Provider manuals and guides
Amerigroup is committed to supporting you in providing quality care and services to our members. Here, you will find information for assessing treatment options, guidelines for clinical Utilization Management (UM), practice policies and support for delivering benefits to our members.
Provider Manual
Amerigroup provider manuals provide key administrative information, including plan benefits, member eligibility, the Quality Improvement Program, the UM program, credentialing and quality standards for participation, claims submission and appeals, and reimbursement and administration policies.
Documents
- Medicaid/CHIP Provider Manual
- Medicaid/CHIP Provider Manual — Nonemergency Medical Transportation services
- Medicaid/CHIP Addendum – Verifying Member Medicaid Eligibility
- Medicaid/CHIP Provider Quick Reference Card
- Medicare Provider Manual
- Medicare Provider Dispute, Grievance and Appeal FAQ
- Medicare Advantage Quick Reference Card
- STAR+PLUS MMP (Medicare-Medicaid Plan) Provider Manual
- Amerigroup STAR+PLUS MMP (Medicare-Medicaid Plan) Provider Manual – Nonemergency Medical Transportation services
- Nursing Facility Provider Manual
Medical Policies and Clinical UM Guidelines
There are several factors that impact whether a service or procedure is covered under a member’s benefit plan. Medical policies and Clinical Utilization Management (UM) Guidelines are two resources that help us determine if a procedure is medically necessary.
