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Amerigroup Provider sites

Florida – Clear Health Alliance. 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 Access reports.

Actived: 2 days ago

URL: https://provider.amerigroup.com/

Provider Search Amerigroup

(8 days ago) Provider Search Tool. Use our provider search tool to find doctors, pharmacies and other providers that work with our plan. You can search by provider name, city and state or specialty.

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Behavioral health Amerigroup Texas

(7 days ago) Integrated healthcare. Amerigroup facilitates integrated physical and behavioral health services as a vital part of healthcare. Our mission is to address the physical and behavioral health care of members by offering a wide range of targeted interventions, education and enhanced access to care to ensure improved outcomes and quality of life for members.

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Join Our Network

(8 days ago) We have a diverse network of exceptional health care professionals who ensure our members have uninterrupted access to the health care they need. You make your patients' lives better. We will do the same for you. Our prior authorization, referrals, claims and payment processes are streamlined to help you focus on what you do best — caring for

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HIPAA Notice of Privacy Practices

(5 days ago) the Department of Health and Human Services. Nothing bad will happen to you if you complain. Write to or call the Department of Health and Human Services: Florida, Georgia and Tennessee: Office for Civil Rights U.S. Department of Health and Human Services Sam Nunn Atlanta Federal Center, Suite 16T70 61 Forsyth Street, S.W. Atlanta, GA 30303-8909

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HIPAA Notice of Privacy Practices

(5 days ago) For health care business reasons – To help with audits, fraud and abuse prevention programs, planning, and everyday work – To find ways to make our programs better For public health reasons – To help public health officials keep people from getting sick or hurt With others who help with or pay for your care

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List of covered drugs

(Just Now) plan in consultation with a team of health care providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program. Our plan will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at a …

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Provider Quick Reference Card

(8 days ago) Mental health Prior authorization is not required for network providers requesting most outpatient behavioral health (BH) services. Call Provider Services at 1-800-454-3730 and say mental health at the first voice prompt for clinical assistance if mental health and/ or …

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Provider Guidebook

(8 days ago) health care services for the public sector, the Amerigroup subsidiary health plans help low-income families, children, pregnant women, people with disabilities, and members of Medicare Advantage and Special Needs Plans get the health care they need. 1.1 Purpose Statement Together, we are transforming health care with trusted and caring solutions.

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Medicare Advantage Health Plans Amerigroup

(6 days ago) Your health care plan is a personal decision, but we can help you understand your choices so you pick the best one for you. Yes. You already have Original Medicare (Part A and Part B) but want more benefits. You want prescription drug coverage included with your plan.

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Home Amerigroup Iowa, Inc.

(Just Now) 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, substance use, and intellectual and developmental disabilities.

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Behavioral Health Amerigroup Iowa, Inc.

(6 days ago) Integrated health care. Amerigroup Iowa, Inc. facilitates integrated physical and behavioral health services as a vital part of health care. Our mission is to address the physical and behavioral health care of members by offering a wide range of targeted interventions, education and enhanced access to care to ensure improved outcomes and quality of life for members.

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Behavioral health Georgia Provider

(9 days ago) Integrated healthcare. Amerigroup Community Care facilitates integrated physical and behavioral health services as a vital part of healthcare. Our mission is to address the physical and behavioral healthcare of members by offering a wide range of targeted interventions, education and enhanced access to care to ensure improved outcomes and quality of life for members.

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Pregnant Women, Children, and Families Amerigroup

(4 days ago) A Healthy Start in Life. Amerigroup is committed to helping women, babies, families, and communities attain the best possible health outcomes. Our comprehensive Maternal Child Health Program addresses maternal and newborn health risks by ensuring members have access to the information, care, and support needed to stay healthy before, during, and after pregnancy.

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Contact Us Amerigroup

(3 days ago) Amerigroup Medicare Enrollment & Sales (for Medicare Advantage, Medicare Supplement insurance plans and Medicare Part D) 1-877-470-4131 • 711 (TTY) 8:00 AM - 8:00 PM. Monday - Friday. Medicare Member Services (for Medicare Advantage, Medicare Supplement insurance plans and Medicare Part D) Please contact our Customer Service number at 1-866

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Disease Management/Population Health Amerigroup

(8 days ago) Disease Management/ Population Health. Our Disease Management (DM)/Population Health Program (PHP) is based on a system of coordinated care management interventions and communications designed to help physicians and other healthcare professionals …

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Washington Prior Authorization Form

(9 days ago) health, or ability to attain, maintain or regain maximum function. To prevent a delay in processing, please complete this form in its entirety and submit all clinical information to support your request. Today’s date: Provider return fax: Provider return phone: Member information.

