Arizona | Providers – Amerigroup

News & Announcements

Prior authorization requirements for CardioMEMS
New CMS requirement: Hospitals must use Medicare Outpatient Observation Notice
Updated claims submission requirements for in-home support, respite care
Updated claims submission requirements for adult day center
Expansion of Specialty Pharmacy Precertification List: Zirabev
Medicare New Specialty Pharmacy Medical Step Therapy Requirements - Effective January 17, 2020
2020 Medicare risk adjustment provider trainings
New Specialty Part B Preferred Device - Effective January 17, 2020
Multiple and Bilateral Surgery: Professional and Facility Reimbursement Policy Update
Medicare Advantage - Clinical Criteria Web Posting September 2019
Medicare Advantage: Pharmacy Benefit Manager Change to IngenioRx - Effective 1/1/2020
AZ 2020 Medicare Advantage plan changes
Prior authorization requirements for E0784, K0553 and K0554
Medicare Advantage - Clinical Criteria Web Posting August 2019
Provider training series
Medicare Advantage - CMS reminder: expedited/urgent requests
Global 3M19 Medical Policy and Technology Assessment Committee prior authorization requirement updates
Medicare Advantage - Aspire Telehealth Palliative Care Program bulletin 
2019 Enhanced Personal Health Care Program releases myFHR
Medicare Advantage - June 2019 Medical Policies and Clinical UM Guidelines update
Medicare Advantage - Medicare Preferred Cont Glucose Monitors
Clinical Criteria Web Posting July 2019
Medicare Advantage - 2019 Risk Adjustment Provider Trainings
Assisting your patients in managing the Donut Hole
Lowering health risks with no-cost statins
Prior authorization requirements for continuous positive airway pressure supplies
Medicare Advantage – CLIA for Amerigroup
Medicare Advantage – Pharmacy benefit manager change to IngenioRx
Medicare Advantage – Clinical Criteria Web Posting Q1 2019
AGP Customization for IP Cancer Therapy
Medicare Advantage – Clinical Criteria Web Posting Q2 2019
Upgrade to 23rd Edition of MCG Care Guidelines
Update to Emergency Department: Level of E&M Services Reimbursement Policy (Medicare-Advantage Only)
2019 Utilization Management Affirmative Statement concerning utilization management decisions
Medicare Advantage – Medical records request for risk adjustment
Update: Medicare Advantage – 2019 risk adjustment provider trainings
Update: Medicare Advantage – Submitting corrected claims
Medicare Advantage – Fall prevention tips
Revision to Facility Emergency Department reimbursement policy postponed
Medicare Advantage - Update: 2019 Risk Adjustment provider trainings
Medicare Advantage – Change to 835 ERA for all D-SNP MA members for 2019
Medicare Advantage – Special Need Plans training required
Medicare Advantage – Clinical criteria updates for specialty pharmacy
Medicare Advantage – Amerigroup eye refraction and routine eye exam billing information

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