been working on a program that will provide evidenced based clinical services to children ages 0-5 and their families within this area of behavioral health services.

AIM Specialty Health transitioning to Carelon Medical Benefits Management Inc.

In March 2023, AIM Specialty Health will transition to Carelon Medical Benefits Management Inc. This transition is a name change only, and there will be no process changes.

Ready Set Renew Resource Flyer

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: Continuing to Explore the Intersection of Race and Disability

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.

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.

Medicare updates

AIM Specialty Health transitioning to Carelon Medical Benefits Management Inc.

In March 2023, AIM Specialty Health will transition to Carelon Medical Benefits Management Inc. This transition is a name change only, and there will be no process changes.

Medicare Advantage - Register Today: Continuing to Explore the Intersection of Race and Disability

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.

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.

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.

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.