Find the latest articles and announcements on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, pharmacy information, and more.
Medicaid updates
Professional Claim Billing Quick Tips
Quick tips to filing a complete and correct professional claim
Notice to Physicians and Providers
AMERIGROUP TEXAS, Inc. is a medical HMO that offers a wide range of health care services. We will accept applications for participation in our provider network from 12/01/2022 –12/21/2022.
Provider Orientation Training Schedule
Would you like more information on how to check eligibility, authorizations, or claims status? Please join one of our online provider trainings hosted by Amerigroup.
AIM Specialty Health® lung cancer screening prior authorization guideline update
Effective for dates of service on and after January 28, 2022, AIM Specialty Health* will follow the Texas Medicaid prior authorization guideline and criteria outlined in the Texas Medicaid Provider Procedures Manual for lung cancer screening.
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.
Federally qualified health centers and rural health clinic modifier requirements
Effective July 1, 2021, Amerigroup may deny or recover claims that are not billed with the required FQHC and RHC modifiers.
Medicare updates
Medicare Advantage - Professional Claim Billing Quick Tips
Quick tips to filing a complete and correct professional claim
Medicare Advantage - Join us in talking about racism and its impact on health
At Amerigroup Washington, Inc., 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.
Medicare Advantage - Medical Policies and Clinical Utilization Management Guidelines update
The Medical Policies, Clinical UM Guidelines and Third Party Criteria were developed and/or revised to support clinical coding edits.
Medicare Advantage - Reimbursement Policy Reminder: Inpatient Readmissions
Policy Reminder: Inpatient Readmissions
MMP updates
MMP - Professional Claim Billing Quick Tips
Quick tips to filing a complete and correct professional claim
MMP - Provider Orientation Training Schedule
Would you like more information on how to check eligibility, authorizations, or claims status? Please join one of our online provider trainings hosted by Amerigroup.
MMP - Join us in talking about racism and its impact on health
At Amerigroup Washington, Inc., 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.
MMP - 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.
MMP - Clinical Criteria Updates Notification February 2021
These policies were developed, revised or reviewed to support clinical coding edits.
MMP - Important update: behavioral health fax numbers changing
Current fax numbers will be phased out beginning May 1, 2021.