Amerigroup. An Anthem Company.

Texas Providers

Welcome, providers!

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.

COVID-19 information

Amerigroup is closely monitoring COVID-19 developments and how the novel coronavirus will impact our customers and provider partners.

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

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

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.

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.

Clinical Criteria Updates Notification February 2021

These policies were developed, revised or reviewed to support clinical coding edits.

Medicare updates

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 - 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.

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. 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.

Behavioral health

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.

Provider Advisory Groups

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 Recognition

NCQA Health Plan Accreditation evaluates the quality of healthcare health plans provide to their members.

Amerigroup Texas, Inc.
Amerigroup Insurance Company

Provider tools & resources

Interested in becoming a provider in the Amerigroup network?

We look forward to working with you to provide quality services to our members.