Kansas | Providers – Amerigroup

News & Announcements

Q1 Medical Policies and Clinical Utilization Management Guidelines Update
Retroactive eligibility authorization process
Health Home Partner panel listing user guide
Clinical Laboratory Improvement Amendments (CLIA) requirements
Billing for Certain Value Added Benefit Services
Anesthesia billing
PRTF-other services billing revised
Changes to Ordering, Referring, Prescribing Requirements Effective April 1
Implementation of CPT Category II codes
Pharmacy Benefit Manager Change to Express Scripts Effective April 1, 2015
Paper claims submission process changes
PCP Rate Increase Decommission
Community mental health center (CMHC) billing guidelines for modifiers and rendering providers
Ordering, referring and prescribing NPI requirements due to the Affordable Care Act
Attending Provider NPI and Institutional Claims
Upcoming changes to durable medical equipment precertification requirements
Prespecific Limits for Behavioral Health Services
Postponed Upcoming Disbursement Process Changes
Amerigroup Client Obligation Review and Status Update
Availity Announcement and Frequently Asked Questions
Hearing Aid Return Policy
Transition Care Management
CMS 1500 Deadline Extension
Attending Provider Billing with Nursing Homes
Availity Announcement and Frequently Asked Questions
KanCare Health Home Program and Survey
Updated CMS 1500 Form
Medicaid Electronic Health Records (EHR) Incentive Program Attestation Requirements
Changes to Precertification Utilization Review
Anesthesia Claims Update for Eye-Related Procedures
Billing Guidelines for Providers of Intellectual/Developmental Disability Waiver Services
Enrollment Update for FQHCs, RHCs and Hospices
Intellectual/Developmental Disability Provider Orientation Sessions
Intellectual/Developmental Disability Waiver Services Begin February 1, 2014
Preventing the Flu

Provider Self-Service


 Provider Resources & Documents

expand Behavioral Health & Screening Tools
Patient Health Questionnaire (PHQ-9)
Mood Disorder Questionnaire
Case Management Solutions
expand Claims Submission and Reimbursement Policy
Health Insurance Claim Form
EVV TPL Claim Submittal
Provider Bulletin 2014, Issue 1
Provider Bulletin 2014, Issue 3
expand Clinical Practice Guidelines
Clinical Practice Guidelines
expand Disease Management Centralized Care Unit
Contacting DMCCU
expand Emergency Transportation Billing
Emergency Transportation Billing
expand EPSDT
EPSDT Reminder Program
expand Find Your Provider Representative
List of Provider Representatives
expand Forms
Claim Payment Appeal
Precertification Request
Blood Lead Testing for High-risk Children
Medical Necessity Appeal Form
BH Concurrent Review Fax Form - Medicaid
expand Health Homes
Action Plan Instructions
Health Homes Discharge Form
expand ICD-10
expand Known Issues Log
expand Manuals & Referral Directories
Kansas Provider Manual
Kansas Referral Directory
Quick Reference Card
expand Maternal Child Program
Maternity Notification Form
expand Medical Management Model
Care Management
Medical Management Model
expand Newsletters
Provider News Issue 1 2015
expand Pharmacy
Kansas Formulary
Medication Therapy Management Pharmacy Locator
Medical Injectables Prior Authorization
Synagis Enrollment Form
expand Quick Tools
Reimbursement Policies
expand Training Programs
Orientation Bookmark - Provider Manual
NIA Radiology UM Guide
NIA Training Presentation
Orientation Calendar - June
Orientation Calendar - August
expand Tutorials
Health Risk Assessment Lookup Tool Tutorial
Precertification Requests Tutorial
Member Information and Panel Listing Guide​ Tutorial
Claims Appeal Tutorial
expand Vendor/Partner Links & Information
LabCorp (Laboratory Services)
Quest Diagnostics, Inc. (Laboratory Services)
Kansas Medical Assistance Program
Scion Dental (Dental)
AIM (Diagnostic and Imaging Service Authorizations)
Express Scripts Prior Authorization
Express Scripts Provider Portal

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