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Reimbursement Policy

(1 days ago) Physician providing a service in a health professional shortage area (for use by Medicare nonpar physicians only) AS Physician assistant, nurse practitioner or clinical nurse specialist services for assistant at surgery CO Outpatient occupational therapy services furnished in whole or in part by an occupational therapist assistant

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Medicare Advantage HMO Plans Amerigroup

(6 days ago) Please review the Notice of Non-Discrimination in Health Programs and Activities and call Customer Service for details. Amerigroup is an HMO plan with a Medicare contract and a contract with the State Medicaid Program. Enrollment in Amerigroup depends on contract renewal. Y0114_20_123425_U

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Washington Providers Amerigroup

(6 days ago) 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.

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Prior Authorization Requirements Georgia Provider

(8 days ago) The Georgia Department of Community Health (DCH) implemented the centralized prior authorization (PA) feature which is the preferred method for submitting preauthorization requests. This feature allows participating Georgia Medicaid providers to submit PA requests to fee-for-service (FFS)

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Forms Amerigroup Texas

(2 days ago) Clinical Health Promotion Program Referral Form. Disease Management/Population Health Referral Form. Maternal Child Services. Breast Pump Request Form. Makena Prior Authorization Form. Maternal Child Services Notification of Delivery Form. Maternity Notification Form. Medicaid Forms. Behavioral Health Concurrent Review Form for Inpatient

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Prior Authorization Forms

(3 days ago) Behavioral Health Initial Review Form for Inpatient, Residential Treatment Center, Partial Hospital Program and Intensive Outpatient Program

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Apple Health (Medicaid) Provider manuals and guides

(Just Now) Apple Health (Medicaid) Provider manuals and guides Amerigroup Washington, Inc. is committed to supporting you in providing quality care and services to the members in our network. Here you will find information for assessing coverage options, guidelines for clinical Utilization Management (UM), practice policies and support for delivering

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Prior Authorization Requirements

(1 days ago) Behavioral health. Fax all requests for services that require prior authorization to: Inpatient: 1-877-434-7578. Outpatient: 1-844-887-6357. Services billed with the following revenue codes always require prior authorization: 0240-0249 — All-inclusive ancillary psychiatric. 0901, 0905-0907, 0913, 0917 — Behavioral health treatment services.

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CMS-1450 UB-04 coding and billing overview

(3 days ago) The Health Care Authority requires hospitals to bill interim claims using the appropriate patient status code 30 —Still a Patient or Expected to Return for Outpatient Services in 60-day intervals unless the patient is discharged prior to the next 60 days. Hospitals …

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Forms Amerigroup Community Care

(6 days ago) A library of the forms most frequently used by health care professionals. Looking for a form but don’t see it here? Please contact your provider representative for assistance.

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Prior Authorization Requirements Amerigroup Iowa, Inc.

(8 days ago) Home health, durable medical equipment, therapies and discharge planning: 1-888-235-8468 Concurrent clinical review documentation: 1-888-700-2197 Behavioral health (inpatient): 1-844-430-1702

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COVID-19 Medicare Telehealth FAQ

(4 days ago) A: Health care providers should document services furnished via telehealth the same way a face-to-face encounter would be documented, except for the elements that require the presence of the patient, in other words, physical examination.

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Join Our Network

(8 days ago) Joining our network is easy! We’re glad to hear that you are interested in joining the Amerigroup Washington, Inc. network. We have a diverse network of exceptional health care professionals that ensure our members have uninterrupted access to the health care …

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Texas Medicare Supplement Health Plans Amerigroup

(3 days ago) Please review the Notice of Non-Discrimination in Health Programs and Activities and call Customer Service for details. Medicare Supplement: Not connected with or endorsed by the U.S. Government or the federal Medicare program. The purpose of this communication is the solicitation of insurance. Contact will be made by an insurance agent or

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Behavioral Health Initial Review Form

(9 days ago) Behavioral Health Initial Review Form Fill out this form completely and return it to Amerigroup Washington, Inc. by fax at 1-877-434-7578. If you have any questions, contact Provider Services at 1-800-454-3730. The prescriber admission/evaluation note must accompany this request. To avoid delays in processing, please do not write See attached.

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Tennessee Providers Amerigroup

(5 days ago) 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 successfully meet the needs of members with behavioral health, substance use, and intellectual and developmental disabilities.

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Behavioral health

(1 days ago) Integrated health care. Amerigroup Community Care facilitates integrated physical and behavioral health services as a vital part of health care. Our mission is to address the physical and behavioral health care of members by offering a wide range of targeted interventions, education and enhanced access to care to ensure improved outcomes and

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Forms Amerigroup Iowa, Inc.

(1 days ago) Behavioral Health; Case Management; Health Home; Long-Term Services and Support (LTSS) Maternal Child Services; Health Education. Disease Management/Population Health; Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Member Rights and Responsibilities

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Provider Forms Georgia Provider

(4 days ago) For Providers. Cultural Competency Training Verification Form. Grievance Form. Provider Administrative Review Request Form (medical necessity appeals only) Other Forms. Amerigroup Trading Partner Agreement. Attachment Form A1: Transplant Services Notification Form. Attachment Form A2: Hospital Notification Of Transplant Admission.

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Preventive health guidelines

(7 days ago) Dental health Mental health, including depression Screenings When to get them Height, weight, BMI* Each year or as your doctor suggests Blood pressure Each year or as your doctor suggests. High measurements should be confirmed in the home setting. Breast cancer: Doctor exam Every 1-3 years Each year from age 40 and over Breast cancer: Mammogram**

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Electronic data interchange (EDI)/ electronic remittance

(4 days ago) 835 health care claim payment advice transactions 3 Question: How do I enroll for 835 health care claim payment advice transactions? Answer: Providers, billing services and clearinghouses can register to receive 835 (ERA*) X12 transactions directly for 835 health plan claim payments.

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COVID-19 update: Guidance for telehealth/telephonic care

(Just Now) behavioral health, for our Medicare Advantage plans, where permissible. Cost shares will be waived for in-network providers only. Self-insured plan sponsors may opt out of this program. Exceptions include intensive outpatient services, PHP, psychological testing and ABA services.

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Washington Apple Health Provider Directory Directorio De

(6 days ago) Health will coordinate behavioral health services instead of a regional Behavioral Health Organization (BHO). Behavioral health treatment in a clinic is available through Amerigroup Washington. To access these services, contact us directly. North Sound will begin integrated managed care on July 1, 2019.

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Behavioral health services and referral process: an overview

(6 days ago) Behavioral health assessment •An assessment is a face-to-face comprehensive clinical interview style evaluation. •An assessment is an important part of behavioral health treatment. It allows a behavioral health provider to: ―Identify symptoms, strengths, needs and …

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Join Our Network Amerigroup Community Care

(7 days ago) Claims & Disputes. Forms. Training Academy. We’re glad to hear that you are interested in joining the Amerigroup Community Care network. We have a diverse network of exceptional health care professionals that ensure our members have uninterrupted access to the health care they need. You make your patients' lives better. We'll do the same for you.

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How to Submit a Claim in Availity

(2 days ago) This will bring you to the ‘Professional Health Care Claim’ page. You’ll need to complete each section. Enter payer and ‘Patient Information’ sections. Note: Select ZAmerigroup [ for Payer and ZPrimary [ for Responsibility Sequence. Enter FS enrollee/client [s information in ZPatient Information [ section.

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Contact us Amerigroup Texas

(7 days ago) 1-800-315-5385. Texas Provider Consultant contact list. 24-hour Nurse HelpLine. 1-800-600-4441. 1-844-756-4600 STAR Kids. TTY: 711. The nurse helpline is a 24-hour service your Amerigroup patients can call to speak with a registered nurse who can: Answer medical questions and help determine what kind of …

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Opioid Treatment Program (OTP) Description for SAMHSA

(3 days ago) Abuse and Mental Health Services Administration (SAMHSA) Center and the American Society of Addiction Medicine (ASAM) for substance abuse disorder treatment. An OTP is an outpatient program which integrates medical and behavioral therapies for the treatment of substance use disorders. This

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Texas Medicare: IntegraNet, Gonzaba, Prospect and Great

(2 days ago) Great States Health: 1-806-853-8331 You may also reach out to Amerigroup at 1-800-454-3730. We value and appreciate the high quality services you provide to Amerigroup members every day. Best wishes, Christopher Harris Director of Provider Account Management Amerigroup Texas, Inc.

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Claims submissions and disputes Amerigroup Texas

(5 days ago) Select the health plan. From the Payer Spaces home page, select the Applications tab. Select the Clear Claims Connection tile. Related information. For a complete guide to the Provider Claim Payment Dispute Process, please refer to the provider manual.

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