Georgia's Department of Community Health (DCH) now has a new NCQA certified Centralized Credentialing Verification Organization (CVO) that will be responsible for credentialing and recredentialing Medicaid providers currently enrolled or seeking to enroll with Amerigroup.
Effective 8/1/2015, Amerigroup will no longer process initial credentialing applications received on or after 8/1/2015. Provider will be required to credential through the Department of Community Health’s (DCH) Centralized Credentialing Verification Organization (CVO).
Submit an application for credentialing through the MMIS web portal.
Credentialing Verification FAQ
Who will be required to go through credentialing verification process?
All individual practitioners and facilities currently enrolled or seeking to enroll with a CMO will be credentialed and recredentialed through the new Centralized CVO. Independent Physician Practice Associations (IPA) and Physician Hospital Organizations (PHO) that conduct their own credentialing and to whom the CMOs delegate are excluded from this process.
Effective August 1, 2015, all new provider credentialing applications seeking enrollment with Amerigroup will be credentialed through the new CVO.
From August 1, 2015, through November 30, 2015, Amerigroup will process any and all existing applications seeking initial credentialing for those providers that submitted an application prior to August 1, 2015.
From August 1, 2015, through November 30, 2015, Amerigroup will continue to recredential all providers currently enrolled.
Effective December 1, 2015, all providers will be credentialed and recredentialed through Aperture. Beginning December 1, 2015, Amerigroup will no longer perform credentialing or recredentialing services for enrolled providers.
If you have a provider who is interested in credentialing with Amerigroup, they must submit their application through the MMIS web portal. Questions regarding the centralized CVO initiative can be directed to firstname.lastname@example.org.
*Credentialing with DCH does not guarantee your participation status with Amerigroup. Contracting and credentialing are separate and distinct processes. If you are a non-participating provider with Amerigroup and are interested in joining our network, please complete the Provider application request form.
*CAQH not needed for Georgia Providers