Prior Authorization | Providers – Amerigroup

For a faster response, log into and use electronic Prior Authorization (ePA). (This excludes New Jersey.)

Medicaid and Medicare Part B

Click the Health Plan location to download the required Prior Authorization Request Form.

District of Columbia - Medicaid
Georgia - Medicaid

Maryland - Medicaid
New Jersey


Florida Psychotropic Medication Guidelines for Children Younger than 13

Medicare Part D Rx coverage determinations

Providers can send a request for a prescription coverage determination for a Medicare plan via electronic prior authorization (ePA) rather than fax or phone by submitting the request from one of the following ePA websites: