Georgia | Providers – Amerigroup
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News & Announcements

CAQH EnrollHub, which has been temporarily offline, will be operational on January 27, 2020.

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The Georgia Health Information Network

Improve the quality and coordination of patient care. The Georgia Health Information Network (GaHIN) helps providers close the information gap to improve the quality of patient care across the state. Visit GaHIN website >

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Provider Self-Service

 Provider Resources & Documents

expand Behavioral Health
Behavioral Health Case Management Flier
DCH Prior Authorization Portal FAQ
Georgia Medicaid UM Guideline
Behavioral health clinical submission
expand Behavioral Health Screening Tools
Alzheimer’s Mini-Cog Screening
CRAFFT Adolescent SUD Screening
CAGE-AID SUD Screening
Michigan Alcohol Screening Test (MAST)
Pediatric Symptom Checklist
Vanderbilt Assessment Scales ADHD Screening
Online registration processes for electronic remittance advices and electronic funds transfers
expand Claims Submission and Reimbursement Policy
Provider Bulletin 2014, Issue 2
Provider Bulletin 2015, Issue 1
expand Clinical Practice Guidelines
Asthma
Overview of the ADHD Care Process
Asthma Action Plan
expand DFCS Communications
DFCS Contact Information
DFCS Field Operations Directory
expand Disease Management
How to Use Disease Management
Contacting Disease Management
expand EPSDT
expand Forms
Hysterectomy Acknowledgement Form Directions
BH Concurrent Review Fax Form - Medicaid
Recoupment Notification Form Medicaid
Overpayment Refund Notification Form
Primary care provider change request form (Spanish)
Behavioral Health Discharge Note Fax Form
Neuropsychological Testing Request Form
BH Initial Review Form - Medicaid
Coordination of Care Form
expand Georgia Families 360°
Trauma Assessment Provider Training Acknowledgement
expand ICD-10
expand Manuals & QRCs
Medicaid Quick Reference Card
Quality Reporting and Performance Measures
Provider Manuals
expand Maternal Child Program
Program Overview
New pregnancy notification process using the Availity Web Portal Benefit Look-up Tool
Coding Spotlight — Pregnancy
17 P Provider Communication Update
expand Medical Management Model
Care Management
Medical Management Model
expand Medical Policy
expand Newsletters - Archived
Provider News Issue 1 2012
Provider News Issue 3 2012
Provider News Issue 3 2014​
Provider News Issue 2 2015​
Provider News Issue 4 2015
Provider News Issue 2 2016
Provider News Issue 4 2016
2017 Quarter 2 Provider Newsletter
2017 December Provider Newsletter
April 2018 Provider Newsletter
August 2018 Provider Newsletter
expand Newsletters - Current
December 2018 Provider Newsletter
April 2019 Provider Newsletter
August 2019 Provider Newsletter
December 2019 Provider Newsletter
expand Pharmacy
Pharmacy Tools
Natn'l Drug Code FAQs
Common OTC Medications List
Pharmacy Prior Authorization Form
State Hepatitis C Policy: Epclusa
State Hepatitis C Policy: Mavyret
State Hepatitis C Policy: Sovaldi
State Hepatitis C Policy: Viekira
State Hepatitis C Policy: Zepatier
Antipsychotics in Pediatrics PA Form
expand Quality Management
expand Quick Tools
Precertification Lookup Tool
Medical Policies
expand State Communications
STATE Medical Necessity
Billing instructions for 340B drug claims submissions
Fee-For-Service Inpatient Billing Instructions for Long-Acting Reversible Contraception Devices
DCH Revalidation
expand Training Programs
expand Tutorials
Accessing remittance inquiry process guide
expand Vendor/Partner Links & Information
Georgia Department of Community Health: Medicaid Management Information System (MMIS)
Georgia Families
AIM (Diagnostic and Imaging Service Authorizations)
Community Child Abuse Prevention Resource Guide
DentaQuest (Dental)
NCQA
Georgia

Do more online by registering for Provider Self-Service

Through Provider Self-Service, you can:

  • File and check the status of medical claims
  • Verify eligibility
  • Request precertification
  • Submit a Pharmacy Prior Authorization Request
  • And much more!

To log in, use your Availity ID and password. If you need an Availity ID, visit www.Availity.com to register today.

Visit Frequently Asked Questions about Availity for more information.

Join Amerigroup's Provider Network

We are currently recruiting providers in the Central and Southwest regions of the state.


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