Quality management
Amerigroup Washington, Inc. maintains a comprehensive Quality Management (QM) program to objectively monitor and systematically evaluate the care and service provided to members. The scope and content of the program reflects the demographic and epidemiological needs of the population served. Studies are planned across the continuum of care and service, with ongoing proactive evaluation and refinement of the program.
Related information
HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA).
- Electronic Clinical Data Systems coding booklet
- HEDIS Category II Coding Bulletin 2023
- HEDIS Coding Booklet 2023
- HEDIS ECDS Prenatal and Postpartum Care Coding Bulletin 2023
- Medicare Advantage – Clinical HEDIS Medicare Stars Quick Reference Guide
- HEDIS Desktop Reference Guide for Medicaid Providers
- Medicare Quality Improvement Programs
- Advance directives or physician orders for life-sustaining treatment
Provider tools & resources
- Log in to Availity
- Launch Provider Learning Hub Now
- Learn about Availity
- Prior Authorization Lookup Tool
- Prior Authorization Requirements
- Claims Overview
- Member Eligibility & Pharmacy Overview
- Provider Manuals and Guides
- Referrals
- Forms
- Training Academy
- Pharmacy Information
- Electronic Data Interchange