Amerigroup Washington Providers home

Washington Providers

Welcome, providers!

Resources that help health care professionals do what they do best — care for our members.


At Amerigroup Washington, Inc., 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 Washington, Inc. is closely monitoring COVID-19 developments and how they will impact our customers and our health care 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
 

Washington Foundational Community Supports

Foundational Community Supports (FCS) is a program offering benefits for supportive housing and supported employment for Apple Health-eligible beneficiaries with complex needs.

Provider News

The latest articles and announcements on claims filings, products, benefits, administrative updates, new and revised procedures and guidelines, prescription information, and more.

Apple Health (Medicaid) updates

Important update: Dental surgeries – payment of inpatient hospital facility fees requiring prior authorization

Effective since January 1, 2020, payment for inpatient hospital facility fees for dental surgeries are the responsibility of the Apple Health client’s managed care organizations (MCO).

 

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.

 

Systems update on T1015 denial defect: GD9 and G48

 

Return to School: Supporting Students with Brain Injuries

 

Specialty Pharmacy Prior Authorization Updates

 

Changes to Cancer Care Quality Program effective May 17, 2021

 

Medicare updates

Medicare Advantage — PN for UM AROW Item 1330

On April 1, 2021, Amerigroup prior authorization (PA) requirements will change for the following codes.

 

Updates to AIM Clinical Appropriateness Guidelines for Radiation Oncology

 

Medicare Advantage - Racial Trauma Forum Invitation

 

Medicare Advantage — New MCG Care Guidelines 24th edition Viral Illness

 

Medicare Advantage - February 2020 Medical Policies and Clinical Utilization Management Guidelines Update

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 the Taking Care of Baby and Me® program, 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 meet the needs of members with mental health, substance use, and intellectual and developmental disabilities.

Provider tools & resources

Interested in becoming a provider in our network?

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