We provide resources that help healthcare professionals do what they do best — care for our members.
At Amerigroup, we value you as a provider in our network. That's why we’ve 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.
Amerigroup is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners.
Vaccination is important in fighting against infectious diseases. Keep patients healthy and safe by becoming familiar with the tools and strategies useful in protecting yourself and patients against contagious illnesses.
The Availity Portal offers health care professionals free access to real-time information and instant responses in a consistent format, regardless of the payer.
Amerigroup is now sending some bulletins, policy change notifications, prior authorization update information, educational opportunities and more to providers via email.
Find the latest articles and announcements on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, pharmacy information, and more.
Quick tips to filing a complete and correct professional claim
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.
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.
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.
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.
Effective July 1, 2021, Amerigroup may deny or recover claims that are not billed with the required FQHC and RHC modifiers.
Quick tips to filing a complete and correct professional claim
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.
The Medical Policies, Clinical UM Guidelines and Third Party Criteria were developed and/or revised to support clinical coding edits.
Policy Reminder: Inpatient Readmissions
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.
These policies were developed, revised or reviewed to support clinical coding edits.
Current fax numbers will be phased out beginning May 1, 2021.
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. That’s why 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 healthcare providers, community and government agencies, human service districts, and other resources to successfully meet the needs of members with mental health and substance use conditions, and intellectual and developmental disabilities.
Our Provider Advisory Groups meet regularly to provide a forum for providers to have ongoing input into the activities of Amerigroup. We welcome and encourage active participation of our contracted providers.
For additional information about participation, please contact your local Provider Relations representative.
NCQA Health Plan Accreditation evaluates the quality of healthcare health plans provide to their members.
Amerigroup Texas, Inc.
Amerigroup Insurance Company
