Kansas | Providers – Amerigroup

News & Announcements

Lock-In program update
Bone-anchored hearing aid (BAHA) billing clarification
Revised diagnosis related group rates and weights for fiscal year 2015
Q1 Medical Policies and Clinical Utilization Management Guidelines Update
ICD-10 Coded Prior Authorizations Accepted Effective June 1
Prior authorization for I/DD HCBS waiver services and I/DD TCM services
E&M codes billed with respiratory services
Sterilization policy and consent form reminder
Express Scripts Prior Authorization Tool Available June 1
Positive behavioral support (PBS) services
Annual member rights notification
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

Kansas

 Provider Resources & Documents

expand Behavioral Health & Screening Tools
CAGE-AID
MAST
Patient Health Questionnaire (PHQ-9)
Mood Disorder Questionnaire
Case Management Solutions
expand Claims Submission and Reimbursement Policy
Taxonomy Cross Reference Tool
UB-04 Claim Form
Resolving Your Claims Issues
Provider Bulletin 2014, Issue 2
Electronic Data Interchange (EDI)
expand Clinical Practice Guidelines
expand Disease Management Centralized Care Unit
About DMCCU
How to Use DMCCU
expand Emergency Transportation Billing
expand EPSDT
EPSDT Toolkit
EPSDT Provider Training
expand Find Your Provider Representative
expand Forms
State Forms (consent, sterilization, etc.)
Refund Notification
Practice Profile Update Form
Claims Correspondence Form
BH Initial Review Fax Form
expand Health Homes
Health Homes Action Plan
Health Homes Member Assignment Refusal Form
Providing Leadership for a Successful Health Home
expand ICD-10
ICD-10
expand Known Issues Log
expand Manuals & Referral Directories
Kansas Provider Manual
Kansas Referral Directory
Quick Reference Card
expand Maternal Child Program
Program Overview
Prenatal Ultrasound Policy
expand Medical Management Model
Health Education and Wellness
expand Newsletters
Provider News Issue 1 2013
Provider News Issue 2 2015​
expand Pharmacy
Kansas Formulary
Medication Therapy Management Pharmacy Locator
Medical Injectables Prior Authorization
Synagis Enrollment Form
expand Quality Management
Medicaid QM Desktop Reference Guide
expand Quick Tools
Precertification Lookup Tool
Medical Policies
expand Training Programs
NIA Radiology UM Guide
NIA Training Presentation
Orientation Calendar - June
Orientation Calendar - August
General Provider Orientation
expand Tutorials
Medication Precertification Tutorial
Precertification Status and Appeals Tutorial
Provider Updates: Account Information
Member Information and Panel Listing
expand Vendor/Partner Links & Information
Ocular Benefits (Vision Services)
Access2Care (Nonemergent transportation)
Kansas Dept. of Health and Environment
MultiPlan, Inc.
AAP Clinical Practice Site
ESI Pharmacy Locator Tool
Express Scripts MAC Pricing

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